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Ontario Telemedicine Network eConsult (Specialty or Recipient: GeriMedRisk)
Champlain BASE™ eConsult (Specialty: GeriMedRisk)
Allied health care professionals can use this referral form below to communicate medication-related, physical and mental health concerns to their older patient's primary care clinician when a GeriMedRisk consult may be appropriate. This form provides the primary care provider with clinical information and can be used as part of the referral to GeriMedRisk from primary care, should they wish to consult.
Download Intake Form Below:
Regions: Champlain, Hamilton Niagara Haldimand Brant and North Simcoe Muskoka
If you are interested in hearing more about GeriMedRisk, please contact us using the form below.