Brant Community Healthcare System Colonoscopy Referral Form

BCHS now has a convenient, centralized fax and referral form for patients needing a colonoscopy due to a positive FOBT. Having a centralized referral can enable great quality initiatives and navigate colonoscopies to be completed within the eight-week time frame mandated by CCO.   This same form will be used for FIT when it replaces FOBT.  Please note that in order to navigate positive screening tests to colonoscopy within the eight-week period, it is not possible to choose a specific endoscopist. This new referral form went live January 21, 2019.

Here is the referral form in three formats for primary care EMRs:

Brant Community Healthcare System Colonoscopy referral form

BCHS Endoscopy referral form (PDF)

OSCAR BCHS Endoscopy eform (ZIP) and Oscar upload eform instructions (PDF)

Telus PS BCHS Endoscopy Custom form (CFM in ZIP) and How to import a custom form (PDF)

For further details please see the BCHS Endoscopy – Centralized Booking Frequently Asked Questions, which contains all contact fax and phone numbers for this centralized referral process.

Thank you to  Sandra Comand, Clinic Manager and Dr. Dave Vincent, LHIN sub-regional primary care lead for leading the way (and with thanks to the Hamilton Family Health Team for converting this referral form into  formats for Telus PS and OSCAR.)