Niagara Health Colonoscopy Referral Form

As one of my favourite architects wrote, “If you’re going to have centralization, why not have it!”
–Frank Lloyd Wright

Niagara Health now has a convenient centralized fax and form for colonoscopy referrals for colorectal cancer screening. This is to be used for patients needing a colonoscopy due to a positive FOBT or a first-degree relative with colorectal cancer. Having a centralized referral can enable great quality initiatives.

Thank you to OntarioMD and to the Hamilton Family Health Team for converting this referral form into a format for some of the most common EMRs in our LHIN. You’ll find it in the Resource section of this website under Colorectal and General Resources.


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