Referral required · Physician or nurse practitioner

Trillium Neurosurgery Clinic
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Rapid Access Neurosurgery Clinic

When a patient needs to be seen soon

Expedited assessment for patients who need to see a neurosurgeon quickly but don’t meet criteria for an emergency visit or hospital admission. Surgery is booked on an expedited basis when it is needed.

How to refer

Fax a brief referral, addressed to one of our surgeons, with relevant investigations to 1 (905) 228-4111. Write “Rapid Access Neurosurgery Clinic” on the referral if you believe your patient needs expedited assessment.

This clinic does not replace emergency care. Patients with an acute or progressive neurological deficit, symptoms of cauda equina syndrome, or a decreased level of consciousness should be sent to the nearest emergency department. Physicians can arrange urgent physician-to-physician consultation through CritiCall Ontario at 1-800-668-4357.

Criteria and requirements

Myelopathy, radiculopathy or neurogenic claudication

Arm- or leg-dominant symptoms with a stable or functional neurological deficit, or intractable pain that has not responded to medical or interventional pain management.

MRI if possible

Spinal fractures

Fractures without neurological deficit.

CT spine

Any intracranial blood

CT head

Tumours, non-acute

New or suspected intracranial tumours.

CT head or MRI

Trauma

Concussion, traumatic subarachnoid hemorrhage.

CT head

VP shunt malfunction

CT head

Hydrocephalus

The patient should already have had a CT scan.

CT head

What happens next

  • Rapid Access referrals are reviewed promptly by the surgical team.
  • Our office calls the patient directly to book an expedited consultation.
  • If surgery is needed, it is booked on an expedited basis at Mississauga Hospital.

Download referral form