Referral required · Physician or nurse practitioner

Trillium Neurosurgery Clinic
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For referring physicians and nurse practitioners

Refer a patient

A brief referral with the relevant investigations is enough. Our office calls the patient directly to book.

Fax (preferred)

1 (905) 228-4111

Write “Rapid Access Neurosurgery Clinic” on the referral for expedited assessment.

Email

referrals@trilliumneurosurgery.com

Please follow your organization’s privacy requirements when sending patient information by email.

Referral form

Download form (.docx)

Optional. Your usual consult letter is also accepted.

What to include

  • Patient name, date of birth, health card number and phone number
  • Reason for referral, addressed to one of our surgeons
  • Imaging reports, and where the imaging was done so we can view the images
  • Whether you think the patient needs Rapid Access assessment

Imaging requirements by condition

Myelopathy, radiculopathy or claudication

MRI if possible

Spinal fractures

CT spine

Any intracranial blood

CT head

Brain tumours

CT head or MRI

Head trauma or concussion

CT head

VP shunt malfunction or hydrocephalus

CT head

Brain aneurysm

CT or MR angiogram

Brain AVM or fistula

CT or MR angiogram

Pulsatile tinnitus

CT or MR venogram

Pulsatile tinnitus

Some patients with pulsatile tinnitus have a treatable vascular cause, such as venous sinus stenosis or a dural arteriovenous fistula. A brief referral with a CT or MR venogram is enough for us to assess whether a patient is a candidate for treatment. More about pulsatile tinnitus.

Emergencies

Patients with acute neurological deterioration should be sent to the nearest emergency department. For urgent physician-to-physician consultation, call CritiCall Ontario at 1-800-668-4357.