For Referring Providers

Routine Referrals

Routine referrals should be faxed to 226-355-9775. Additional relevant imaging may be sent to waterlooregionretina@gmail.com

Please ensure all referrals contain the following information:

  • Reason for referral
  • Patient full legal name
  • Date of birth
  • Health card number and version code
  • Patient address
  • Patient phone number
  • A copy of the most recent assessment including visual acuity, IOP, and any relevant exam findings and history
  • Referring provider name, contact, billing number
  • Optional additional information: Patient email, patient family physician/other providers, medication list

Urgent/On-Call Referrals

Urgent referrals should be faxed to 226-355-9775. For referrals that need to be seen with 48 hours please call the office 226-355-9774 to confirm receipt of the referral. If you are unable to reach the office, you may call switchboard at WRHN @ Queen’s Blvd at 519-744-3311 ext. 0 and ask to page Retina On Call.

Examples of cases that require direct communication:

  1. Acute symptomatic macula on retinal detachments
  2. Post surgical/injection endophthalmitis
  3. Viral retinitis