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

Please address referrals to Waterloo Region Retina Institute. Please note, faxes may be redistributed depending on availability and area of focus at the clinic’s discretion between physicians. If specifically Dr. Shen or specifically Dr. Zaslavsky is being requested for the referarl to be directed to, please specify in the body of the referral.

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