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’s 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 information, and billing number
- Optional additional information: Patient email, patient family physician/other providers, medication list
Please address referrals to Waterloo Region Retina Institute. Referrals may be assigned to either physician based on availability and area of clinical focus. If you are specifically requesting Dr. Shen or Dr. Zaslavsky, please indicate the requested physician in the body of the referral.
Urgent/On-Call Referrals
Urgent referrals should be faxed to 226-355-9775. For referrals requiring assessment within 48 hours, please call the office at 226-355-9774 to confirm receipt. If you are unable to reach the office, call the WRHN @ Queen’s Blvd. switchboard at 519-744-3311, ext. 0, and ask for Retina On Call.
Examples of cases that require direct communication:
- Acute symptomatic macula-on retinal detachments
- Postoperative or post-injection endophthalmitis
- Viral retinitis