To refer a patient for a diagnostic cardiac catheterization, please fill out the Cardiac Care Network of Ontario’s (CCN) referral form and send it to the Regional Cardiac Care Coordinator at KGH when completed. Patient bookings will take place once the referral form is received. If the forms are incomplete, they will be returned for completion. The form, when complete, will provide recommended wait times that are used to book the patient ensuring timely access to care.
Additional referral form documentation and guidelines
Please review the following documents when completing a referral form:
- Fax cover sheet for outpatients
- How to arrange an Outpatient Coronary Angiogram at KGH
- Outpatient Cardiac Catheterization Patient Care Instruction Booklet
An emergent patient transfer should not be delayed. The documents can be faxed to 613-548-2407 or emailed to email@example.com when the patient is en route. This will ensure we have the appropriate data to on-list and off-list the patient into the CCN data base.
KGH contacts - Cardiac Care Network of Ontario
Please contact the appropriate Regional CCN Coordinator listed below for questions in regards to booking procedures, reports or special requests.
Cardiac Surgery /TAVI/Cardioversion or drug challenges
Marla Turner or Donna Leybourne
Phone: 613-548-1399 ext. 1
Phone: 613-548-1399 ext. 2
Phone: 613-548-1399 ext. 3
General Cardiology Clinic Referrals