Please fill out the Breast Surgical Services Referral Form and fax it to the appropriate phone number on the form.

Visit the breast surgical services webpage for more information.

A highly-specialized program for individuals undergoing diagnostics for concerning symptoms or a potential colon cancer diagnosis.

Please download the referral form and submit via fax.

Referrals to the Diagnostic Assessment Program (DAP) should be made by a family physician.

The patient and the referring physician’s office will be notified of the patient’s appointment with the surgeon.

• The endoscopy and pathology results (if applicable) should be discussed with the patient before the referral is made. The nurse navigator will not discuss pathology results over the phone with the patient.
• Staging investigations will be coordinated by the nurse navigator in consultation with the assigned DAP surgeon.

Please provide a Creatinine for all patients over the age of 60 years when possible.

Patient referrals should be faxed to 416-586-4545 by Medical Oncologists, Surgeons, Family Doctors, Obstetricians, Gynaecologists and Radiation Oncologists. A family tree is constructed by telephone or in-person prior to the clinic visit for eligibility assessment by the Genetics Team. A clinic appointment is then offered. A genetic referral should be offered when there is suspicion of a hereditary cancer predisposition.

 For more information, please download the Hereditary Breast/Ovarian Cancer Referral Guidelines (24 KB pdf).

Please visit the Familial Breast Clinic webpage for more information on the clinic.

Please fill out the Gastric Cancer Referral Form and fax it to the appropriate phone number on the form.

Please visit the gastric (stomach) cancer webpage for more information on that condition.

Referring health care providers can fax a referral to the Familial Breast Cancer Clinic (Fax: 416-586-1581). If there are any questions, please contact us at 416-586-4800 x3244.

Our office will send an appointment date and time to the referring doctor who will then notify their patients of the appointment date and time. Please contact our office at 416-586-4800 x3244 to confirm the appointment.

Please visit our webpage on genetic testing for breast cancer for more information.

Patients who are eligible for the average risk Ontario Breast Screening Program (OBSP) , do not need a referral from a physician for scheduling a screening mammogram. Patients may contact the Marvelle Koffler Breast Centre directly to make their appointment. 

Women ages 30 to 69 can get screened through the High Risk OBSP if they have a referral from their doctor,  a valid Ontario Health Insurance Plan number, no acute breast symptoms, and fall into one of the following risk categories:

• Known to have a gene mutation that increases your risk for breast cancer (e.g. BRCA1, BRCA2, TP53, PTEN, CDH1)
• First-degree relatives of someone who has a gene mutation that increases their risk for breast cancer (e.g. BRCA1, BRCA2, TP53, PTEN, CDH1), have already had genetic counselling and have chosen not to have genetic testing
• Assessed at a genetics clinic (using the IBIS or BOADICEA tools) as having a 25% or greater lifetime risk of breast cancer based on personal and family history
• Have had radiation therapy to the chest to treat another cancer or condition (e.g. Hodgkin Lymphoma) before age 30 and at least 8 years ago

Please download the OBSP high risk program referral form.

Please complete the Peritoneal Surface Malignancy Referral Form. Please note that referrals must come from a physician.

Please learn more about the Peritoneal Surface Malignancy Program.

Dr. Jay Wunder

• Phone: 416-586-4800 ext. 6341
• Fax: 416-586-8397

Dr. Kim Tsoi

• Phone: 416-586-4800 ext. 4586
• Fax: 416-586-8397

Dr. Peter Ferguson

• Phone: 416-586-4800 ext. 8687
• Fax: 416-586-8397

Please fax the following information:

• Referral letter with referring physician billing #
• Complete demographics of the patient being referred
• Copies of all workup done to date – MRI/XRAY/CT/Pathology, etc.
• The referring office will be called with an appointment date/time