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  • Canada Skin Cancer Clinic Referral Form 2019

Get Canada Skin Cancer Clinic Referral Form 2019-2025

Skin Cancer Clinic Referral FormRoyal Victoria Regional Health Centre 201 GEORGIAN DRIVE, BARRIE, ONTARIO L4M 6M2 Phone: 7057289090 Ext. 43305Date of Referral (D/M/Y): Last NameFirst NameAddressCityPATIENT.

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How to Refer a Patient to Princess Margaret. You can refer a patient through the following programs and departments: Diagnostic Assessment Program (DAP) Department of Medical Oncology & Hematology (DMOH) and Department of Radiation Oncology (DRO)

Most cases of skin cancer in Canada are either basal or squamous cell carcinomas. These skin cancers tend to develop later in life on areas of skin that have been exposed many times to the sun (like the face, neck or hands).

Patient Eligibility Any patient that has a valid Canadian provincial or territorial health card or Canadian federal health insurance can be referred to Princess Margaret Cancer Centre.

The Princess Margaret Hospital was founded as the Ontario Cancer Institute in 1952 by the Ontario government. Originally located at 500 Sherbourne Street in Toronto, the hospital was officially opened in 1958 by Her Royal Highness the Princess Margaret and was re-named Princess Margaret Hospital to mark the occasion.

For URGENT REFERRALS please contact an Oncologist directly at your Regional Cancer Centre. For PATH REVIEW ONLY please complete Pathology Request Form.. HAS PATIENT BEEN INFORMED OF CANCER DIAGNOSIS?

Each of these features scores 1 point. You need an urgent referral if you score 3 points or more. You'll also have an urgent referral if a test to closely examine the skin (dermatoscopy) suggests you could have melanoma.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232