Get Canada Ottawa Gastrointestinal Institute Referral Form 2024-2025

Filling out the Canada Ottawa Gastrointestinal Institute Referral Form online is a critical step in ensuring that patients receive the appropriate gastrointestinal care. This guide provides a step-by-step approach to accurately complete the form and submit it efficiently.

Follow the steps to complete the referral form online.

1. Click ‘Get Form’ button to obtain the form and open it for completion.
2. Fill in the patient's full name in the designated field to identify the individual being referred.
3. Enter the date of the referral, which should reflect the current date to indicate when the request is made.
4. Provide the patient's date of birth in the appropriate section to assist with identification.
5. Include the name of the referring medical doctor (MD) to ensure proper communication between healthcare professionals.
6. Input the patient's OHIP number in the specified field for billing purposes.
7. List the billing number, which is necessary for processing the referral.
8. Complete both the office address and contact information fields to allow OGI to reach the referring party if needed.
9. Clearly state the reason for the referral in the designated area, ensuring to include any specific conditions that warrant the referral.
10. Fill out the medical history section by checking or circling all relevant medical conditions and medications to provide a comprehensive background.
11. Attach additional medical documents as indicated, including surgical history, medication lists, and previous test results, to support the referral.
12. Review the entire form for accuracy and completeness before proceeding to submit it.
13. Once satisfied, save the changes made, download a copy of the form, and print it if necessary before sharing it via email or fax.

Complete your referral documents online today to ensure timely care for your patients.