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Referral Forms:
Diabetes: 
Diabetes Referral Form - Paper
Diabetes Referral Form - Online
Self-Referral Form - Paper
Self-Referral Form - Online
For a custom form for your EMR, please email us at [email protected]
Orthopedics:
Orthopedic Referral Form - Paper
Orthopedic Referral Form - Online
RACLB Referral Form - Paper
BRN Request Form for Orthopedic Surgeons - Paper
For a custom form for your EMR, please email us at [email protected]
Ophthalmology:
Cataract Referral Form - Paper
Cataract Referral Form - Fillable PDF
Cataract Referral Form - Online
Diabetes Retinopathy Form - Paper
Diabetes Retinopathy Form - Online
Info-bulletins:
Diabetes:
eReferral Update
Orthopedics:
eReferral Update
WWLHIN Orthopedic Assessment Clinic Notice to Primary Care_Jul2018
RCC Reminder Notes to Primary Care re: Orthopedic Central Intake Process_Sep2018
Orthopedic Central Intake Referral Process_Oct2020
Central Intake/OAC Regional Reminders_Aug2021
Additional Resources:
Orthopedics:
Waterloo Wellington Regional Orthopedic Assessment Clinic (OAC) Brochure
Click here for a brochure on the Waterloo Wellington OACs.
Osteoarthritis Assessment Tool
Click here for an Osteoarthritis tool developed by the Centre for Effective Practice (CEP) for primary care providers who are managing patients with new or recurrent join pain consistent with OA in the hip, knee or hand.
Health Quality Ontario (HQO) Quality Standards for Osteoarthritis
Click here for a guide for Care for Adults with Osteoarthritis of the Knee, Hip or Hand.
Choose Wisely Guidelines for Osteoarthritis
Click here for the Choose Wisely Guidelines for Osteoarthritis.
Central Intake:
Guide for developing and implementing a Central Intake:
This guide was developed by the WWRCC to support others in developing a Central Intake model. If you would like a copy of the guide, please click here.
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