Referral parameters
REFERRAL PARAMETERS for the Immunology Clinic referral criteria and pre-visit requirements
ALTERNATE SITES FOR CARE and contact information
General Information
Phone Number:
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General inquiries
Administrative Staff - Jessy DeBraganza
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416-813-8627
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Fax Number:
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416-813-8638
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Location:
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Main Floor Black Wing
Clinic 9
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555 University Avenue
Toronto, Ontario
M5G 1X8
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Contact Person:
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General Inquiries regarding appointments
Immunology; for patient concerns: Brenda Reid RN, MN
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416-813-8156
416-813-5301
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Clinic Hours:
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Immunology: Wed.12.30 p.m - 4 p.m.
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How to make a referral
Referral Parameters
To view referral criteria and pre-visit requirements, select the most appropriate item from the list below.
Immunology/ Primary Immune Deficiency
Referring professionals accepted
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Physicians
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Patient group parameters
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1. Diagnosis and management of patients with suspected primary immune deficiency including:
- Recurrent, persistent, unusual or overwhelming infections
- Family history of immune deficiency, infections, autoimmunity, or malignancy
- Genetic abnormalities associated with immune deficiency.
- Syndromes associated with immune deficiency.
- Recurrent fever
- Persistent lymphadenopathy and hepatosplenomegaly
2. Lymphoid malignancies and/or lymphoproliferative disorders prior to initiation of chemotherapy
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Requirements pre-visit
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Please include with the referral:
- Detailed patient history of reason for referral
- Detailed history of infections (type of infections, frequency of infections, need for antibiotic treatment, objective documentation of the infections)
- Prior relevant medical evaluations.
- Presence of allergic, autoimmune or malignant diseases.
- Current and recent medications.
- Any immune modulating treatment within recent 3 months (including intravenous immunoglobulin, systemic steroids, chemotherapy, radiotherapy, etc).
- Immunization records.
- Growth parameters
- Recent complete blood count with differential count, immunoglobulin levels.
- Detailed history of fever (fever diary) if applicable
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Additional information
(if available)
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Please include with the referral:
- Results of any previous tests (e.g. X-rays, CT scans, pulmonary function, cultures, etc.)
- Family history of recurrent or unusual infections.
- Family history of autoimmune or malignant diseases.
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Time Frame for Initial Visit
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- Patients with a high suspicion of Severe Combined Immune Deficiency or hypogammaglobulinemia are seen within 1- 2 weeks. Please contact the Immunology Fellow on call at 416 813-1500 to discuss urgent referrals.
- Other immunological issues: 12-16 weeks
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Initial Visit may include
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- History and Physical exam
- Blood work
- Review of Vaccination (therefore bring your Vaccination card)
- Skin Testing
- Genetic analysis
- Diagnostic Imaging
- Pulmonary Function Testing
- Patient and family education
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Age limit
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Up to 18 years of age. Exceptions may be made for suspected Primary Immune Deficiency (i.e. common variable immunodeficiency).
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Pre-visit education material and instructions
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- Welcome to Our Clinics Pamphlet
- Confirmation of appointment letter (mailed or faxed by clinic if time frame permits)
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