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Metabolic Bone Health Unit

How to make a referral

How to make a referral

  • All patients require a referral to visit our clinic.
  • If you are a health-care professional, log in to eCHN to submit your referral. From your eCHN account, you will be seamlessly connected to SickKids e-referral platform, EpicCare Link.
  • Learn more about our referral process.
  • For urgent referrals only (same day referrals), contact eCHN’s Helpdesk directly 416-813-7998 or 1-877-252-9900, or by email at helpdesk@echn.ca.
    On weekends and after 6 p.m. on weekdays, please contact the Fellow on call via SickKids Locating at 416-813-1500.

We are seeing children who meet the following referral criteria.

Please note that full diagnostic work up is required for first clinic visit.

Priority 1

  • Chronic illness and vertebral compression fractures
  • Chronic illness and 2 or more non vertebral fractures
  • Well child with non traumatic vertebral compression fractures
  • Child with Osteogenesis Imperfecta and 2 or more non vertebral fractures a year and/or any vertebral compression fractures
  • Transplantation and BMD Z score < -1.5

Priority 2

  • Chronic illness and BMD Z score < -1.5
  • Child with Osteogensis Imperfecta without vertebral or non vertebral fractures
  • Child with Syndrome Associated Osteoporosis

If the child meets the above criteria, please refer to the Bone Health clinic using our referral process.

If the child does not meet the above criteria, see our suggestions for ongoing evaluation and management of Children's Bone Health.

Work up for required for first visit

Please complete the following diagnostic tests to assess whether the patient meets the referral criteria to the Osteoporosis Clinic.

Blood work

Calcium, Phosphate, PTH, alkaline phosphatase, 25(OH) Vitamin D, creatinine.

Random Urine

Calcium/creatinine ratio

Bone Mineral Density

SickKids is preferred because the equipment used provides a Z score, which is age and gender specific.
If an outside laboratory is used, please ensure that a Z score can be provided.

Thoracic Lumbar spine AP & Lat

To be ordered only if clinically indicated.
SickKids is preferred because of standardization of the procedure. If an outside radiological facility is used, please see attached details to give to the radiologist. These results are preferred in electronic form; otherwise please submit report via ARMs and send hard copy with the family.