Cardiology Referral Criteria

Who can refer

All community providers, Nurse Practitioners

Patient age

18 years of age and under

Patient acceptance

Suspected or known cardiac condition

Transfer of care.
Require supporting clinical documentation.
Complete referral required

Conditions to be referred to other clinics/care teams:

Postural Orthostatic Tachycardia Syndrome (POTS), refer to pediatrician or a community cardiology
Hypertension with no arm leg gradient

Rejection criteria

Asymptomatic murmur > 2 yrs of age, refer to community cardiologist
Chest pain with no abnormal cardiac findings, refer to community cardiologist
Faxed referrals are not accepted

Required supporting documentation

Check all the documentation needed for the specific conditions listed below:

Arrhythmia/Palpitations: Consult note.
Cardiac desynchrony: Consult note, detailed medical history, cardiac investigations completed, cardiac medications.
Cardiomyopathy and Heart function assessment: Consult note, Vital signs, ECG and echo if completed.
Chest pain: Consult note, any cardiac investigations completed (all) (ecg, echo), vital signs.
Hyperlipidemia: Consult note, fasting lipid profile, growth chart.
Inheritable arrhythmia disorders / Sudden cardiac death: Consult note, detailed medical history, ECG, all cardiac investigations completed (with tracings), cardiac consult note of affected family member including all cardiac investigations, genetic test results, autopsy report if applicable.
Kawasaki disease: Consult note, discharge summary, ECG, ECHO.
Known congenital heart defect: Consult note, Vital signs, ECG and ECHO if completed.
Marfan syndrome/Connective tissue disorders: Detailed medical history, cardiac investigations completed, cardiac genetics report.
Murmur: Growth chart (Height/weight, percentiles), Vital signs, Detailed medical history, Detailed assessment for symptoms of heart failure.
Other: Medical history, cardiac investigations completed.
Pulmonary hypertension: Vital signs, Detailed medical history, including all test results and oximetry level if available, Detailed assessment for symptoms of heart failure.
Syncope/Pre Syncope: Medical history, cardiac investigations completed.
Syndrome with associated cardiac anomaly: Medical history, cardiac investigations completed, Physical activity assessment, exercise med referral, exercise concern, medical history, echo, cardio test, lipid profile.

Community clinical resources

Please consider sending your referral to one of our community affiliates listed below for shorter wait times and easier access to care for patients that live in the area. Referrals sent to the SickKids Cardiology clinic will be reviewed and if appropriate may be forwarded to one of our community affiliates:

Dr. Roland Beaulieu: Fax: 416-282-9897; Address: 1371 Neilson Rd. Suite 201, Scarborough. Phone: 416-282-9198.
Dr. Roland Beaulieu: Fax: 705-327-9189; Address: 119 Memorial Ave Unit 104, Orillia. Phone: 7053279168.
Dr. Mohamed Hamdan at Kids Hearts Clinic: Fax: 905-453-8672; Address: 100 Pertosa Dr, Brampton. Phone: 905-456-9370.
Dr. Mohamed Hamdan at Etobicoke General Hospital: Fax: 416-747-3625; Address: 101 Humber College Blvd, Etobicoke. Phone: 416-747-3400 ext. 33513.
Dr. Mohamed Hamdan at Brampton Civic Hospital: Fax: 905-494-6594; Address: 2100 Bovaird Dr. East, Brampton. Phone: 905-494-6593.
Dr. Katie Losenno at Kids Hearts Clinic: Fax: 905-453-8672; Address: 100 Pertosa Dr. Brampton. Phone: 905-456-9370.
Dr. Katie Losenno at Brampton Civic Hospital: Fax: 905-494-6594; Address: 2100 Bovaird Dr. East, Brampton. Phone: 905-494-6593.
Dr. Katie Losenno at Etobicoke General Hospital: Fax: 416-747-3625; Address: 101 Humber College Blvd, Etobicoke. Phone: 416-747-3400 ext. 33513.
Dr. Katie Losenno at Noble Medical and Diagnostics: Fax: 905-747-1511; Address: 10350 Yonge St Suite 002, Richmond Hill. Phone: 9052375433. (Will open her practice in July 2023).
Dr. Selvi Senthilnathan: Fax: 416-282-9897; Address: 1371 Neilson Rd. Suite 409, Scarborough. Phone: 416-282-9198.
Dr. Ra Han: Fax: 416-867-3736; Address: 61 Queen St East, 2nd floor, Toronto. Phone: 416-867-3655.
Dr. Alexandra Jevremovic: Fax: 905-472-2754; Address: 116-50 McIntosh Dr. Markham. Phone: 905-201-8606.