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 How to Make A Referral

We accept referrals from physicians or other healthcare providers.

Self referrals are not accepted.

Please have your healthcare provider fax or mail a referral to:

Room 2G500
Trillium Health Partners
Credit Valley Hospital
2200 Eglinton Avenue West
Mississauga, ON
L5M 2N1

Fax: (905) 813-4347

Please send a referral note including the information listed below. If you wish, a PDF of our referral form can be downloaded from our protected requisition area:
Physician Referral Form #6302 [pdf] »

Important information to include in the referral:

  • Patient's demographic information (full name, date of birth, address, phone number, health card number)
  • Referring physician's full name and phone number
  • Reason for referral
  • Relevant family history (ie. who is affected, how are they related to your patient, age of diagnosis)
  • Medical records (ie. test results, consultation letters, pathology reports) for patient or affected individuals


As of March 1, 2010, Clinical Genetics at Trillium Health Partners, Credit Valley Hospital will no longer be accepting prenatal referrals for advanced maternal age counseling without any genetic risk factors.
For further information, please refer to Advanced Maternal Age Referral Memo[pdf]»

If your patient is pregnant, please indicate the date of her LMP on the referral form. Also, please fax the referral, along with her blood group, CBC and hemoglobin electrophoresis (if available).

If you are uncertain about a referral to Genetics, please contact our staff at (905) 813-4104 to review the details.