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For Health Care Providers

Information for Health Care Providers 

  • Wait Times

  • What to include in a referral

Wait Times

All referrals are triaged and wait times vary depending on symptoms, but could be up to 12 months.

If you feel your patient's symptoms are urgent, a phone call to the on-call ENT would be recommended.

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Referrals

All referrals are triaged and scheduled accordingly, and must include the following:

  • Referring Physician Information

    • First & Last Name

    • OHIP billing number

    • Phone number

    • Fax number

  • Patient Demographics​

    • First & Last Name

    • ​​OHIP Health Card

    • ​​DOB
    • ​Mailing or email address

    • Phone number

  • Reason for referral

  • Patient's pertinent medical history

  • Patient's medication list

  • Previous ENT notes

  • Tests related to the reason of referral

    • Imaging - CT, MRI, x-Ray, ultrasound

    • audiogram

    • DIZZY PATIENTS should have prior labs, EKG, and an MRI Brain while waiting for an appointment.​

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Dr. Samy is available on econsult for clinical questions

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Otolaryngology

Head & Neck Surgery

Prema Samy M.D.

438 Park Ave W

Chatham, ON

N7M 1X2

Tel: 519-354-1200

Fax: 519-354-1208

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