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Simcoe Muskoka Regional Cancer Program (SMRCP)



For Medical Oncology, Radiation Oncology and Palliative Care Referrals,

Please complete and submit a New Patient Referral Form.


This form was updated April 2017. Please note:
 - Referrals are to be submitted by fax to 705 792-3325.
 - Indicate all pending tests on the referral form.

 - Fax pending tests/diagnostic results to: 705 739-5619.
 - Please ensure your patient is aware of diagnosis and referral since patients will be contacted directly with appointment information.
 - The appointment will be within 14 days. If your patient is unavailable in the next 14 days, please refer at a more appropriate time.
 - Our office will send you fax confirmation within 72 hours of processing.


Gynaecologic Oncology Intake Clinic

Fax a completed Gyn Multidisciplinary Oncology Intake Form to 705-739-5636.


Colposcopy Program 

All colposcopy referrals to RVH and the Simcoe Muskoka Regional Cancer Program will use this referral form. Please fax a completed Colposcopy Program Referral Form to 705-739-5657.  This program will see patients within 4 weeks of referral receipt.

Skin Cancer Clinic

The Skin Cancer Clinic provides access for patients:
1. Requiring a biopsy for suspected skin cancer lesions such as melanoma and non-melanoma skin cancers such as basal cell carcinoma (BCC), squamous cell carcinoma (SCC), merkel cell carcinoma. This biopsy clinic operates out of the RVH Family Medicine Treatment Unit (FMTU) on selected Wednesday afternoons.
2. To regional surgeons, medical oncology and radiation oncology for their skin cancer treatment from one access point.

Fax a completed Skin Cancer Clinic Referral Form to 705-739-5636.

For more information, please read our Skin Cancer Clinic Info for Referring Providers sheet.