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Referral Forms

Medical or Radiation Oncology

Lung Diagnostic Assessment Program

Referral Form

The Lung Diagnostic Assessment Program (LDAP) started seeing patients on September 7, 2010, in the Outpatient Oncology Unit at the St. Catharines Site.

The LDAP is a partnership between the Niagara Health, Juravinski Cancer Centre and St. Josephs’ Healthcare Hamilton. The LDAP is an assessment clinic for patients who are suspected of having lung cancer. The goal of the program is to reduce wait times for diagnosis, to streamline diagnostic testing guided by an evidence-based diagnostic pathway, and to improve the patient experience and treatment outcomes. The program has had great success in achieving this goal and continues to work towards creating the best possible outcomes for our patients.

Key to the LDAP is the position of the Nurse Navigator whose primary function is to assess and triage patients, provide information and emotional support, fast track diagnostic tests and be the primary contact for the patient and family during diagnostic phase. The Nurse Navigator facilitates referrals to the most appropriate specialist so that a diagnosis and treatment plan can be developed as quickly as possible. The Nurse Navigator also serves as a liaison among referring physicians and specialists.

Prostate Diagnostic Assessment Program

Referral Form

The Prostate Diagnostic Assessment Program (PDAP) is designed to improve quality of care and reduce wait times for men with a suspicion of prostate cancer.

The clinic, the first of its kind in Niagara, is modelled on Cancer Care Ontario’s Diagnostic Assessment Organizational Standards. The clinic improves quality by following standardized, evidence-based diagnostic protocols, enhancing coordination of care, improving communication among patients, families and their healthcare providers and by reducing wait times for test results and consultation.

The goal is to have a consultation and any needed diagnostic procedures completed quickly to lessen the worry that comes with waiting.

All men, and their families if they wish, when diagnosed with prostate cancer will have access to a large collection of education and resources, as well as the option of support from the Niagara Prostate Cancer Support Group. Everybody will have a multidisciplinary visit with the experts who treat prostate cancer, including a urologist and radiation oncologist, for discussion and recommendations on the most up to date treatment options.

This partnership between Urology and Oncology demonstrates the importance of bringing our collective knowledge and expertise together to provide our patients and families with the best possible healthcare.

Orthopedic Radiation Oncology Clinic (OROC)

OROC Referall Form

The Orthopedic Radiation Oncology Clinic (OROC) is located at the Walker Family Cancer Centre in the Radiation Oncology Department. OROC is an interdisciplinary assessment clinic for patients with Metastatic Bone Disease (MBD) to the appendicular skeleton. It is facilitated by an Orthopedic Oncology Surgeon, a Radiation Oncologist and a Clinical Specialist Radiation Therapist.

The goals of the OROC clinic are:

  • To identify patients at risk of pathologic fractures of weight bearing long bones
  • To provide education to patients and staff re: fracture risk and weight bearing restrictions
  • To provide rapid access to Radiation Therapy services at the WFCC for MBD
  • To provide timely access to surgical interventions which reduce pain, improve quality of life, preserve function and minimize fracture risk

The OROC clinic provides the following services:

  • Diagnostic Imaging Pre Assessment
  • Comprehensive Interdisciplinary Patient Assessment
  • Orthopedic Stabilization Opinion
  • Radiation Therapy Recommendations
  • Weight Bearing Restrictions and Recommendations
  • Multidisciplinary referrals as required: Urgent Response Team, out-patient Physiatrist and Rehabilitation services, Niagara Prosthetics & Orthotics
  • Recommendations are communicated and dictated into MosaiQ/Meditech

The Clinical Specialist Radiation Therapist (CSRT) serves as the liaison between referring physicians and specialists, triages referrals, coordinates rapid access radiation therapy services and is the primary contact and patient navigator for the OROC clinic.

Please fax referrals to WFCC New Patient Referrals Office: (905) 685-1201, OROC Clinic, Attn: Julie Blain

Niagara Health System