Referrals Forms for Cardiac Care at St. Mary's

•  Cardiac Surgery Referral Form
• CorHealth Ontario

If you have questions or need assistance please contact:

Corrie Brubacher
Regional Cardiac Care Coordinator, Cardiac Surgery
519-749-6578 ext. 1936 | Fax: 519-749-6414

• Cardiac Catheterization - Referral Form
• Cardiac Catheterization – Referral Form Definitions
• Cardiac Catheterization – Pre-procedure Checklist
• CorHealth Ontario

For more information or to fax a referral, contact

Regional Cardiac Care Coordinator
Cardiac Cath and Angioplasty
519-749-6541
Fax: 519-749-6606

• Heart Rhythm Referral Form

If you have questions or concerns regarding referrals, contact
Sherry Hohl, Regional Cardiac Care Coordinator
Heart Rhythm Program
519-749-6578 ext. 1500
Fax: 519-749-6589

• TAVI Referral Form

If you have questions or concerns regarding referrals, contact
Rebecca Gies, Regional Cardiac Care Coordinator
TAVI Program
519-749-6578 ext. 1992
Fax: 519-749-6414

• Heart Function Clinic Referral Form

• Cardiac Rehabilitation Referral Form

• Cardiodiagnostic Services Referral Form

• PFO/ASD Referral Form

If you have questions or concerns regarding referrals, contact
Rebecca Gies, Regional Cardiac Care Coordinator
TAVI & Structural Heart Programs
519-749-6578 ext. 1992 | Fax: 519-749-6414