Referrals Forms for Cardiac Care at St. Mary's
Please click on one of the options below to access referral forms and contact information for St. Mary’s Regional Cardiac Care Programs.
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
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
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
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
You can make a PREVENT CLINIC referral using the form below or via OCEAN e-Referral:
- Phone: 226-806-5911
- Fax: 226-806-5912
- Ocean e-Referral: St. Mary’s General Hospital - PREVENT clinic