
Physician Referrals
We are a referral-only general internal medicine practice serving Calgary and surrounding areas in Alberta. Referrals are exclusively accepted from physicians and nurse practitioners for general internal medicine consultations.
Referral Forms
Electronic Referral Form
Fill out digitally on your computer or mobile device, then fax the completed form to 1 (825) 540-4071.
Printable Referral Form
Download and print to complete by hand, then fax the completed form to 1 (825) 540-4071.
Quick Start Guide
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Standard Referrals Fax: 1 (825) 540-4071
Download and complete the referral form (see forms above)
Include all required clinical information and recent test results
Fax the completed form with supporting documentation
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Step 1: Complete referral documentation (see requirements below)
Step 2: Fax referral to 1 (825) 540-4071
Step 3: Our team will acknowledge receipt within 7 days and complete triage within 14 days (or sooner based on urgency)
Step 4: Patient will be contacted directly within 14 days of accepting referral (or sooner based on urgency) to schedule appointment
Step 5: Consultation report sent back to referring physician within 30 days of visitTimeline Expectations:
Routine referrals: 4-12 weeks
Urgent referrals: 1-2 weeks
For urgent medical opinions, referring physicians can contact GIMs through Specialist Link.
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Common General Internal Medicine Conditions:
Complex diabetes management and complications
Complex hypertension diagnosis and management
Hypertension - resistant or secondary causes, difficult management
Lipid disorders and metabolic syndrome
Cardiovascular risk assessment
Unexplained symptoms requiring systematic evaluation with associated lab or diagnostic imaging abnormalities
Medication optimization and polypharmacy management
Pre-operative medical review for high-risk patients or medical assistance around procedures
Subspecialty Services:
Thrombosis Medicine: Venous thromboembolism, anticoagulation management, bleeding risk management
Obesity Medicine: Complex weight management, bariatric surgery evaluation, metabolic complications, post bariatric surgery review
Clinical Pharmacology: Complex medication interactions, adverse drug reactions
Hypertension Medicine: Complex hypertension diagnosis and management
Perioperative Medicine: Pre-operative risk assessment, post-operative complications
We Do Not Typically See:
Patients referred to other subspecialist consultants for the same condition who are either awaiting consultation or on a long waiting list
Routine follow-up of stable chronic conditions
Acute care issues requiring immediate intervention
Conditions requiring subspecialty referral (cardiology, nephrology, etc.)
Primary care or preventive health screening
Chronic fatigue, long COVID, or undifferentiated symptoms without lab abnormalities
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Patient Demographics:
Full name, date of birth, Alberta Health Care number
Current address and phone number
Preferred contact method
Clinical Information:
What are your main concerns regarding this patient?
What diagnosis are you considering or hoping to confirm?
Is there a specific question you would like us to address?
Medical history including comorbidities
Current medications including dosages
Allergies and adverse drug reactions
Social history including smoking, alcohol, and occupation
Recent Investigations:
We will review relevant labs through Netcare
Please attach imaging, consult notes, or labs not available on Netcare
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Consultation Reports:
Detailed consultation report sent to referring physician after appointment and uploaded to Netcare
Includes comprehensive assessment, recommendations, and follow-up plan
Copy sent to referring physician and patient's family physician (if different)
Ongoing Communication:
For urgent questions about referred patients, call clinic directly
Non-urgent questions can be submitted by fax
Consultation notes provide clear recommendations for ongoing care and follow-up management
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Coverage Area: Calgary and surrounding areas.
Cancellation Policy:
Please note that patients who do not attend a confirmed appointment or cancel with less than 24 hours notice may be subject to a missed appointment fee. This helps us respect the time of all patients and maintain access for those in need.
A fee may apply for missed or late-cancelled confirmed appointments.
Billing:
Direct billing to Alberta Health Care
No patient fees for insured services
Uninsured services billed separately if applicable
Patients without active Alberta healthcare coverage must arrange prepayment of services prior to their clinic appointment
Wait List Management:
Patients are contacted directly when appointments become available
Updates on patient status are appreciated including consultation with other specialists, resolution of referral indication, or significant demographic changes
Referrals remain active until the patient is seen, cancels their appointment, or cannot be contacted after two attempts. Patients who are not seen will have their referral returned to the referring physician