Referral Information
The primary referral area for the GRRCC is the Region of Waterloo, Wellington County and surrounding communities.
Please select from the referral forms below.
GENETIC COUNSELING REFERRAL FORM
For health care providers, click here for the Ministry of Health and Long Term Care guidelines for referral to cancer genetics services, and our referral form in PDF format. Certain referrals for rare inherited cancer syndromes may be redirected to one of the larger provincial genetics programs.
WATERLOO WELLINGTON BREAST CENTRE REFERRAL FORM
This is the new requisition for referring your patients to the new
regional Waterloo Wellington Breast Centre. We have added a map on the back
of this referring requisition to provide easy directions for your patients.
Click here to download the form
in PDF format.