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CIBC Breast Centre

Referrals

For health care professionals

Reasons for referral may include:

  • A benign breast condition such as:
    • Pain
    • Infections
    • Abscesses
    • Nipple discharge
    • Benign lumps
    • Imaging abnormalities on mammography or ultrasound
    • Difficult physical examination
  • Risk assessment and screening
    • Personalized risk assessment
    • Ontario Breast Screening Program (average risk or high risk screening program) and coordination of genetic testing

CIBC Breast Centre referral form

OBSP High Risk Screening referral

Fax this referral form to St. Michael’s Hospital at: 416-864-5788