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Referral Forms:



Diabetes Referral Form - Paper

Diabetes Referral Form - Online

Self-Referral Form - Paper

Self-Referral Form - Online

For a custom form for your EMR, please email us at [email protected]



Orthopedic Referral Form - Paper

Orthopedic Referral Form - Online

RACLB Referral Form - Paper

BRN Request Form for Orthopedic Surgeons - Paper

For a custom form for your EMR, please email us at [email protected]



Cataract Referral Form - Paper

Cataract Referral Form - Fillable PDF

Cataract Referral Form - Online

Diabetes Retinopathy Form - Paper

Diabetes Retinopathy Form - Online





eReferral Update



eReferral Update

WWLHIN Orthopedic Assessment Clinic Notice to Primary Care_Jul2018

RCC Reminder Notes to Primary Care re: Orthopedic Central Intake Process_Sep2018

Orthopedic Central Intake Referral Process_Oct2020

Central Intake/OAC Regional Reminders_Aug2021


Additional Resources:




Waterloo Wellington Regional Orthopedic Assessment Clinic (OAC) Brochure

Click here for a brochure on the Waterloo Wellington OACs.

Osteoarthritis Assessment Tool

Click here for an Osteoarthritis tool developed by the Centre for Effective Practice (CEP) for primary care providers who are managing patients with new or recurrent join pain consistent with OA in the hip, knee or hand. 

Health Quality Ontario (HQO) Quality Standards for Osteoarthritis

Click here for a guide for Care for Adults with Osteoarthritis of the Knee, Hip or Hand.

Choose Wisely Guidelines for Osteoarthritis

Click here for the Choose Wisely Guidelines for Osteoarthritis.



Central Intake:


Guide for developing and implementing a Central Intake:


This guide was developed by the WWRCC to support others in developing a Central Intake model.  If you would like a copy of the guide, please click here