Foot and Ankle HCP | Central Intake Program

Foot and Ankle Musculoskeletal Care Services

Healthcare Providers

To support equitable access to a high quality continuum for musculoskeletal care, Ontario Health in partnership with Central Region Hospitals operates the Rapid Access Clinic (RAC) for patients with moderate to severe Osteoarthritis.

Download the referrals forms below

Click here to download the Oak Valley Hospital Request form

Mandatory Referral Information

Patient Information: Last Name, First Name, DOB, OHIP, Address, Phone Number

Foot/Ankle Related History: (Red Flags, Previous History, Previous Investigations treatment or surgery); all imaging completed within the last 6 months

Referring Provider: Name, Address, Phone number, Fax number, Billing number, Signature

Foot XR requirements: Weight bearing AP, weight bearing medial oblique, and weight bearing lateral

Ankle XR Requirements: Weight bearing AP, weight bearing lateral, weight bearing mortise

Soft tissue ankle/foot disorders: Require ultrasound or MRI

Osteoarthritis

Hardware complications

Cysts /ganglion /growths

Instability /ligament tears

Tendinopathies/tendon tears

Avascular necrosis

Instability OCD

Osteoarthritis

Toe deformities

Bunion

Avascular necrosis

Charcot

Cysts /ganglion /growths

Tendinopathies/tendon tears

Pes planus/cavus

Hardware complications

Patient has not met skeletal maturity (approximately under 16 years old)

Emergent referrals

Acute Fracture

Acute Tendon rupture

Plantar fibroma

Plantar fasciitis

Surgeon second opinions

Ocean eServices

Primary Care providers can now submit referrals through Oceans. Find us in the Ocean Health Map under Regional Central Intake Hub – Orthopedics (OH Central)