Interventional Psychiatry Program Referral Process & Form

Referrals to our clinical programs are coordinated through our clinical team at the Interventional Psychiatry Program to ensure appropriate triage and timely access to care. Clinicians may fax referrals to 416-864-5480. All referrals are reviewed by the appropriate clinical service, and follow-up will be arranged directly with the referring provider and patient as indicated. If your patient is in need of immediate help, please direct them to the nearest emergency department or call 911.

Information for referring providers

• A physician or nurse practitioner referral is required for the majority of services at the Interventional Psychiatry Program at St Michaels Hospital.
• It is preferred that the referral comes from the treating psychiatrist or physician.

Information for your patient

• Please ensure your patient is aware that the referral is being made.
• Once the referral is ready for scheduling, the Interventional Psychiatry Program at St Michaels Hospital will make a call attempt to the patient and leave a voicemail, if consent is provided. If the patient cannot be reached, the referring provider will be notified.
• Given St Michaels is an academic research hospital, your patient may be invited to participate in research opportunities through our research coordinators. They do not need to accept.
• Given that St. Michael’s is a teaching hospital, your patient can expect to have residents or students involved in their care.

How to submit a referral

• Please complete the following referral form in full, ensuring as much detail as possible is provided. Referrals received with insufficient information will be placed on hold until the information requested is received.
• Please fax the referral to 416-864-5480.
• You will receive confirmation of referral receipt when the referral is processed by the clinic.