Diagnostic Cardiac Catheterization (Angiogram) referral information

To refer a patient for a diagnostic cardiac catheterization, please fill out the Cardiac Care Network (CCN) of Ontario’s referral form and send it to the Regional Cardiac Care Coordinator at Kingston Health Sciences Centre (KHSC) when completed. Patient bookings will take place once the referral form is received. If the forms are incomplete, they will be returned for completion. The form, when complete, will provide recommended wait times that are used to book the patient ensuring timely access to care. 

Additional referral form documentation and guidelines

Please review the following documents when completing a referral form:

For Inpatients:

For Outpatients:

An emergent patient transfer should not be delayed. The documents can be faxed to 613-548-2407 or emailed to cardiaccathlabreferr@kgh.kari.net when the patient is en route. This will ensure we have the appropriate data to on-list and off-list the patient in the CCN database.   

KHSC contacts - Cardiac Care Network of Ontario

Please contact the appropriate regional CCN coordinator listed below for questions about booking procedures, reports or special requests. 

Cardiac Surgery /TAVI/Cardioversion or drug challenges
Marla Turner or Donna Leybourne
Phone: 613-548-1399 ext. 1
Fax: 613-548-2387

Angiogram/Angioplasty/STEMI program
Louise Snider
Phone: 613-548-1399 ext. 2
Fax: 613-548-2407

EP studies/Ablations/Pacemakers/ICD
Timothy Garrett
Phone: 613-548-1399 ext. 3
Fax: 613-548-2530

General Cardiology Clinic Referrals
Fax: 613-548-2400