Patient Referrals 


faxPlease FAX Referrals to:


Dr. Dalilah Fortin

Dr. Richard Inculet

Dr. Richard Malthaner





Initial appointments are for CONSULTATION ONLY.

No procedures will be done at this consultation visit.

Include all demographics, reason for referral, and all related lab/imaging reports.

The referral will be reviewed and your office will be contacted with an appointment by return fax.


Clinics are located at LHSC Victoria Hospital Zone E Level 2

Patients are to register at Surgery Clinics Reception, Room E2-008.



LHSCHealth Professionals

Last Updated June 30, 2017 | © 2007, LHSC, London Ontario Canada