General Pediatric/Adult Genetics Clinic

How to Make a Referral to General Genetics:

To make an outpatient referral, please complete the referral form below and send it along with the following information by fax to (519) 685-8214:

  1. Reason for referral.
  2. Relevant documentation including consultations, notes and assessments.
  3. Results of any investigations performed to date.

General Genetics Referral Form

NF Referral Form

Patients will be sent the forms below, and upon receipt of their completed questionnaires, will be added to our wait-list for an appointment. Please note that our current wait-time for an appointment with a Medical Geneticist is over one year.

Pediatric Referral Package

Adult Referral Package

We ask that the completed questionnaires be returned to our office within 1 month. If your patient’s questionnaires are not returned within 3 months, their referral will not be processed. If for some reason your patient is unable to complete their questionnaires, please inform our office so that we can make alternate arrangements.

We welcome physician inquiries at (519) 685-8140 or (519) 685-8500 extension 58453.

If you are a physician, and after making a referral to this service, are asked to complete some specific testing (i.e. chromosome analysis using microarray, parental testing) for your patient prior to us being able to see them, please visit the following website for a list of possible requisitions for you to access: 

PaLM - Requisitions (

The General Genetics clinic provides assessment and genetic counselling for individuals of all ages for the following indications:

  • Infants/children with birth defects and/or developmental delay.
  • Individuals with a personal or family history of a known or potential genetic disease.
  • Individuals with a personal and/or family history of:
    • Single gene conditions (i.e., polycystic kidney disease, cystic fibrosis)
    • Chromosomal abnormalities identified on karyotype or microarray
  • Couples who are not pregnant and have experienced three or more recurrent spontaneous miscarriages, where major gynecological or obstetrical causes have been excluded.

Geneticists are also available for in-hospital consultations at London Health Sciences Centre and St. Joseph’s Health Care, London.