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Healtheuniversity > English > Diabetes College > About Us > How Do I Get Referred?

How Do I Get Referred?

Ask your doctor to refer you to the Diabetes, Exercise & Healthy Lifestyle Program.

Your doctor will need to take the following steps:

  1. Download and complete the Diabetes, Exercise & Healthy Lifestyle Program Referral Form (PDF opens in new window) »
  2. Fax the completed form to 416 425 0301.
  3. The form will be reviewed to ensure that it is complete. If the referral is incomplete, we will contact your doctor to request the necessary information or reports.
  4. Our office will call you directly with information about their first appointment.

Checklist for a Complete Referral

In addition to the completed referral form, your doctor must include:

  • current 12-Lead ECG
  • most recent blood work containing lipids, A1C, blood glucose and microalbumin/creatinine ratio
  • if applicable: recent cardiac test results, including stress ECG, MUGA/echo, angiogram; clinic notes; cardiac consult notes
Last Reviewed: 9/22/2016