Information For OTMH Emergency Department Physicians

Referrals for patients who present with atrial fibrillation and require an outpatient Cardiology consultation should be made using the following form.

If cardiac diagnostic testing is also indicated you may use the same form to request the tests required.

Patients between the ages of 30-60 with non-valvular atrial fibrillation and at low risk for stroke will be considered for enrollment in the BRAIN-AF study.


Please fax the complete form to (905) 849-8266

Download Requisition