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Medical Order Form – Protocol for Central Vascular Devices (CVAD)

Pediatric Patients at McMaster Children’s Hospital (MCH) Hamilton
Toll Free Phone Number: 1-800-810-0000
All Community Referrals, Including Primary Care Providers: please fax all community referrals to Intake and Extended Hours teams. Fax Number for All:
1-866-655-6402
For hospital-based referrals, please fax directly to the appropriate Ontario Health atHome hospital office listed in page 2 of this form