Referrals can be sent via fax to 416-742-0076. Please include:

• Reason for referral and primary symptoms or clinical question

• Relevant medical history

• Current medications, including any hormonal therapies or contraception

• Relevant investigations — labwork, ultrasounds, mammograms and/or BMDs performed within the last 12 months

• Prior MHT or hormonal contraception use and reason for change or discontinuation, if applicable

• Whether you are requesting ongoing management, a focused consultation, or liaison only

• Whether interim management suggestions would be helpful while your patient waits

• Whether the referral is urgent; see Urgent Referrals for more information

Incomplete referrals will be returned and may result in delays.

• Premature ovarian insufficiency (POI) in a patient under 40

• Surgical menopause — post-oophorectomy patients

• Severe vasomotor symptoms causing significant functional impairment — inability to work, sleep, or maintain daily activities

• Significant bone density loss on DEXA in the context of untreated menopause

• Severe genitourinary syndrome causing acute pain, recurrent UTIs, or inability to have intercourse

• Perimenopausal patient with severe PMDD or cyclical mood disorder

• PCOS with significant metabolic derangement

• Sudden or severe estrogen deficiency symptoms following chemotherapy or radiation

• Patient on aromatase inhibitors with severe menopausal side effects

• Severe cognitive or sleep symptoms with significant functional or safety implications

• Severe menorrhagia with anemia in the context of PCOS or perimenopause

Current wait times are approximately 6-8 weeks for an appointment. For urgent referrals, please indicate urgency clearly in the referral. Once your referral is received, your patient will hear from us within 2 business days with an appointment date.

Yes. A detailed consultation note is sent to the referring provider following every appointment. If you have not received a note within 10 days of your patient's appointment, please contact our office.

Yes. Once your patient's referral has been reviewed, we may be able to provide interim management suggestions to help get their care started while they wait. If you would like this, please indicate it on the referral.

At this time, this practice is not accepting referrals for second opinions. Our priority is seeing patients who have not yet been assessed or started on treatment. If your patient is already established on treatment and you would like specialist input on a complex case, please indicate this on the referral and Dr. Dupuis will do her best to provide guidance without requiring a formal consultation.

Both, depending on complexity. For straightforward cases, the goal is to establish a clear management plan and transition ongoing care back to you.

For patients with more complex hormonal management needs, we may continue to follow them with periodic check-ins. We will communicate our approach clearly in the consultation note.