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This healthcare service has 1 current healthcare service locations.
Endocrinology Central Access and Triage   at
Calgary Zone and Area
Central Access Healthcare Service
Specialty: Endocrinology
Connect Care Department: CALGARY ZONE ENDOCRINOLOGY CAT
Estimated time to routine appointment: Not Available
Alberta Health Services - Calgary Zone
CENTRAL ACCESS SERVICES
This central access referral service provides a single point of entry for individuals who need to see an endocrinologist in the Calgary Zone. Provides a referral service for doctors, emergency departments, and urgent care centres that need to refer people to see an endocrinologist.
This central access referral service provides a single point of entry for individuals who need to see an endocrinologist in the Calgary Zone. Provides a referral service for doctors, emergency departments, and urgent care centres that need to refer people to see an endocrinologist.
ELIGIBILITY REQUIREMENTS
Patients who could benefit from seeing an endocrinologist.
Patients who could benefit from seeing an endocrinologist.
Referral instructions for primary care, community care, private
providers etc. who do not send referrals via Connect Care.
REFERRAL PROCESS - FOR NON-CONNECT CARE USERS
Complete the appropriate referral form and send it to the service using the contact information in this profile.

For URGENT referral (i.e. any red flags) please call:
Specialist Link 403-910-2551 OR 1-844-962-5465 (Mon-Fri 0900-1700).
• Endocrinologist on call 403-944-1110 (Mon-Fri 1700-0900 and weekends).

Fax Diabetes in Pregnancy referrals to the Diabetes in Pregnancy Clinic:
• Foothills Medical Centre 403-776-3836
• Sunridge Medical Gallery 403-776-3837
• Rockyview General Hospital 403-776-3838
• South Health Campus 403-776-383
Complete the appropriate referral form and send it to the service using the contact information in this profile.

For URGENT referral (i.e. any red flags) please call:
Specialist Link 403-910-2551 OR 1-844-962-5465 (Mon-Fri 0900-1700).
• Endocrinologist on call 403-944-1110 (Mon-Fri 1700-0900 and weekends).

Fax Diabetes in Pregnancy referrals to the Diabetes in Pregnancy Clinic:
• Foothills Medical Centre 403-776-3836
• Sunridge Medical Gallery 403-776-3837
• Rockyview General Hospital 403-776-3838
• South Health Campus 403-776-383
REFERRAL PROCESS - FOR CONNECT CARE USERS
Send an Internal Referral using the Ambulatory Referral Order to Endocrinology, type CALGARY ZONE ENDOCRINOLOGY CAT in the “To Department” section and complete order.

For URGENT referral (i.e. any red flags) please call:
Specialist Link 403-910-2551 OR 1-844-962-5465 (Mon-Fri 0900-1700).
• Endocrinologist on call 403-944-1110 (Mon-Fri 1700-0900 and weekends).

For Diabetes in Pregnancy referrals, click a location link for Connect Care information:
Foothills Medical Centre 
Sunridge Medical Gallery 
Rockyview General Hospital 
South Health Campus
Send an Internal Referral using the Ambulatory Referral Order to Endocrinology, type CALGARY ZONE ENDOCRINOLOGY CAT in the “To Department” section and complete order.

For URGENT referral (i.e. any red flags) please call:
Specialist Link 403-910-2551 OR 1-844-962-5465 (Mon-Fri 0900-1700).
• Endocrinologist on call 403-944-1110 (Mon-Fri 1700-0900 and weekends).

For Diabetes in Pregnancy referrals, click a location link for Connect Care information:
Foothills Medical Centre 
Sunridge Medical Gallery 
Rockyview General Hospital 
South Health Campus
COMMUNICATION PROCESS
  • Referral receipt to referring source within 7 days.
  • Acceptance via appointment details or wait list status letter to referring source and patient within 14 days.
  • Wait list status update every 90 days.
  • Appointment outcome to referral source within 30 days.
ADDITIONAL SERVICE DETAILS
Please refer to UofC Department of Medicine website for additional details for the Endocrinology Division.
Please refer to UofC Department of Medicine website for additional details for the Endocrinology Division.
 
CENTRAL ACCESS REFERRAL PHONE
403-955-8633
CENTRAL ACCESS REFERRAL FAX
403-476-9626
LINKED SPECIALISTS
CLICK + TO VIEW REFERRAL GUIDELINES
Routine Reason for Referral
Access Targets convey the clinically appropriate timeframe patients should be seen within, by reason for referral and priority level.
Access Target
Required Information/Investigations
Investigation Timing
Additional Details
Adrenal insufficiency
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

AM Cortisol (Serum)
 
Within 3 months

Creatinine measurement, serum
 
Within 3 months

Electrolytes measurement, serum
 
Within 3 months
Red flags: 
  • Hypotension
  • Abdominal Pain
  •  N & V
  • Decreased LOC
If any of these symptoms, please label referral as urgent AND call Specialist Link

Amenorrhea
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Pregnancy test
 
Within 1 month
Helpful Investigations:
  • TSH
  • Prolactin
  • FSH
  • LH
  • Estradiol
  • Free Androgen Index
  • Progresterone Challenge

Cushing's syndrome
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

24 hr urine for cortisol and Cr
 
Within 6 months
Helpful Investigations:
  • BP
  • Lipid profile
  • HgbA1c
  • Serum Cr

Galactorrhea
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Prolactin
 
Within 1 month

TSH
 
Within 1 month

Gestational diabetes mellitus
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

SEE DIABETES IN PREGNANCY PROFILE FOR SPECIFIC REFERRAL GUIDELINES
 
n/a

Goiter
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

US scan of thyroid
 
Within 1 month
Helpful investigation:
  • TSH

Gynecomastia
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

AM Testosterone
 
Within 1 month

Hirsutism
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Free androgen index
 
If available/helpful

Serum electrolytes
 
If available/helpful

Hypercalcemia
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Calcium
 
Within 1 month
If serum calcium >3.5mmol/L, please direct referral to ER

Red Flag
  • Polyuria, polydipsia, confusion, severe constipation, kidney stones
If any of above present, please refer as URGENT and call Specialist LINK

Helpful Investigations
  • PTH
  • Phosphate
  • Albumin
  • Bone Density 
  • Renal Ultrasound history of kidney stones

Hypertension
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

If suspected Endocrine cause
 
Within 6 months
Helpful Investigations if suspect Endocrine cause:
  • Electrolyte Panel
  • Creatinine
  • Serum Aldosterone to Renin Ratio
  • 24 hr urine Metanephrines

Hyperthyroidism
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Free thyroxin
 
Within 1 month

Thyroid stimulating hormone
 
Within 1 month
IF any of the following symptoms, include details in medical history:
  • weight loss
  • tremor
  • palpitations
  • muscle weakness
  • shortness of breath
IF Nodule felt clinically:
  • Thyroid Ultrasound

Hypertriglyceridemia
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Lipid Profile
 
Within 1 month
Helpful Investigations: 
  • TSH
  • ALT
  • Lipase
  • HgBA1c

Hypoglycemia
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month
Helpful Investigations: 
  • ALT
  • AST
  • Creatinine

Hypopituitarism
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Describe issue/concern
 
As relevant

Nodular adrenal cortex
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Computerized axial tomography
 
Within 1 month

Magnetic resonance imaging
 
Within 1 month
MRI OR CT SCAN demonstrating adrenal nodule must accompany referral

Helpful investigations:
  • Serum Electrolytes/Serum Creatinine
  • 24 hr urine for metanephrine/normetanephrines/Creatinine
  • IF pt appears Cushingoid: 24 hr urine for Cortisol and Creatinine
  • IF excessive hirutism: serum DHEAS and free androgen index for women only
  • IF HTN: serum aldosterone to renin ratio

Osteoporosis
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

REFER TO DAVID HANLEY OSTEOPOROSIS CENTER ARD PROFILE FOR SPECIFIC GUIDELINES
 
As suggested

Pituitary mass
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

MRI or CT scan of pituitary lesion
 
Within 12 months
Helpful investigations:
  • Prolactin
  • IGF-1
  • Free T4
  • AM cortisol (if >1 cm)
Red Flags
  • Hypotension, abdominal pain, nausea, vomiting, decreased level of consciousness
If any of these symptoms, please refer as URGENT and call Specialist LINK

Thyroid nodule
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

US scan of thyroid
 
Within 1 month
Helpful investigations:
  • TSH
  • Thyroid scan if TSH <0.2

Type 1 diabetes mellitus
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Bicarbonate
 
Within 1 month

Electrolytes measurement
 
Within 1 month

Glycosylated hemoglobin A
 
Within 1 month

Serum Ketones
 
Within 1 month
Helpful investigations:
  • Lipid Profile (<1year)
  • Urine Microalbumin to Creatine Ratio
  • Creatinine
  • CBC
  • ALT

Type 2 diabetes mellitus
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Glycosylated hemoglobin A
 
Within 1 month
Helpful investigations:
  • Lipid Profile (<1year)
  • Urine Microalbumin to Creatine Ratio
  • Creatine
  • CBC
  • ALT

Unexplained infertility
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Describe issue/concern
 
As relevant

Urgent Reason for Referral
Access Targets convey the clinically appropriate timeframe patients should be seen within, by reason for referral and priority level.
Access Target
Required Information/Investigations
Investigation Timing
Additional Details
Adrenal insufficiency
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

AM Cortisol, serum
 
Within 3 months

Creatinine measurement, serum
 
Within 3 months

Electrolytes measurement, serum
 
Within 3 months
Red flags: 
  • hypotension
  • abdominal pain
  • nausea
  • vomiting
  • decreased level of consciousness
If any of above present, please label referral as urgent and call Specialist LINK.

Hypercalcemia
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Calcium
 
Within 1 month
Red flags: 
  • hypotension
  • abdominal pain
  • nausea
  • vomiting
  • decreased level of consciousness
If any of above present, please label referral as urgent and call Specialist LINK.

Pituitary mass
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

MRI or CT scan of pituitary lesion
 
Within 12 months
Red flags:
  • hypotension
  • abdominal pain
  • nausea
  • vomiting
  • decreased level of consciousness
If any of above present, please label referral as urgent and call Specialist LINK.

Emergent Reason for Referral
Additional Details
Adrenal insufficiency
Emergency patients should proceed directly to Emergency or call RAAPID South: 1-800-661-1700 or 403-944-4486. 
  • Severe Adrenal Insufficiency: hypotension, abdominal pain, nausea, vomiting, decreased level of consciousness

Hypercalcemia
Emergency patients should proceed directly to Emergency or call RAAPID South: 1-800-661-1700 or 403-944-4486. 
  • Severe Hypercalcemia: >3.5mmol/L, polyuria, polydipsia,confusion, severe constipation, kidney stones

Hyperthyroidism
Emergency patients should proceed directly to Emergency or call RAAPID South: 1-800-661-1700 or 403-944-4486. 
  • Hyperthyroidism: Unstable or evidence of CHF, arrhythmia, chest pain

Hypertriglyceridemia
Emergency patients should proceed directly to Emergency or call RAAPID South: 1-800-661-1700 or 403-944-4486. 
  • Hypertriglyceridemia: Severe epigastric discomfort, nausea, emesis to suggest pancreatitis


Type 1 diabetes mellitus
Emergency patients should proceed directly to Emergency or call RAAPID South: 1-800-661-1700 or 403-944-4486. 
  • Type 1 Diabetes Mellitus: Newly diagnosed, evidence of Diabetic Ketoacidosis, polyuria, polydipsia, abdominal pain, nausea, anorexia, vomiting, weight loss, decreased level of consciousness


The primary purpose of the All Locations list is to let the user easily access any location of a healthcare service without going back to the main search screen.

The locations listed have 3 background colors:
  • Green means the healthcare service@location has referral information attached to it.
  • Brown means the healthcare service@location never had referral information attached to it, or it has unpublished referral information.
  • Red means
    • IA changed the healthcare service@location's status to something other than Current
    • It was deleted if it is an ARD healthcare service@location.
Green  and Brown are always at the top of the list. These are the Healthcare Service@Locations with the status of Current.
The Red list at the bottom consists of non-current Healthcare Service@locations that once had Published referral information in the ARD.
If the referral information was never published in ARD the Healthcare Service@location will not show in the Red list.

The secondary purpose of the All Locations list is to allow ARD Administrators to recover (copy) referral information from the non-current Healthcare Service@Locations to ones that are current.

Common Scenario:
A Healthcare Service moves from one location to another. In this case the IA Healthcare Service@Location record will be made defunct (non-current) and a new Healthcare Service@Location record will be created with a current status. In this scenario the captured referral guidelines in ARD can become "orphaned" as they are not attached to any current IA healthcare service.

Categories of non-current or orphaned referral guidelines: INDIVIDUAL and COMMON.
The REFERRAL GUIDELINES section of the profile has the prefix INDIVIDUAL or COMMON to help you choose the method below when transferring referral guidelines from a non-current Healthcare Service@Location to a current healthcare service@location.

Individual referral process
  1. Click on a non-current (Red) Healthcare Service@Location at the bottom of the All Locations list.
  2. The non-current referral info is displayed with the link Copy this Referral Process to another Healthcare Service@Location link on the upper right hand corner. Click on the copy link.
  3. Choose a current location (Green or Brown) from the All Locations list. This will be the Healthcare Service@Location you are pasting the referral info into.
  4. The system will display the Edit Referral Info screen populated with the referral info from the non-current Healthcare Service@Location you viewed in the first step.
  5. Click Save and the referral info is transferred from the non-current Healthcare Service@Location to the current one.
  6. Repeat these steps for each Healthcare Service@Location that needs attention.

Common referral process - 2 sub cases.
Case 1: At least 1 current Healthcare Service@Location with common referral info is with current status for this healthcare service; One or more Healthcare Healthcare Service@Locations where replaced by new one.
  1. Click on any current Healthcare Service@Location whether it has referral info (Green) or not (Brown).
  2. The healthcare service location opens in the Edit Referral Info screen populated with the current common referral info.
  3. Save it. 
  4. All locations will be updated with the common referral information, including all the locations that don't have referral info yet (Brown). The non-current referrals (Red) will also be updated.
Case 2:  All Healthcare Healthcare Service@Locations for a healthcare service are set to a non-current status and replaced by new ones. In this case there is no current additional referral info to copy from, so the only alternative is to pick up the non-current common referral process (Red). Follow the steps described in the section Individual Referral Process above to copy/paste the non-current common referral info to the current healthcare service locations.
Generally we want to replicate current common referral info to new or replaced healthcare service locations. We only resort to copying non-current common referral info if there is no other option.

Remember: Some fields can be location specific with the common referral process:
Parking Instructions, Directions, Parking Map, Wait Time, Referral Phone or Referral Fax.
To update these items you have to edit each Healthcare Service@Location separately.

ADDITONAL NOTES:
  • The info icon after the All Locations drop down will be visible to ARD Administrators.
  • The system doesn't allow you to copy referral information from one non-current Healthcare Service@Location to another.

 

V6.5