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GRAND RIVER REGIONAL CANCER CENTRE NEW PATIENT REFERRAL FORM Please complete ALL information and include all related reports with this request andFAX to 5197494381 (Phone:519 7494370 Ext. 5720)PATIENTS
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Individuals diagnosed with cancer who require treatment and medical care
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The Grand River Cancer Centre is a healthcare facility dedicated to cancer treatment, providing various services including chemotherapy, radiation therapy, and support for cancer patients and their families.
Patients receiving treatment at the Grand River Cancer Centre or medical professionals involved in their care may be required to file specific forms or documents related to their treatment and insurance claims.
To fill out forms related to the Grand River Cancer Centre, individuals should follow the provided instructions, which often include personal information, medical history, and consent for treatment, ensuring all information is accurate and complete.
The purpose of the Grand River Cancer Centre is to provide comprehensive cancer care, including diagnosis, treatment, research, and support services to improve the quality of life for cancer patients.
Information that must be reported may include patient identification details, treatment history, diagnosis, and any relevant medical records required for the provision of care.
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