Central Alberta Orthopedics / Brent Sutter Sports Medicine Centre 3rd Floor, 4309 52 Avenue, Red Deer AB

Ph 403-309-2001 URGENT fax: 403-986-7258 www.caortho.ca www.brentsuttersportsmedicine.ca

ORTHOPEDIC REFERRAL FORM All referrals must be faxed to 403-986-7258

**All referral MUST include an Ambulatory Car Record, Consult Sheet or Referral Letter** Incomplete referrals will be sent back

▫ TRAUMA CLINIC

Urgent surgical consults Ambulatory patients Must contact Orthopedic Surgeon on call Direct patient to present to Central Alberta

Orthopedics between 7:30 and 8:00am We will not contact the patient

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CAST CLINIC

Urgent non-surgical consults / casting Must contact Orthopedic Surgeon on call We will contact the patient for an appointment

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BRENT SUTTER SPORTS MEDICINE CLINIC

Acute (within 6 weeks), soft tissue msk injury (ankle

sprain, knee injury, shoulder injury etc) or concussion

We will contact the patient for an appointment We will see patient within 2 weeks Patients may self-refer to this clinic by phoning

403-986-2446

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DIABETIC FOOT CLINIC

Patient with diabetes or peripheral neuropathy Ulcer / infection at level of medial malleolus,

below lateral malleolus, toes No venous stasis ulcers We will see patient within 1 week If more urgent appointment required, contact

Orthopedic Surgeon on call