Doctor Examining Patient

Referral Kits for Physicians & Nurse Practitioners

LARC Referral Package

Dr. Manning is a Family Physician with a special interest in women's health and dermatology. Her focused practice designation in gynecology application is pending. 

Sending a referral will limit outside use penalties for referring physicians and nurse practitioners who belong to a FHO/FHT model. 

 

Dr. Manning has created the following Referral Package to support the counselling required to prescribe Long-Acting Reversible Contraception (LARC), including intrauterine contraception (IUDs) or the Etonogestrel Contraceptive Implant (Nexplanon). By providing your patient with this information and a prescription, you may refer your patient for single-visit access to the LARC insertion procedure.

 

If you are unable to provide the LARC counselling or would like Dr. Manning to provide a Birth Control consultation first, Dr. Manning is happy to see your patient during a virtual birth control consultation as a separate phone or video visit.

 

 

Patients may also be referred for Menopause Consultations, Menstrual Concerns, Post-Menopausal Bleeding & Endometrial Biopsy, Birth Control Consultations, Vulvovaginal Concerns, and Hormonal Acne.

* All referrals must include the patient's email address for booking.

IUD & IMPLANT REFERRAL KIT
(Download the fillable form)

GENERAL REFERRAL FORM
(Download the fillable form)

General Women's Health Referrals