Amputee Program Service Scope Assessment, treatment, and rehabilitation for amputees Referral Criteria General Referral Criteria While each specialty program has specific referral criteria, they all share some general criteria for referral. Refer when: There is a need to clarify a diagnosis; Prognosis, level of impairment, or appropriate treatment is unclear; The injured worker has not returned to work after normal healing times; Divergent medical opinions exist. With general referral guidelines in mind, refer patients to this clinic in the circumstances: Patient is a new amputee with loss of limb, thumb, or three or more fingers or toes. If elective amputation of revision surgery is being contemplated. If an outside agency has recommended a new prosthetic design or major change in prosthetic. If the injured worker wants a second opinion regarding a new prosthetic. If the injured worker appears to make an unusual number of requests to their local centre for supply of new prostheses, terminal devices, or prosthetic repairs. Specialty Program Partners St. John’s Rehabilitation Hospital 285 Cummer Ave. Toronto, ON M2M 2G1 Telephone: 416-226-6780 Ext. 7236 or 416-226-6780 Ext. 7036 West Park Health Care Centre 82 Buttonwood Ave. Toronto, ON M6M 2J5 Telephone: 416-243-3600 Ext. 4420 Fax: 416-243- 1863 Prosthetics Fax: 416-243-3669