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Asthma (Respiratory Medicine) Referral Criteria

Who can refer

All internal/external providers.

Patient age

Under 17.5 years at the time o​f referral

Patient acceptance

Referrals sent to the SickKids Asthma Clinic will be reviewed and rejected if they don't meet our Clinical criteria. 
If your patient has another significant respiratory disorder (eg, aspiration lung disease, bronchiectasis) in addition to asthma, please refer them to the General Chest Clinic.
Please consider sending your referral to a community pediatric respirologist or asthma clinic listed under the Community clinical resources for shorter wait times and easier access to care for patients that live in the area.  
 

Clinical criteria

  • ICU admission for asthma
  • Ongoing asthma attacks (hospital admission, ED visits, courses of oral steroids), frequent asthma symptoms or abnormal lung function while on standard asthma medication taken daily for at least 3 consecutive months (Children <12yo:  daily moderate dose inhaled steroids*; Children >=12yo:  daily inhaled steroid + long-acting beta-agonist**) for at least 3 months
  • Consideration for biologic therapies
  • Second opinion from asthma community partners
*Children <12yo: Fluticasone propionate (Flovent/Aermony), Ciclesonide (Alvesco), Beclomethasone (QVAR), Mometasone (Asmanex) 200-250ug/day, Mometasone (Pulmicort) 400ug/day​
**Children >=12yo: Fluticasone propionate/salmeterol (Advair) or Mometasone/formoterol (Zenhale), Mometasone/indacterol (Atectura) 200-250ug/day, Budesonide/formoterol (Symbicort) 400ug/day
 

Rejection criteria

  • Patients who have well-controlled asthma for ongoing followup (unless patient is on biologics for asthma)
  • Patients who have not been on at least 3 months of daily standard asthma medication (see above clinical criteria)
 

Notes

​Days operational
  • Monday afternoons
  • Thursday afternoons

Community clinical resources

Interactive Map of Pediatric Respirologists: Pediatric Respirology Community Partners - Google My Maps

  • Markham Stouffville Hospital
    • Dr. Sarah Kwon
    • Phone: 905-472-7534
    • Fax: 905-472-7535
    • Address: 381 Church St, Markham, ON L6B 1A1
  • Pediatric Clinic - North York General Hospital
    • Dr. Joanna Massam and Dr. Tania Samanta
    • Phone: 416-756-6479
    • Fax: 416-756-6152
    • Address: 4001 Leslie Street, Toronto, ON M2K 1E1
  • Rutherford Medical Clinic
    • Dr. Rahul Verma
    • Phone: 905-264-8311
    • Fax: 905-264-0801
    • Address: 5283 Rutherford Road, Unit 3, Woodbridge, ON L4H 2T2

  • Kindercare Pediatrics Leaside
    • Dr. Andrew Zikic
    • Phone: 416-848-7665
    • Fax: 416-848-7664
    • Address: 25 Industrial Street, East York, ON. M4G 1Z2
  • Michael Garron Hospital
    • Dr. Andrew Zikic and Dr. Costantine Petrou
    • Phone: 416-469-6590
    • Fax: 416-469-6591
    • Address: 825 Coxwell Avenue, East York, ON M4C 3E7
  • Malvern Medical Clinic
    • Dr. Andrew Zikic and Dr. Tauyee Hsieh
    • Phone: 416-291-7719
    • Fax: 416-287-3775
    • Address: 520 Ellesmere Rd-5th Floor, Scarborough, ON M1R 0B1
  • Pediatric Group Baywood Centre
    • Dr. Tamara Tomlinson-Hamilton
    • Phone: 905 683-7593
    • Fax: 905 683-7669
    • Address: Suite 202, 95 Bayly Street West, Ajax, ON L1S 7K8
  • Paediatric Respirology Clinic Lakeridege Health
    • Dr. Tamara Tomlinson-Hamilton
    • Phone: 905 576-8711 ext 36395
    • Fax: 905-721-4857
    • Address: Oshawa 1 Hospital Court, Oshawa, ON L1G 8A2
  • Peterborough Regional Health Centre
    • Dr. Zoe Nugent
    • Phone: 705-740-8055
    • Fax: 705-740-8004
    • Address: 1 Hospital Drive, Peterborough, ON K9J 7C6
  • Scarborough Health Network Centenary Hospital
    • Dr. Andrew Zikic
    • Phone: 416-291-7719
    • Fax: 416-281-7012
    • Address: 2867 Ellesmere Road, Scarborough, ON M1E 4B9

  • Asthma Clinic - Humber River Hospital
    • Dr. Neha Sharma and Dr. Tania Samanta
    • Phone: 416-242-1000 ext: 21400; Fax: 416-242-1095
    • Address: 1235 Wilson Avenue - 4th Floor, Toronto, ON M3M 0B2
  • St. Joseph’s Asthma Clinic
    • Dr. Tania Samanta
    • Phone: 416-530-6625; Fax: 416-530-6294;
    • Address:, 30 The Queensway, Toronto, ON M6R 1B5
  • Clairhust Pediatrics
    • Dr. Joanna Massam
    • Phone: 416-531-3331
    • Fax: 416-531-1639
    • Address: 1466 Bathurst Street, Unit 201, Toronto, ON M5R 3S3

  • Peel Memorial Centre for Integrated Health and Wellness
    • Dr. Peter Bikangaga
    • Phone: 905-494-2120 ext: 22552
    • Fax: 905-863-2468
    • Address: 20 Lynch Street, Brampton, ON L6W 2Z8 (REFERRAL FORM)
  • Dr. Peter Bikangaga
    • Phone: 905-456-5656
    • Fax: 905-456-9572
    • Address: 157 Queen Street East, Suite 207, Brampton, ON L6W 3X4
  • Grand River Hospital
    • Dr. Jason McConnery
    • Phone: 519-749-4300, ext: 2291
    • Fax: 519-741-0286
    • Address: Grand River Hospital, 835 King St W, Kitchener, ON N2G 1G3
  • Treehouse Pediatrics
    • Dr. Juliana Giraldo Salazar and Dr. Neha Sharma
    • Phone:  905-876-5056
    • Fax: 289-670-2176
    • Address: Unit 302 10 Bronte St S, Milton, ON L9T 9M2
  • Pediatric Asthma Outpatient Clinic - Milton District Hospital
    • Dr. Neha Sharma
    • Phone: 905-338-4691
    • Fax: 905-338-4631
    • Address: 725 Bronte St. S, Milton, ON L9T 9K1
  • Pediatric Medical Clinic - The Credit Valley Hospital
    • Dr. Tara Allen
    • Phone: 905-813-4120
    • Fax: 905-813-4128
    • Address:  2200 Eglinton Avenue West, Mississauga, ON L5M 2N1
  • Pediatric Asthma Outpatient Clinic
    • Dr. Neha Sharma
    • Phone: 905-338-4691
    • Fax: 905-338-4631
    • Address: 3001 Hospital Gate, Oakville, ON L6M 0L8
  • Kidwell Pediatrics - Medical Centre
    • Dr. Jason McConnery
    • Phone: 519-578-3500 ext: 1;
    • Fax: 519-741-0286;
    • Address: 430 The Boardwalk, Suite 304, Waterloo, ON N2T 0C1
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