Calgary Foot & Ankle Clinic
For referring physicians

Refer a patient

Please download and complete the standardized referral form below, or complete it in Accuro. Completed referral forms can be faxed to 403-319-0048.

Referral form

Referral form — available for download soon

The standardized referral form is currently being updated. In the meantime, referrals can be faxed with your usual referral letter.

Please ensure the patient has up-to-date weight-bearing foot and ankle X-rays.

What happens next

Once your referral has been received, our office will review and triage it. When an appointment becomes available, our office will contact the patient directly by telephone to schedule their visit.

Diabetic foot complications, ulcerations and Charcot neuroarthropathy: please refer patients to the Zivot Limb Preservation Centre.

Where to send referrals

Fax
403-319-0048
Telephone
403-221-8345
Mail
Foot & Ankle Clinic at Lifemark
2225 MacLeod Trail SE, North Building
Calgary, AB T2G 5B6