Referral Form
Refer all newborns with OBPI to a multidisciplinary centre by 1 month of age.
With referral, provide complete pregnancy and birth history, and physical exam findings if available.
- Contact and referral numbers are included on the face sheet
- Relevant clinical information is included on the referral form
- Refer infants to the most convenient centre for ongoing management
- All surgeons and centres in Canada use the same referral form
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