Referring A Patient
REFERRING PHYSICIANS: WHAT YOU NEED TO KNOW
REFERRAL UPDATE: Expanded Capacity and Improved Access at Tri-City Colonoscopy Clinic
- Two new experienced gastroenterologists have joined TCC
- Second endoscopy room added to increase procedure capacity
- Increased availability for diagnostic and therapeutic endoscopy
- Urgent and semi-urgent referrals prioritized, with assessment targeted within 2-4 weeks when clinically indicated
- FIT cases now accepted
To our Referring Colleagues,
Since 2010, Tri-City Colonoscopy Clinic (TCC) has been a trusted partner in providing high-quality endoscopy services for patients across Cambridge, Kitchener, Waterloo, Guelph, and the surrounding region. Over the past 16 years, TCC has built a strong reputation for quality care, excellent patient experience, and a consistent safety record that meets or exceeds provincial benchmarks.
As demand for endoscopy services has increased across our region, TCC has proactively expanded our physician team and clinical capacity to better serve our community. We are pleased to welcome two highly experienced gastroenterologists with expertise in diagnostic and therapeutic endoscopy, as well as expand our procedural capacity through the addition of a second endoscopy room. These investments allow us to increase procedure volumes, improve access, and better support our referring physicians and their patients. Urgent and semi-urgent referrals are prioritized, with assessment targeted within 2-4 weeks when clinically indicated. We also welcome routine referrals, and now FIT-positive referrals, with dedicated capacity to support timely access to colonoscopy. Patient selection remains guided by CPSO requirements for out-of-hospital endoscopy. For patients whose clinical complexity requires hospital-based care, our physicians can seamlessly arrange procedures at Cambridge Memorial Hospital to ensure safe and appropriate management.
TCC remains committed to:
- Maintaining excellent quality metrics across all core indicators
- Providing safe, efficient, and patient-centered care
- Supporting regional efforts to improve access and reduce wait times
- Collaborating closely with primary care and specialist partners
We are proud to have been recognized as the Platinum Winner in the Physicians and Surgeons category in the Community Votes Kitchener Waterloo awards in 2025 and 2026, reflecting the confidence and trust our community has placed in our team.
Thank you for your ongoing trust in Tri-City Colonoscopy Clinic. We appreciate the opportunity to continue support you and your patients with high-quality colorectal cancer screening and endoscopy services.
If you have any questions or would like to discuss referral pathways, please feel free to contact us!
----------------------------------------------------------
Please note
that the College of Physicians and Surgeons of Ontario provides guidelines as to which patients can be seen in
an out of hospital facility. If any of the following describes your patient,
kindly redirect the referral to a local endoscopist for a procedure in a hospital
setting, in order to facilitate timely access to care:
- Over the age of 80
- BMI greater than 40 kg/m2
- Recent cardiac issues
- Severe sleep apnea
- Significant comorbidities
- Significant mobility concerns (wheelchair bound, dependent on a walker/cane)
These patients are more appropriately seen in a hospital setting for their own safety.
In order to minimize a delay in care, kindly ensure that all supporting paperwork is attached (bloodwork, cardiac notes, previous colonoscopy/EGD reports), if relevant, in order to allow for effective and accurate triage of referrals.
Patients can be referred directly to TCC by faxing a completed referral form to 519.650.5577.
For your convenience, we have a TCC specific form.
We also readily accept Ocean eReferrals.
CALL US!
519.650.2777 
