Referral guidelines

Patients 35 years of age and older:

Order a mammogram (if a recent one less than12 months is not on file).

Use the Manitoba Provincial Breast Imaging Consultation Request form to order this test. Send it to one of the two mammography facilities (MB X-Ray Clinic or Radiology Consultants)

NOTE:  As part of the Direct Referral process, the Radiologist will automatically forward your requisition on to another facility for additional tests.  You and your patient will be notified and you will be copied on the mammogram report. 

Patients under the age of 35:

Complete a Referral for Surgical Consultation at BHC.  Your patient will be assessed prior to scheduling imaging tests.

Pediatric patients

Refer patients directly to the Pediatric Surgery Department for assessment.  (Phone:  204-787-1246   Fax:  204-787-4618).

Patients with Mastitis/Breast Infections

Please refer to algorithm for patients with mastitis/breast infections: Potential Breast Abscess Process Algorithm.

Refer after one course of antibiotics – Complete a Referral for Surgical Consultation

Screening / Surveillance

Breast Health Centre’s mandate is to provide rapid diagnosis for breast abnormalities.

  • We are not a screening or surveillance program
  • We do not provide screening mammography or screening ultrasound exams for women with breast implants
  • Refer patients with breast implants to a diagnostic mammography site for screening.
  • Ultrasound for breast screening is not standard practice.  Contact Breast Check for screening mammograms, 204-788-8000. Refer those not eligible for screening at Breast Check, to a diagnostic mammography site.

Patients on Anticoagulation Therapy

  • If a patient is on anticoagulation therapy and requires an invasive procedure, the referring practitioner will be responsible for determining whether the therapy can be interrupted or if alternative therapy will be initiated and managed. This will be coordinated by a nurse at the BHC with the referring practitioner.

To avoid delays or returned referrals, complete the referral form in full.

 Click here for referrals forms

Manitoba Provincial Breast Imaging Consultation Form

Referral for Surgical Consultation

Lymphedema Assessment

Hereditary Breast Cancer Clinic Referral

If you have any questions regarding the information required or the appropriateness of your referral to the Breast Health Centre, call the Referral Assessment Nurse at 204-235-3252.

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