Name of Referring Physician

 CPSO Number

 Pager or Cell Number of MD

 Email

Message

Brief anonymized patient description including age and date of symptom onset.

e.g. 72 y/o male with right face, arm and leg weakness for 20 minutes on March 19th

Carotid Doppler from March 20th shows left ICA Stenosis of 70-99%

*Do not include any patient identifiers, as this is not a secured server.