Refer a patient
Give your patient menopause-focused care—and a clear plan back.
Effica supports referring providers with structured menopause assessment, physician-led recommendations and a summary that helps care continue in primary care.
- Menopause-focused virtual assessment
- Clear recommendations and documented next steps
- Communication back to the referring provider
Effica works alongside primary care. Download the fillable referral form, complete the relevant sections with your patient’s consent and fax it to our clinic. We return a comprehensive assessment summary and treatment plan to you.
Fax completed referrals to 1-855-780-1033
The referral form
Download, complete, fax.
The form is fillable on screen, so it can be completed digitally and printed or faxed directly. Complete all relevant sections, check all options that apply and attach supporting reports where available.
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Download the fillable PDF and complete it on your computer or by hand.
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Attach any relevant results, reports or consult notes.
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Fax the completed referral to 1-855-780-1033.
Referral criteria
When to consider a referral
Effica accepts referrals for a broad range of menopause-related symptoms, questions and treatment needs.
Our comprehensive intake and Clinical Intelligence™ help the care team understand the patient's menopause status, symptom pattern and the areas having the greatest impact on quality of life and well-being. This provides a valuable clinical baseline, even when symptoms are complex or the relationship to perimenopause or menopause is unclear.
The assessment also supports patient education, a more complete analysis of symptoms and health factors, and consideration of appropriate hormonal and non-hormonal treatment options.
Consider referring patients experiencing or seeking support with:
- Perimenopause or menopause symptoms, including hot flashes, night sweats, sleep disruption, mood changes, cognition or brain fog, fatigue and other changes affecting quality of life
- Uncertainty about whether symptoms may be related to perimenopause or menopause
- Menopausal hormone therapy, including initiation, risk assessment or optimization of current therapy
- Non-hormonal treatment options, including benefits, risks, initiation or optimization
- Genitourinary syndrome of menopause, including vaginal, vulvar, urinary or bladder symptoms
- Sexual-health concerns or low libido
- Contraception during perimenopause
- Patient education or a baseline menopause assessment
- Complex symptoms, health conditions or treatment considerations
- Other menopause-related concerns
Patients do not need to have a confirmed diagnosis or a straightforward presentation before being referred. When in-person examination, testing or local follow-up is needed, Effica will recommend appropriate next steps.
What happens when you refer?
Simple, Connected & Comprehensive.
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Refer
Submit the referral with your patient's consent.
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We connect with her
Our team contacts her directly and guides her through what comes next.
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We build the clinical picture
She completes Effica's structured intake and Clinical Intelligence brings together relevant symptoms, history and health information.
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Collaborative care, followed by medical assessment
Your patient spends dedicated time with one of our Collaborative Care Practitioners, who is a menopause-trained RN or Clinical Pharmacist who explores her symptoms and concerns, provides education and helps clarify her priorities. A clinical summary is then prepared for our Effica physician, who conducts the medical assessment and determines appropriate treatment, investigations, referrals and follow-up.
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We close the loop
Your patient returns to your care with a clear path forward. We provide you with a comprehensive assessment summary and treatment plan, including relevant findings, treatment initiated, investigations or referrals, and recommended follow-up.
When ongoing menopause follow-up is needed, Effica can provide it while keeping you informed and connected to her care.
Questions before you refer?
Our team is happy to confirm eligibility, discuss the pathway in your province or walk through what your patient can expect.
[email protected] · 1-800-977-1877 · Fax 1-855-780-1033