After Cancer Treatment Transition Clinic (ACTT)

Service updates for appointments at WCH

  • If you have an upcoming in person appointment at Women’s College Hospital and you have a fever, cough, or new onset of shortness of breath, tested positive for COVID-19, or been instructed to self-isolate by Public Health please do not come to the hospital, call the clinic directly for more information. If you have travelled outside of Canada in the past 14 days and are fully vaccinated and have not been advised to isolate, you are welcome to come to the hospital for your scheduled appointment.
  • The hospital is open only to patients with appointments, please see our care partner & visitor restrictions information.
  • Your appointment may be changed to a virtual visit using the telephone or over video. Learn how to set-up a video visit.
  • You will receive a call from us with any changes to your appointment.
  • Masks are required to be worn at all times on WCH property. This includes, but is not limited to, parking areas, elevators and while waiting to be screened.

The ACTT Clinic provides comprehensive cancer survivorship care to women and men who have completed their cancer treatment at Princess Margaret Cancer Centre and/or Women’s College Hospital and are now cancer free. To be seen at the ACTT clinic, patients need to be referred by the doctors who treated their cancer.

These are the types of cancer that are seen at the ACTT clinic:

  • breast cancer
  • thyroid cancer
  • gynecological cancer (e.g. uterine, cervical, ovarian cancer)
  • melanoma
  • gastrointestinal (e.g. colon, rectal cancer)
  • testicular cancer

Patients are followed up in this clinic for a limited amount of time depending on their needs, treatment, and surveillance plan. Eventually, patients are transitioned from the ACTT team to their primary care practitioners when appropriate as per evidence-based guidelines and protocols. When a recurrence is detected, the ACTT team facilitates investigations and referrals back to the treating oncologists in a timely manner. 


The ACTT Clinic is currently operating as a special project in partnership with Princess Margaret Cancer Centre. For this reason, the program is only accepting patients from Princess Margaret Cancer Centre and Women’s College Hospital who have completed treatment for cancer, excepting hormonal therapy. Patients are transferred to this clinic based on specific criteria by their oncologists or treating endocrinologist for thyroid cancer. At this time, we are not accepting referrals from patients being followed at other cancer centres outside of Women’s College Hospital and Princess Margaret Hospital.

Patients discharged from ACTT clinic to their family practitioners can be referred back if there are any new concerns related to their previous cancer. The family care practitioners of patients discharged from ACTT are welcome to contact us with questions or concerns related to patients post discharge. 

If you have been referred to ACTT and have not been contacted with an appointment in 2-3 weeks, please call us at 416 323 6400 ext 3297. You may be contacted prior to your first visit to organize surveillance tests for your clinic appointment.

Patient Referral
Please contact us at 416 323 6400 ext 3297 for our referral forms.

Social Work Referral Form
Social Work Referral Form (.pdf)

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A member of

Council of Academic Hospitals of Ontario (CAHO)