Dr. Paul Singh Sandhu

Dr. Sandhu provides expert care for adults with a wide range of medical conditions, including:

Select Infectious & Inflammatory Conditions

• Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.
• Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.
• Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.

Geriatric Syndromes & Focused Elder Care

• Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.
• Cognitive Impairment & Dementia Syndromes: Comprehensive assessment for memory loss/cognitive changes; diagnosis and management of Alzheimer's disease, vascular dementia, and others.
• Delirium Prevention & Management: Identifying risk factors for delirium (acute confusion) in hospitalized or ill older adults and implementing management strategies.

Complex Diagnostic & Multi-System Issues

• Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.
• Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.
• Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.

Dr. Sandhu manages a wide range of complex adult and geriatric health conditions. This list highlights common areas of focus. If your condition is not listed, please note that internal medicine specialists address diverse and often multi-systemic diseases. Consultation is typically initiated via referral from your primary care physician.

• Second Opinion Consultations: Providing an independent expert review and opinion on complex diagnoses or treatment plans.
• Thyroid Disorder Management: Diagnosis and ongoing management of conditions like hypothyroidism, hyperthyroidism, and thyroid nodules.
• Frailty Evaluation and Management: Assessing for frailty (increased vulnerability) and developing interventions to enhance resilience, function, and independence.
• Geriatric Psychiatry Liaison Support: Assessing and managing mood disorders (like depression, anxiety) and behavioral changes often associated with dementia or other conditions in older adults.
• Advance Care Planning Discussions: Facilitating conversations about future healthcare preferences and goals of care, including discussions about powers of attorney for personal care.

Note: This list represents some of the key services offered by Dr. Sandhu. As a specialist in Internal Medicine and Geriatric Care, he provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. Sandhu's scope of practice, please discuss with your referring physician or contact the clinic.

All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO).

Dr. Sandhu's practice is conveniently situated in the central Concord area, near local points of interest such as community centers and public transit routes. The location is easily accessible via public transportation, with bus stops nearby. The facility is wheelchair accessible. Parking is available at the facility.

How is payment handled for appointments with Dr. Sandhu? Is it covered by Ontario Health Insurance Plan (OHIP)?

In ON, medical consultations with specialists like Dr. Sandhu are typically covered by your provincial health insurance (Ontario Health Insurance Plan (OHIP)) when you present a valid health card and have the required referral. You generally do not pay directly for the consultation service itself. Some specific procedures, forms, or administrative tasks might not be covered by Ontario Health Insurance Plan (OHIP) and may incur a separate fee according to provincial guidelines. Please inquire if you have questions about uninsured services.

Can I book an appointment directly or do I absolutely need a referral?

A referral from your family physician or another medical specialist is required to see Dr. Sandhu. As experts in Internal Medicine and Geriatric Care, Internists and Geriatricians see patients based on specific medical questions posed by the referring doctor. This ensures continuity of care and that the consultation is appropriate for your needs. Please have your doctor forward the referral information.

Does Dr. Paul Singh Sandhu discuss goals of care or advance care planning?

Yes, discussing goals of care is an important part of patient-centered practice, especially in managing chronic illness or in geriatric care. Dr. Sandhu encourages conversations about patient values, preferences for future medical treatment, and advance care planning (including identifying a substitute decision-maker) to ensure care aligns with what matters most to the patient. He can provide information and facilitate these discussions.

What should I do if I have an urgent medical problem?

Dr. Sandhu's office provides specialist consultations and is not equipped for emergency care. If you have an urgent medical issue or emergency, please contact your family doctor, go to the nearest hospital Emergency Department, or call 911.

Is Dr. Sandhu affiliated with a specific hospital?

Hospital privileges can vary. Dr. Sandhu may have admitting privileges or provide consultation services at local hospitals. This affiliation allows for coordinated care if hospitalization is required. Please confirm details with the office if needed.

What should I bring to my first appointment?

Please bring:

• Your provincial health card (Ontario Health Insurance Plan (OHIP) card).
• The referral letter if you have it.
• A complete list of ALL your current medications (prescriptions, over-the-counter, vitamins, herbs), including doses. Bringing the actual bottles/packaging is often very helpful.
• A list of your past medical history, surgeries, and known allergies.
• Any relevant medical reports, lab results, or imaging (X-ray, CT, MRI) reports you possess.
• A list of your specific questions or concerns for Dr. Sandhu.

2640 Rutherford Rd
Concord, ON L4K 0H3

Phone: (905) 417-3001 | Fax: (905) 417-3006

The facility is wheelchair accessible.

Dr. Sandhu is a licensed physician regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Medicine Act, 1991 in ON. Patients are typically seen by referral from their primary care physician.

Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Sandhu-Paul-Singh/0088760-115754