Submit a Referral

In case of an emergency:

When your patient is unstable and moments count, please call us at 604.473.4882 when the patient is on its way or speak to the doctor on duty in the ER + Critical Care Service. The referral form can be sent as soon as reasonably practical thereafter.

The ER+ Critical Care Service often manages emergencies, unstable or non scheduled referral cases. Your patient can then be transferred or referred to the appropriate specialty services after this initial admission.

Please Note One Of The Following 3 Timelines On The Referral Form:

Next available: Patient is stable and can be seen in the next week or two
Urgent: Patient should be seen in the next 24-48 hours
Emergency: Patient needs to be seen within a few hours

How To Submit The Referral Forms

There are 2 different options to submit referrals available to suit individual preferences.

• Forms may be filled and submitted online;
• Forms may be downloaded as a PDF document, and faxed to 604.473.4898

If you have questions, please do not hesitate to call. If a doctor is not available to take your call, a member of that service may be able to answer your questions. If not, a doctor will call you back.

Forms Links

If you are referring your patient for Cardiology or Dermatology, please fill their service specific referral form:

Cardiology:

• Cardiology Referral Form Online
• Cardiology Referral Form PDF

Dermatology

• Dermatology Referral Form Online
• Dermatology Referral Form PDF
• If you are referring a patient for allergy testing, please read the following information: Dermatology Intradermal Allergy Test Protocol.

If you are referring your patient to any other Department, please fill:

General Referral Form

• General Referral Form Online
• General Referral Form PDF