Request Referral
If you have questions, please do not hesitate to call. If a doctor is unavailable to take your call, a member of that service may be able to answer your questions. If not, a doctor will call you back.
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. You can send the referral form as soon as reasonably practical after that.
The ER + Critical Care Service often manages emergencies, unstable or non-scheduled referral cases.
PLEASE NOTE
You can’t save the online form and continue later, so keep that in mind in case you can’t spare 5–10 minutes to fill out the entire form(s) in one go. If so, please submit by email or by fax instead.
Our referral form is also available as a fillable PDF.
PDFs can be emailed to [email protected] or faxed to 604.473.4898