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.
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
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.
Submit Online
Instructions:
Click the buttons below to open the form(s) in your browser, and fill out the form fields. Click the “submit” button when done, and we’ll receive the form(s) by email. Please note that 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, choose the submit by email or by fax options instead.
Referral Form OnlineSubmit By Email
Instructions:
Download the form PDF to your computer, and open it with Acrobat Reader
. Fill out the form fields, and save the file. Then send it to us by email at [email protected].
Submit By Fax
Instructions:
Download the form PDF to your computer, and open it with Acrobat Reader. Fill out the form fields, and save. Alternatively, print the form and fill out by hand. Then fax it to us at 604.473.4898.