BILL C-14
CPSBC GUIDELINES
FAQ'S
How to fill out a Patient Request?
How to fill out an Assessment Form?

Referral Package

How to refer your patient.....

 

Referral Package will include....

  • Referral Form with pertinent medical records
  • Patient Request Form 
  • This is to be filled out by the patient and have two witnesses see the "How to" here...
 
 
  • Assessment Record Form
  • This is to be filled out by you see the "How to" here...

 

 

 

Once complete please fax to 250 480 7339

 

Dr. Konia Trouton will address questions and concerns throughout the consultation process.

 

All the VIHA forms can be found on the Ministry of Health website 

HEALTHCARE PROFESSIONALS