Children's Heart Centre Referral

The Children's Heart Centre has different referral forms and processes depending on the service; please follow the process for the service you need.

All referrals received are reviewed and prioritized by the cardiologist.
Referrals must be filled out by your family doctor, or pediatrician
We will call your patient only after an appointment has been made.
Referrals are required for new patients and for patients who have not been seen at the Heart Centre for more than 6 months.
For any inquiries regarding appointments, please contact the booking desk directly at 604-875-2345 extension 2605

Referrals form

Referrals process

1Download a request form

Download and print the appropriate request form.

2Fill out the request form

Include the following; incomplete forms will not be processed:

Patient demographic information
Services requested
Reason for referral
Any additional relevant information

3Fax the request form

Fax the completed request form to the appropriate service:

Non-urgent outpatients: 604-875-3463
Partnership & Surrey Clinics: 604-875-3541

4Once an appointment is scheduled

The referring doctor's office and/or the patient will be contacted by our booking desk only when an appointment has been scheduled.

Emergency or inpatient transfers

For inpatient transfers or life-threatening situations:

Contact the cardiology fellow on call through the hospital switchboard at 604-875-2161

Urgent outpatient referrals

For patients who are unable to wait for a scheduled appointment

Contact the Cardiology Fellow on call through the hospital switchboard at 604-875-2161

Outpatient (non-urgent) referrals

For patients up to 18 years of age who require a non-urgent appointment for any of these services:

ECG
ECHO
Cardiology consult
Holter monitor

Fax a Heart Centre request form to the clinic.

Cardiovascular & thoracic surgery

For emergency referrals, phone the surgical team directly at 604-875-3165

Elective outpatient

Fax a completed referral letter to Children’s Heart Centre, Surgical Office, at 604-875-3159

Partnership clinics

Cardiology Partnership Program
Room 1C54, BC Children’s Hospital
4480 Oak Street
Vancouver, BC
V6H 3V4

Download Provincial Partnership Referral Request Form (above)
Fax a completed referral letter including copies or reports of any diagnostic procedures such as chest x-ray and ECG to The Cardiology Partnership Program 604-875- 3541

Surrey Pediatric Cardiology Clinic

Child and Youth Services
Surrey Memorial Hospital
13750 – 96th Avenue
Surrey, BC
V3V 1Z2

Download Surrey Memorial Hospital Pediatric Cardiology Clinic referral form (above)
Fax a completed referral request form to: 604-875-3541

Vancouver Island services

Dr Brian Sinclair, Pediatric Cardiologist
202 – 1711 Cook Street
Victoria, BC
V8T 3P2
Phone: 250-386-4353
Fax: 250-382-4352

Fax a completed referral letter to: 250-382-4352

Provincial Health Services Authority