simple-referral

Eating Disorders Referral

To refer a patient to the Specialized Eating Disorder Program or the Looking Glass Residence, please check the referral criteria and complete the referral form below.

Referrals form

Eating Disorders referral form.

Physicians, if you are unsure about whether or not to refer, contact Compass.

Referrals process

1 Check the criteria for referral

Please check the referral form for criteria. For Looking Glass Residence, please see their eligibility criteria.

2 Complete the form

Fill out the form completely. Incomplete referrals will not be processed. Include all the required information (see Before or after care restrictions section of the referral criteria document).

3 Submit the form

Submit the form and the required information as instructed on the form.

Referrals

SOURCE: Eating Disorders Referral ( )
Page printed: . Unofficial document if printed. Please refer to SOURCE for latest information.

Provincial Health Services Authority

Eating Disorders Referral

Referrals form

Referrals process

1

Check the criteria for referral

2

Complete the form

3

Submit the form

Content ‭[1]‬

Referral fax number

Content ‭[2]‬