1Choose the correct referral form and save it to your computer

If you do not know which program you require, please contact the triage office at 604-453-8320.

Inpatient/outpatient booking and intake request

• Acute rehabilitation
  
• SPROUT (click here for the admission criteria)
  
• Respite care
  

Complex development behaviour conditions and BC Autism Assessment Networks (BCAAN)

• Autism
• Complex developmental behavioural conditions

Neuromotor Services

• Assistive technology
• Cerebral palsy early diagnosis
• Early motor assessment
• Feeding & nutrition
• Hearing loss
• Physician-to-physician consult service
• Positioning & mobility
• Therapeutic recreation
• Tone management
• Visual impairment

Motion Lab requisition for gait analysis

• Gait assessment

2Fill out the form

Complete the form in full. Ensure all patient information is current.

3Include required documents

Include consults, reports, and/or chart notes (see referral form for requirements).

4Fax or mail the form

Please mail to address or use the fax number identified on the referral form.

5Inform your patient

If you have not already done so, let your patient know that we will contact them with an appointment time.