Referring a Patient

 

A simple referral form is all we require to assist your patient.

Please fax completed forms to 250 480 7339.

We appreciate you sending a referral form for all services.

 

We will see patients who:

  • need a pap test

  • have a threatened, suspected or known miscarriage

  • need endometrial biopsy +/- Mirena insertion for heavy menses

  • have unplanned pregnancies

  • need birth control including IUD or implant insertions

  • have concerns about their IUD

We currently can not see patients who:

  • only need or want a female GP

  • have menopausal concerns

  • have any other gynecolgical concerns

  • General Referral Form

    Pregnancy Termination

    Routine Pap

    Pre-Menopausal Endometrial Biopsy

    General Referral

  • IUD / IUS / Implant Referral Form

    Contraception Counselling

    IUD Placement Checks

    IUD / Implant Removals

    IUD/Implant Referral

  • Miscarriage Referral Form

    Known Miscarriage

    Threatened Miscarriage

    Suspected Miscarriage

    Miscarriage Referral