Heart Health Referral Forms for Health Care Professionals

Heart Health Referral Forms for Health Care Professionals

AFIB Clinic Referral Form
AFIB Clinic - Education Only - Referral Form
AFib Clinic - Emergency Department Information Handout
BC Cardiac Catheterization Referral Form
Cardiac Catheterization Nursing Checklist
BCIAP Referral Form - Vancouver
BCIAP Referral Form- Victoria
Echocardiography Requisition
Echcardiography - Memo for Family Doctor's Ordering Stress Echo
Electrodiagnostic Services Request for Exam Form
Cardiac Rehab/ Risk Reduction Program Referral Form
Guidelines for Suspected Pacemaker Pocket Infection
Heart Failure Transition Tool(For Acute Care Units)
Heart Function Clinic Referral Form
Heart Rhythm Device Implant Referral Form
ICD Deactivation Referral Form
ICD Deactivation Patient Consent Form
MIBI Scan Requisition
Overnight Oximetry Referral Form
Take Heart Physician Recommendations for Exercise
Transcatheter Aortic Valve Implantation (TAVI) Referral Form

Vascular Risk and Prevention Referral Form

Services

Atrial Fibrillation Clinic - Heart Health
Cardiac Risk Reduction / Rehabilitation Program - Heart Health
Echocardiography - Heart Health
Electrodiagnostics - Heart Health
Electrophysiology & Heart Catheterization - Heart Health
Heart Function Clinics - Heart Health
Pacemaker Clinics - Heart Health

News & Events

parking sign

Pay parking resumes March 4, 2022

Effective March 4, 2022, pay parking will resume at all Island Health sites that previously had pay parking in place.

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Caring for the Vulnerable

Caring for the Vulnerable

Healthcare professionals provide care in many settings, including hospitals, clinics, schools and people’s homes, but for those individuals who don’t have a fixed address and require care, some community health services staff go to them.

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People unveiling a truth and reconciliation plaque.

Island Health Magazine Fall 2021

Read articles on building resilience in children; how loneliness impacts health; tips and recipes for healthy to-go lunches; information about IBD and a feature about patient partners.

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