Heart Health Referral Forms for Health Care Professionals

Heart Health Referral Forms for Health Care Professionals

AFIB Clinic Referral Form
BC Cardiac Catheterization Referral Form 
Cardiac Catheterization Nursing Checklist
Cardiac STAT Clinic referral form
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
Hypertrophic Cardiomyopathy Clinic 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 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

Birch Team

Island Health’s innovative BiRCH Clinic puts heart health first for moms

What if postpartum care didn’t end at the six-week checkup? Birth Related Cardiovascular Health Clinics are creating a model of care that supports mothers long after delivery—when risks to heart health may be just beginning.

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Nanaimo Heart Function Clinic team

Island Health expands heart health services in the Central Island

People living with heart health challenges will have access to more exam rooms, improved privacy and enhanced educational supports thanks to the expansion and relocation of Island Health’s Nanaimo Heart Function Clinic.

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Currents Winter 2021

Currents Winter 2021

Read vaccination stories, updates on the Cowichan District Hospital build and more, in the latest edition of Currents!

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