Information for Referring Providers

Information for Referring Providers Hospital at Home

Referral Process

At this time, referrals to Hospital at Home (HaH) are limited to patients already admitted to the Royal Jubilee Hospital or Victoria General Hospital. Referrals must be made by the Most Responsible Provider [MRP]. 

To refer a patient to the Hospital at Home program, please complete this form, and fax to the corresponding HaH office:
Victoria General Hospital HaH fax: 250-727-4013
Royal Jubilee Hospital HaH fax: 250-3700-8188
Hospital at Home referral line: 250-519-7700 local 17665

Alternatively, MRPs can contact the HaH physician directly to discuss potential patients or make referrals. Visit the Island Health intranet On Call Scheduling page to identify the HaH physician. 

Eligibility Criteria


  • At least 19 years old
  • Living within geographic catchment area
  • Caregiver in home
  • Safe home environment
  • Phone and refrigerator in home

Cinical Characteristics:

  • Requiring hospital-level care
  • Known diagnosis
  • Clinically stable
  • Expected length of say less than 10 days
  • Unlikely to require multiple in-hospital tests, treatments or consultations
  • Ambulatory to bathroom
  • Able to provide self-care
  • No pain crisis
  • No acute stroke
  • No active psychiatric disorder
  • No active substance use disorder


  • Patient/Substitute Decision Maker consent completed
  • Caregiver consent completed

Clinical Parameters for Waiving Caregiver Requirement:

  • Ambulatory
  • Independent ADLs
  • Independent telephone use
  • Independent with medication administration, or on medications that can be safely and efficiently administered by HaH RNs
  • Independent with vital sign measurement, or vital sign measurement able to be conducted by nursing staff during regularly schedule home visits
  • Patient does not require new supplemental oxygen.
    • Note: patients on home oxygen as their baseline can safely be admitted to HaH provided they have respiratory stability

Please note: Patients from facilities have special considerations that must be reviewed by Hospital at Home staff. No Long Term Care patients until further notice.

General Information on Information for Referring Providers

Referral Required?

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