Information for Referring Providers

Information for Referring Providers Hospital at Home

Referral Process

At this time, referrals to Hospital at Home 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

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:

  • Not on supplemental oxygen
  • Ambulatory
  • Independent ADLs
  • Independent medication administration
  • Independent vital sign measurement
  • Independent telephone use

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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