How to refer your patient.....


Referral Package will include....

  1. Referral Form with attached pertinent clinical records
  2. Patient Request Form (Filled out by the Patient with two witnesses)
  3. Assessment Record Form (Filled out by you the physician)


Once complete please fax to 250 480 7339


Dr. Konia Trouton will address questions and concerns throughout the consultation process.


All the VIHA forms can be found on the Ministry of Health website