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Asthma Referral

Referrals form

Referrals process

1Assess if your patient meets referral criteria

  • Poor asthma control or persistent exacerbations despite regular daily moderate inhaled corticosteroids


  • Children with an unclear asthma diagnosis despite guideline-based workup


Complete the referral form

Complete the referral form online or print it out and complete it by hand.  The form can be saved for your future use.


Include tests

Include any previous lung function tests, chest x-ray reports or allergy consultations with the referral.


Wait for an appointment

Once the referral is received, the clinic will call the patient to book the appointment (current wait time for non-urgent appointments is 3-4 months).  

While awaiting an appointment, please refer to the Provincial Pediatric Asthma Guidelines for suggestions on asthma management.

SOURCE: Asthma Referral ( )
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