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Children's Heart Centre Referral

The Children's Heart Centre has different referral forms and processes depending on the service; please follow the process for the service you need.
  • All referrals received are reviewed and prioritized by the cardiologist. 
  • Referrals must be filled out by your family doctor, or pediatrician
  • We will call your patient only after an appointment has been made. 
  • Referrals are required for new patients and for patients who have not been seen at the Heart Centre for more than 6 months.
  • For any inquiries regarding appointments, please contact the booking desk directly at 604-875-2345 extension 2605

Referrals form

Referrals process

1Download a request form

Download and print the appropriate request form.

2Fill out the request form

Include the following; incomplete forms will not be processed:

  • Patient demographic information
  • Services requested
  • Reason for referral
  • Any additional relevant information

3Fax the request form

Fax the completed request form to the appropriate service:

  • Non-urgent outpatients: 604-875-3463
  • Partnership & Surrey Clinics: 604-875-3541

4Once an appointment is scheduled

The referring doctor's office and/or the patient will be contacted by our booking desk only when an appointment has been scheduled.

Emergency or inpatient transfers

For inpatient transfers or life-threatening situations:

  • Contact the cardiology fellow on call through the hospital switchboard at 604-875-2161

Urgent outpatient referrals

For patients who are unable to wait for a scheduled appointment

  • Contact the Cardiology Fellow on call through the hospital switchboard at 604-875-2161

Outpatient (non-urgent) referrals

For patients up to 18 years of age who require a non-urgent appointment for any of these services:

  • ECG
  • ECHO
  • Cardiology consult
  • Holter monitor

Fax a Heart Centre request form to the clinic.

Cardiovascular & thoracic surgery

  • For emergency referrals, phone the surgical team directly at 604-875-3165

Elective outpatient

  • Fax a completed referral letter to Children’s Heart Centre, Surgical Office, at 604-875-3159

Partnership clinics

Cardiology Partnership Program
Room 1C54, BC Children’s Hospital
4480 Oak Street
Vancouver, BC
V6H 3V4

  • Download Provincial Partnership Referral Request Form (above)
  • Fax a completed referral letter including copies or reports of any diagnostic procedures such as chest x-ray and ECG to The Cardiology Partnership Program 604-875- 3541

Surrey Pediatric Cardiology Clinic

Child and Youth Services
Surrey Memorial Hospital
13750 – 96th Avenue
Surrey, BC
V3V 1Z2

  • Download Surrey Memorial Hospital Pediatric Cardiology Clinic referral form (above)
  • Fax a completed referral request form to: 604-875-3541

Vancouver Island services

Dr Brian Sinclair, Pediatric Cardiologist
202 – 1711 Cook Street
Victoria, BC
V8T 3P2
Phone: 250-386-4353
Fax: 250-382-4352

  • Fax a completed referral letter to: 250-382-4352
SOURCE: Children's Heart Centre Referral ( )
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