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Nursing Support Services Referral

To refer a patient, please follow the steps for community, home or school setting. Referral forms need to be completed in their entirety along with supporting documentation.

Referrals form

Referrals process

1 Download the correct referral form

2Complete the form in its entirety and include any supporting documentation

3Fax the form to 604-708-2127 or email to

Home or community setting

Referrals for care in the home/community setting are intended to provide planned, intermittent periods of direct care nursing respite in a child’s home whose care needs require the scope of practice of a registered nurse for some aspects of their care due to the child/youth’s medically complex and fragile health needs.

School setting

Delegated care in the school is intended to support children who require support and assistance with specific tasks related to their care.

Delegation of these tasks is determined by the registered nurse on an individual basis for children/youth whose care needs and response to treatment is stable and predictable and can be safely managed by NSS provincial standardised care plans.

Diabetes only - Technology Currently Supported by NSS Delegated Care Plans (PDF)

SOURCE: Nursing Support Services Referral ( )
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