Orthopedics Referral

Please choose the relevant referral form. The Orthopedic Clinic Referral Form is the general form applicable for most referrals.

Referrals form

Please complete the referral form online, click on 'validate form' and submit. Failure to do so may delay your referral.

GENERAL ORTHOPEDICS - Use for elective conditions. X-ray report must be attached

General Orthopedics Referral Form (PDF)

TRAUMA - Use for fractures/broken bones including spine trauma. If an X-ray was completed outside of a BC hospital, please bring the X-ray report to the first visit

Orthopedic Trauma Referral Form (PDF)

SPINE - Use for back conditions

Spine Clinic (Orthopedic) Referral Form (PDF)

ACUTE KNEE INJURY - Use for acute sports knee injuries

Acute Knee Clinic (Orthopedic) Referral Form (PDF)

NEWBORN DDH SCREENING

Newborn DDH Screening Referral Form (PDF)

Referrals process

Note: Orthopedic referrals may be made for patients under the age of 17 years old. Referrals must be received from a physician, nurse practitioner, or midwife.

General orthopedic referrals

For all elective orthopedic conditions (excluding spine and newborn DDH)
A physician's, nurse practitioner's, or midwife's referral is required. X-ray report must be attached
Please download and fill out the General Orthopedics Referral Form on this page (link above)
Fax the referral to: 604-875-2275

Trauma referrals

For all fractures. If an X-ray was completed outside of a BC hospital, please bring the X-ray report to the first visit
Please download and fill out the Trauma Clinic Referral Form on this page (link above)
A physician's, nurse practitioner's, or midwife's referral is required
Fax the referral to: 604-875-2275

Spine referrals

Please download and fill out the Spine Clinic Referral Form on this page (link above)
Fax the referral to: 604-875-2275
Please read the document below for additional information about the clinic and triage process:

About Scoliosis and the BCCH Spine Clinic

Orthopaedic cerebral palsy referrals

Please download and fill out the General Orthopaedic Referral Form on this page (link above)
Fax the referral to: 604-875-2275

Provincial Health Services Authority

Orthopedics Referral

Referrals form

Please complete the referral form online, click on 'validate form' and submit. Failure to do so may delay your referral.

TRAUMA - Use for fractures/broken bones including spine trauma. If an X-ray was completed outside of a BC hospital, please bring the X-ray report to the first visit

Referrals process

General orthopedic referrals

Trauma referrals

Spine referrals

Orthopaedic cerebral palsy referrals

Content Editor ‭[2]‬

Referrals fax number

Content Editor ‭[1]‬

Follow-up after emergency

Contact us

Orthopedics Referral

Referrals form

Please complete the referral form online, click on 'validate form' and submit. Failure to do so may delay your referral.

TRAUMA - Use for fractures/broken bones including spine trauma. If an X-ray was completed outside of a BC hospital, please bring the X-ray report to the first visit

Referrals process

General orthopedic referrals

Trauma referrals

Spine referrals

Orthopaedic cerebral palsy referrals

Contac​​t us

Contact us