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Renal Program Referral

To refer a patient to the Renal Program, please follow the process below.

Referrals form

Referrals process

 1Write and fax a referral request

If you want to fill in the form by hand, download the blank form, print it out, and then fill it in.

If you want to fill in the form online, open the form, fill it in online, and then print it out. You can save the form to your desktop to fill in later. 

Include supporting reports with referral request:
  • Blood test results from the last 6 months
  • Urine tests and urinalysis from the last 6 months
  • All culture and sensitivities
  • All medical imaging reports pertinent to referral 
    (ie. renal ultrasound)

Fax the referral letter to BCCH Nephrology Program at: 604-875-3649. Faxes can be sent any time, 7-days a week.

Referrals missing important supporting reports will be returned.

 2Referral triage

Referrals will be processed Monday to Friday except statutory holidays.

A nephrologist will review the referral information to determine how soon the patient should be seen.  Referrals with missing information will not be reviewed until supporting reports are received.

Referrals are triaged by Nephrologist within 7 to 10 business days.

 3Appointment booking

The clinical secretary will book the appointment based on the recommendation of the nephrologist. We will contact your patient with the appointment information.

An appointment confirmation will be faxed to the referring physician or nurse practitioner, if requested.

 4Changes to patient's condition?

Referring physicians or nurse practitioners should contact us if there are any changes in the patient's condition or in the blood or urine results that might warrant an earlier appointment.

Phone numbers:

  • Phone: 604-875-2345 extension 7307
  • Toll Free: 1-888-300-3088 extension 7307

SOURCE: Renal Program Referral ( )
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