Download and print referral form or add to your Electronic Medical Record (EMR) system
Complete the referral form, including referral diagnosis
Please note - to help improve access for people with Complex Chronic Diseases, the CCDP does not accept re-referrals for patients who have participated in the program before. If your patient has participated in the CCDP before and there has been a medical change in their condition, please complete the referral form and specify thatyou would like to book a provider to provider consult.
Patients who have participated in the CCDP previously are eligible to access the CCDP Alumni group, available as of January 2020.
FaxThe primary health care provider completes the referral form and faxes it to 604-875-3738.