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Early Pregnancy Assessment Clinic

Referrals form

Referrals process

To make a referral, please fax the referral form and all patient information including blood type, hCG levels, and ultrasound report (if available) to 604-875-3136

Patients may self–refer by calling 604-875-2592  weekdays 8:00am-4:00pm. After hours, patients may leave a message and the nurse will return the call as soon as possible.

Patient whose pregnancy is between 6 and 12 weeks gestation and
  • Who experiences cramping or bleeding or
  • Had a confirmed ectopic pregnancy in the past
OR if the patient had an ultrasound which showed
  • A pregnancy demise of less than 13 weeks
  • Pregnancy of unknown viability
  • Pregnancy of unknown location

SOURCE: Early Pregnancy Assessment Clinic ( )
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