Patient Referral Form

Please send additional documents as per the essential information list referred to at the BCCA website www.bccancer.bc.ca/HPI/CancerManagementGuidelines/ReferralInformation/default.htm Forms are available at the BCCA website http://www.bccancer.bc.ca/Documents/Patient-Referral-Form.pdf Please choose Centre or Clinic: Abbotsford Centre Centre for the Southern Interior (Kelowna) Centre for the North (Prince George) Fraser Valley Centre Kamloops Clinic Nanaimo Clinic Vancouver Centre Vancouver Island Centre Vernon Clinic Phone: 604-851-4732 or 604-851-4737 Phone: 250-712-3969 or 250-712-3970 or 250-979-6622 Phone: 250-645-7318 or 250-645-7319 Phone: 604-930-4004 or 604-930-4016 or 604-587-4301 Phone: 250-314-2734 Phone: 250-716-7706 Phone: 604-877-6098 Phone: 250-519-5585 or 519-5586 or 519-5587 Phone: 250-558-1235 Fax: 604-675-7204 Fax: 250-979-4001 Fax: 250-645-7371 Fax: 604-675-7222 Fax: 250-314-2733 Fax: 250-755-7676 Fax: 604-708-2005 Fax: 250-519-2001 Fax: 250-558-4113 Confidential Fax Warning: Documents accompanying this transmission contain confidential information intended for a specific individual and purpose..