bcdiabetes.ca | GP Referrals

GP Referrals

The information in this form will be used to start a record that BC Diabetes staff will complement by accessing lab results from Lifelabs, BCBiomed or Excelleris, in addition to medication information from the patient or Pharmanet.

Quick Diabetes Referral

Fields marked with a * are required.

Thank you for completing this "quick" referral. It is designed to create a minimal dataset which the bcdiabetes.ca staff will complement by accessing lab results from Lifelabs/BCBiomed/Excelleris and medication from the patient or Pharmanet.

Doctor's first and last names (use space as a separator)
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