Allied Health Professionals

• Ch-1009 Endoscopy Request for Consultation - Adults (PDF)
• Ch-1150 Wound Care Referral Form (Acute Care) (PDF)
• Ch-1452 Lipid Clinic Referral Form (PDF) 

Other Resources:

• Janeway Dentistry: Newborns with Cleft Lip and Palate, a resource guide (ENG, PDF) 
• Janeway Dentistry: Nourrissons présentant une fente labio-palatine, ressource (FRE, PDF)

• Ch-0786 Central Triage and Referral Form Rheumatology Form (PDF)

Neurology

• Ch-1918  Neurology Outpatient Referral Form (PDF. March 2019)

Other Resources:

• Listing of EH Mental Health and Addiction Services and contact information
• Adult Central Intake (MHA) - for St. John's region only
• Mental Health Care and Treatment Act
• Mental Health Care and Treatment Act - Associated Forms
• Brochure: Apps and Online Resources for General Well-Being (PDF, Dec. 2014)
• Brochure: Apps and Online Resources for Specific Symptoms and Disorders (PDF, Dec. 2014)

• Ch-0987 Schedule for Elective Surgery (PDF)
• Ch-0985 Checklist for Completion of O.R Booking Package (PDF)

Bariatric Surgery

• Ch-1577 Bariatric Surgery Booking Form (PDF, May 2017) 

Orthopedic Services

• Ch-0983 Orthopedic Central Intake Patient Referral Form (PDF)
• Ch-1241 Request for Spine Consultation Orthopedic Central Intake (PDF) 

Other Resources:

• Orthopedic Central Intake (OCI) Update for Referring Physicians (PDF)
  
• Orthopedic Central Intake Patient Information Sheet (PDF)

Pastoral Care and Ethics

• Ch-1225 Request for an Ethics Consultation Form 2013 (PDF)

Other Resources:

• Accountability for Reasonableness (A4R) (PDF): An ethics and values based framework for the planning, priority setting, and allocation of resources of programs and departments.

Pulmonary Rehabilitation
Ch-1397 Pulmonary Rehabilitation Referral Form (PDF, April 2018)