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Referral Form & Requisition Access

For use by Health Professionals 

Generic Referral Form

Used to make a referral to ANY scheduled AHS service.

Specialty specific investigations or requirements may be necessary for the referral to be triaged, and should be attached and sent with the generic referral form to the receiving service.

Generic Referral Form

Referral Forms by Service

If you can't find the service you are looking for please use the Generic Referral Form above or find the service by searching the health care locator and contact the service directly to request a copy of their referral form.

Provincial
North

Zone 5 - North

Edmonton

Zone 4 - Edmonton

Central

Zone 3 - Central

Calgary

Zone 2 - Calgary

South

Zone 1 - South