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Referral Forms

The AHS generic referral form can be used to make a referral to any scheduled 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.

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North Zone

Zone 5 - North

Edmonton Zone

Zone 4 - Edmonton

Central Zone

Zone 3 - Central


Calgary Zone

Zone 2 - Calgary


South Zone

Zone 1 - South