Referral Forms
Find your province below for a complete list of referral forms in your region.
Manitoba
Careica Health Referral Form – MB
Pub. May 21, 2021
Home Oxygen Removal Request
Pub. June 29, 2023
Oxygen Referral Form – NIHB/Other
Pub. May 27, 2021
Manitoba - Prairie Mountain Health
Community Respiratory Clinic Referral
Pub. October 13, 2021
Alberta
Careica Health Referral Form – Calgary
Pub. September 27, 2022
Careica Health Referral Form – EDM/RD/AB North
Pub. October 14, 2021
Saskatchewan
Careica Health Referral Form – SK
Pub. January 31, 2023
British Columbia
Requisition for Home Sleep Apnea Test (HSAT) – BC
Pub. January 8, 2022
Ontario
Careica Health Referral Form ā ON
Pub. September 15, 2023