BC Women's Centre for Reproductive Health
at BC Women's Hospital and Health Sciences Centre
D-600- 4500 Oak Street Street
T: 604-875-2445 F: 604-875-2524
to make an appointment
Sections 1, 2 and 3 of this form may be filled in and given to your
doctor who may complete the form and make a referral by faxing it
to us at: (604) 875-2524. You can use the "Print" button
at the bottom of this form, or just use the "Print" button
in your browser .
We will contact the patient directly with appointment time.