REFER

Quality Testing and Consultations

You can download the relevant referral form below and fax to 1-855-738-PEAK (7325).

Referral Forms

Calgary

*Please note that referrals for specialist consultations require a consult letter.

• Peak Calgary General Referral Form
• Internal Medicine Referral Form
• Rheumatology Referral Form
• Covid Referral Form
• Patient information for PFT
• Patient information for MCT
• Order Referral Pads

Edmonton

*Please note that referrals for specialist consultations require a consult letter.

• Peak Edmonton General Referral Form
• Covid Referral Form
• Patient information for PFT
• Patient information for MCT
• Order Referral Pads

Red Deer

*Please note that referrals for specialist consultations require a consult letter.

• Peak Red Deer General Referral Form
• Covid Referral Form
• Patient information for PFT
• Patient information for MCT
• Order Referral Pads