Thrombosis Assessment Referrals

Thrombosis Assessment referrals are elective appointments for concerns related to duration of anticoagulation, warfarin management, family history of blood clotting, or other clotting disorders.

To refer new patients, complete the Thrombosis Assessment Form and fax to the Thrombosis Clinic at 604-875-5071. The following information is required:

  1. *Patient name, PHN, home address and phone number
  2. *Name of referring physician, billing number, office phone and fax numbers
  3. *Reason for referral
  4. Relevant medical information, including:
    • *Current dictated clinic note or history
    • list of medications
    • Recent CBC and creatinine or other related bloodwork results
    • Diagnostic reports, for example ultrasound, CT scan, VQ lung scan, venography, MRI

    * Must be filled in on form

Once the referral form and all requested information are received, the referral will be triaged and prioritized. An appointment notification will be faxed to the referring office.

Please note that there is a 3 - 6 month waiting period for elective referrals. The patient will receive a reminder call the day before the appointment.

All referrals that need assessment within one week must be triaged. Please call the Thrombosis Clinic nurses at 604-675-2481 for assistance.

Thank you for your referral.

Please note:
Thrombosis Clinic nurses are available from Monday to Friday, 9:30 – 5:00 pm only. If you experience an urgent matter in the evening or on the weekend, please call the VGH Hospital Switchboard at 604-875-5000 and ask for the hematologist on call.

For referrals for treatment of an acute VTE episode, see the Urgent Treatment Referral page.

For referrals for managing anticoagulation around the time of surgery or other invasive procedures, see the Perioperative Referral page.

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