Referrals
A clear referral process for physicians and care teams.
How to refer a patient
Use the current CardioLife requisition and send it to the clinic by fax.
1
Download the form
Use the current CardioLife referral requisition.
2
Complete the requisition
Include the requested clinical information and relevant reports.
3
Fax to CardioLife
Send the completed referral to (403) 328-0619.
CardioLife Referral Form
Download the PDF requisition, complete it, and fax it to the clinic. Please confirm urgent requests by telephone according to your normal clinical process.
Clinic contact
Fax: (403) 328-0619
Phone: (403) 328-0693
Address: 3852 4 Ave S Unit 30, Lethbridge, AB T1J 4Z5