Rehab Referrals

Caring For You And Your Family

Passionate About Wellness, Compassionate About People. We are here for you.

Areas We Service

Queensborough, Port Royal, Hamilton Village, East Richmond, New Westminster

Select your Referral Type

Referral Organization

Client Full Name

Client Phone

Client Email

Relationship to Client

Client is aware of referral?

Yes No

Sex

Male Female Prefer Not To Say

ICBC Claim #

Client's Date of Birth (DOB)

Date of Injury or Disability

Client Full Address

Client's Diagnosis or Medical Concerns

In order to register, patients must meet the following criteria:

1. DO NOT have a current family physician

2. Richmond, BC address

If you meet the above criteria, begin your new patient registration below.

Hamilton Health is in-network with most major insurance companies. Click below to find out if you’re covered.