The Generation Health Clinic Referral Form is used to document referrals to the Generation Health Clinic for multidisciplinary assessment and care. It captures essential patient and family details, relevant clinical history, anthropometric data, and referral reasons to support appropriate assessment by the clinic team. Completing this form in Heidi supports organised referral documentation, reduces the risk of missing required information, and assists clinicians in facilitating timely referrals in line with clinic requirements.
The Generation Health Clinic Referral Form is used by physicians and nurse practitioners in British Columbia to refer children and teens to a provincial healthy-living program. This document captures essential patient details, clinical history, and anthropometric data for children with a BMI for age over the 97th percentile, or over the 85th percentile with comorbidities. The form supports the intake team in conducting a multidisciplinary assessment and ensuring the child meets the program's strict inclusion and exclusion criteria before enrollment.
You use this form as a referring physician or nurse practitioner in British Columbia to refer a child or teen to a specialized healthy-living program. You are responsible for completing the clinical sections, including anthropometrics, comorbidities, medical history, and confirming parental consent and program eligibility. If you are a specialist and not the child's primary care provider, you must also include the primary care provider's details on the form before faxing it to the receiving hospital.
The Generation Health Clinic Referral Form includes patient and family details, clinical data, referral reasons, and provider identifiers.
The program is a group-based intervention and is not appropriate for all children. The form includes strict exclusion criteria for any child with an active eating disorder, acute mental health concerns, or uncontrolled behavioral problems. Assessing and documenting that these criteria are not met before you initiate the referral is a required step. A referral for a child who meets any of these exclusion criteria represents a hard program exclusion and will not be accepted by the intake team.
The form requires you to confirm three key eligibility points before submission: that parents are aware of the referral and consent to be contacted, that at least one caregiver can participate in a discussion-based group setting in English, and that the family is ready to make changes. Because the program is group-based and relies on parental engagement, failing to confirm all three checkboxes will result in the referral not being accepted, delaying the child's access to the service.
Completing the referral requires more than just filling in the fields. The form requires you to attach all available growth charts for the child, along with relevant bloodwork and any specialist referrals from the past. Forgetting to find and attach these documents is a common friction point that can delay the referral process. The intake team needs this complete clinical picture to assess the referral appropriately, and incomplete submissions will be returned.
Instead of manually checking boxes for comorbidities, Heidi maps documented conditions like insulin resistance, dyslipidemia, and obstructive sleep apnea directly from the patient’s problem list to the form's checklist. This creates a more accurate and complete starting point for your review. You simply confirm the pre-populated list, ensuring the documented clinical picture is accurately reflected on the referral without re-entering data.
Recalling or manually looking up the child's most recent measurements can be time consuming. Heidi surfaces the most recent height, weight, BMI, and blood pressure values directly from the structured data in the patient's chart. This pre-populates the anthropometrics section with the documented values and their measurement dates, increasing accuracy and saving you the effort of searching for the data yourself.
Your own practitioner details are required on every form you complete. Heidi pre-populates your practitioner number, specialty, address, and fax number from your provider profile. This eliminates the repetitive task of typing your own information for every referral. Heidi also pulls the child's name, date of birth, and Personal Health Number from their patient profile, letting you focus on the clinical substance of the referral.
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