Welcome to Island Health

On August 1 st, we launched our new public website:


and a new website for medical staff:


Our website was developed in partnership with patients and residents of Vancouver Island and the surrounding regions. It's accessible, mobile friendly and flexible to help us evolve with our communities as we work towards excellent health and care for everyone, everywhere, every time.

Come visit the new sites and update your bookmarks. This www.viha.ca site will continue to be available for one month so that our staff and partners have time to update their links to the new site. You can still browse the old site but it will no longer be updated.


For Health Professionals

Heart Health Referral Forms & Processes

All documents in this section are in PDF format unless otherwise noted.

AFIB Clinic Referral Form (PDF)

AFC Education Only- Referral Form (PDF)

BCIAP Referral Form- Vancouver (PDF)

BCIAP Referral Form- Victoria (PDF)

Echocardiography Requisition Updated October 2017 (PDF)

Echcardiography -Memo for Family Doctor's Ordering Stress Echo

Electrodiagnostic Services Request for Exam Form  (PDF)

Cardiac Rehab/ Risk Reduction Program Referral Form (PDF)

Guidelines for Suspected Pacemaker Pocket Infection (PDF)

Heart Failure Transition Tool (For Acute Care Units)

Heart Function Clinic Referral Form (PDF)

ICD deactivation Referral Form May 2017.pdf

ICD deactivation Consent

Inpatient Urgent Referral Form for Cardiac Catheterization; EP Study; Pacemaker

MIBI Scan Requisition

Overnight Oximetry Referral Form

Take heart Physician Recommendations for Exercise (PDF)

Transcatheter Aortic Valve Implantation (TAVI) Referral Form (PDF)