780.496.1390

Please speak with your physician and request a referral to the clinic via the form on this page.

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GENERAL INTERNAL MEDICINE

Vibe Medical – Referral Form

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ENDOCRINOLOGY

ENDOCRINOLOGY – Referral Form

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GASTROENTEROLOGY

GASTROENTEROLOGY- Referral Form

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RESPIROLOGY

RESPIROLOGY- Referral Form

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24 HOUR BLOOD PRESSURE MONITORING

24 HOUR BLOOD PRESSURE MONITORING – Referral Form

For referrals to Dr. Mark Hnatiuk, Dr. Sarah Takach Lapner, Dr. Jeffery Patterson and Dr. Daniel Sawler please fax standard referral letters to the Division of Hematology Central intake. Fax: 780-407-2680 Phone: 780-407-2167