Early Hearing Detection and Intervention (EHDI) Program - Community Screening   at
High Prairie Health Complex
Specialty: Audiology
Connect Care Department: HPH HPHC AUD NEWBORN HEARING
Estimated time to routine appointment: Not Available
Alberta Health Services - Provincial Health Services
SERVICE DESCRIPTION
After the birth of your baby, a health care provider will refer your baby to a community hearing screening site.Your baby will be referred to Community Hearing Screening if:
  • your baby is discharged from hospital or birth centre before hearing screening can take place
  • your baby is born at a hospital or birth centre that does not offer hearing screening
  • your baby is not born in a hospital or birth centre
A community screening site will call and offer a hearing screening appointment for your baby soon after their birth.

The results of your baby's hearing screening and any follow up needed will be shared with you.

Hearing screening is the best way to find out if your baby has hearing loss.

Hearing screening is quick, safe, and will not hurt your baby. Your baby's hearing is important for many areas of child and brain development.

For more information, visit our website.
After the birth of your baby, a health care provider will refer your baby to a community hearing screening site.Your baby will be referred to Community Hearing Screening if:
  • your baby is discharged from hospital or birth centre before hearing screening can take place
  • your baby is born at a hospital or birth centre that does not offer hearing screening
  • your baby is not born in a hospital or birth centre
A community screening site will call and offer a hearing screening appointment for your baby soon after their birth.

The results of your baby's hearing screening and any follow up needed will be shared with you.

Hearing screening is the best way to find out if your baby has hearing loss.

Hearing screening is quick, safe, and will not hurt your baby. Your baby's hearing is important for many areas of child and brain development.

For more information, visit our website.
ELIGIBILITY REQUIREMENTS
Adult patients (18+) who could benefit from seeing a gastroenterology or require colorectal cancer screening.
Please review Referral Guidelines table below before making a referral to this service. Incomplete referrals will not be accepted.
Adult patients (18+) who could benefit from seeing a gastroenterology or require colorectal cancer screening.
Please review Referral Guidelines table below before making a referral to this service. Incomplete referrals will not be accepted.
Referral instructions for primary care, community care, private
providers etc. who do not send referrals via Connect Care.
REFERRAL PROCESS - FOR NON-CONNECT CARE USERS
Please watch the "how to" videos in the Referral Form section before completing the referral form. 
Complete the referral form and send it to the service using the contact information in this profile.
Please watch the "how to" videos in the Referral Form section before completing the referral form. 
Complete the referral form and send it to the service using the contact information in this profile.
REFERRAL PROCESS - FOR CONNECT CARE USERS
Send an Internal Referral using the Ambulatory Referral Order to Gastroenterology, type EDMONTON ZONE GI CAT in the “To Department” section and complete order.
Send an Internal Referral using the Ambulatory Referral Order to Gastroenterology, type EDMONTON ZONE GI CAT in the “To Department” section and complete order.
ADDITIONAL SERVICE DETAILS
You may contact RAAPID for patients that you identify to be emergent and require endoscopy within 2 weeks, please consult Gastroenterology through RAAPID:
• NORTH (patients north of Red Deer) at 1-800-282-9911 or 780-735-0811 or
• SOUTH (patients south of Red Deer) at 1-800-661-1700 or 403-944-4486

Communication of appointments will come from gastroenterology offices, not Edmonton Zone GI CAT, to patient and referral source.
Please follow-up with the gastroenterology office indicated on your letter for further referral questions.
You may contact RAAPID for patients that you identify to be emergent and require endoscopy within 2 weeks, please consult Gastroenterology through RAAPID:
• NORTH (patients north of Red Deer) at 1-800-282-9911 or 780-735-0811 or
• SOUTH (patients south of Red Deer) at 1-800-661-1700 or 403-944-4486

Communication of appointments will come from gastroenterology offices, not Edmonton Zone GI CAT, to patient and referral source.
Please follow-up with the gastroenterology office indicated on your letter for further referral questions.
COMMUNICATION PROCESS
  • Referral receipt to referring source within 7 days.
 
PHONE
780-624-7506
FAX
780-624-7255
REFERRAL PHONE
780-613-5524
825-394-2280 For Colorectal Cancer Screening
REFERRAL FAX
780-670-3607
REFERRAL FORM
REFERRAL ADVICE
Connect MD
RAAPID
LINKED SPECIALISTS
CLICK + TO VIEW REFERRAL GUIDELINES
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Routine Reason for Referral
Access Targets convey the clinically appropriate timeframe patients should be seen within, by reason for referral and priority level.
Access Target
Required Information/Investigations
Investigation Timing
Additional Details
+-
Abdominal pain
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Past medical history
 
Within 1 month
Current medication list (dose, frequency, route) including:
  • Antithrombolitics (type and reason)
  • Antiplatelets
  • Insulin/ oral hypoglycemic agent
 
Within 1 month
Indicated within the referral any of the following co-morbidities:
  • History of stroke
  • Cardiovascular disease (i.e. prior MI)
  • Respiratory disease
  • Peripheral vascular disease
  • GI disease (i.e. Crohn's)
  • Renal disease
  • Liver disease (Hepatitis B or C)
  • Diabetes
 
N/A
Describe the frequency, severity, and duration of abdominal pain.
 
Within 1 month
CBC, electrolytes, BUN, creatinine, ferritin, lipase
 
Within 1 month
CRP and albumin
 
Within 1 month
Liver enzymes (AST, ALT, ALP, GGT) and bilirubin
 
Within 1 month
Celiac screen, H. Pylori stool antigen (Hp-SAT)
 
Within 6 months
Include detailed documentation or medical summary of completed Chronic Abdominal Pain Primary Care Pathway including treatments tried.
 
N/A
Chronic Abdominal Pain
Refer to the Chronic Abdominal Pain Primary Care Pathway to help guide the care of your patient prior to referral.
+-
Abnormal imaging
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Description of symptoms, i.e., unintended weight loss, and reason for requesting imaging.
 
N/A
Copy of current abnormal imaging report
 
N/A
Past medical history
 
Within 1 month
Current medication list (dose, frequency, route) including:
  • Antithrombolitics (type and reason)
  • Antiplatelets
  • Insulin/ oral hypoglycemic agent
 
Within 1 month
Indicated within the referral any of the following co-morbidities:
  • History of stroke
  • Cardiovascular disease (i.e. prior MI)
  • Respiratory disease
  • Peripheral vascular disease
  • GI disease (i.e. Crohn's)
  • Renal disease
  • Liver disease (Hepatitis B or C)
  • Diabetes
 
N/A
Abnormal Imaging (Imaging of gastrointestinal tract abnormal)

Copy of previous colonoscopy and pathology report, if applicable.
+-
Celiac disease
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history.
  • Include documentation or medical summary of completed Celiac Pathway
 
Within 1 month
Indicate if patient is following a gluten-free diet
 
Within 1 month
  • CBC
  • Ferritin
  • TTG IGA
  • Albumin
  • TSH
 
Within 6 months
Current medication list (dose, frequency, route) including:
  • Antithrombolitics (type and reason)
  • Antiplatelets
  • Insulin/ oral hypoglycemic agent
 
Within 1 month
Indicated within the referral any of the following co-morbidities:
  • History of stroke
  • Cardiovascular disease (i.e. prior MI)
  • Respiratory disease
  • Peripheral vascular disease
  • GI disease (i.e. Crohn's)
  • Renal disease
  • Liver disease (Hepatitis B or C)
  • Diabetes
 
N/A
  • Refer to the Celiac Disease Primary Care Pathway to help guide the care of your patient prior to referral.
  • Previous gastroscopy report and pathology report
  • If available, Folate, INR, Ca/albumin, B12
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Constipation
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Describe:
  • The problem including the frequency of bowel movements and duration of symptoms
  • Attempted interventions and response to therapy
 
N/A
Include detailed documentation or medical summary of completed Chronic Constipation Primary Care Pathway including treatments tried.
 
N/A
  • CBC
  • Creatinine
  • HbA1C
  • Calcium/ Albumin
  • Ferritin
  • TSH
  • Celiac Screen
 
Within 6 months
Indicated within the referral any of the following co-morbidities:
  • History of stroke
  • Cardiovascular disease (i.e. prior MI)
  • Respiratory disease
  • Peripheral vascular disease
  • GI disease (i.e. Crohn's)
  • Renal disease
  • Liver disease (Hepatitis B or C)
  • Diabetes
 
N/A
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Diarrhea
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Describe:
  • Frequency
  • Duration
  • Stool form
     
    N/A
    Include detailed documentation or medical summary of completed Chronic Diarrhea Primary Care Pathway including treatments tried if available.
     
    N/A
    • CBC
    • Electrolytes
    • Ferritin
    • C-reactive protein (CPR)
    • Fecal calprotectin test
    • Stool cultures for C&S, O&P, C. diff (if relevant)
     
    Within 6 months
    Past medical history
     
    Within 1 month
    Medication List (dose, frequency, route)
     
    Within 1 month
    Indicated within the referral any of the following co-morbidities:
    • History of stroke
    • Cardiovascular disease (i.e. prior MI)
    • Respiratory disease
    • Peripheral vascular disease
    • GI disease (i.e. Crohn's)
    • Renal disease
    • Liver disease (Hepatitis B or C)
    • Diabetes
     
    N/A
    • Note: Chronic diarrhea is defined as: 3 or more loose/watery stools per day, Onset at least 4 weeks ago.
    • Refer to the Chronic Diarrhea Primary Care Pathway to help guide the care of your patient prior to referral.
    • Thyroid stimulating hormone (TSH)
    +-
    Dyspepsia
    Medication List (dose, frequency, route)
     
    Within 1 month
    Past medical history
     
    Within 1 month
    Describe:
    • Duration
    • Severity
    • Attempted investigations and response to therapy and details of having completed the Dyspepsia Primary Care Pathway
     
    N/A
    • CBC
    • H. Pylori test
     
    Within 6 months
    Past medical history
     
    Within 1 month
    Medication list (dose, frequency, route)
     
    Within 1 month
    Indicated within the referral any of the following co-morbidities:
    • History of stroke
    • Cardiovascular disease (i.e. prior MI)
    • Respiratory disease
    • Peripheral vascular disease
    • GI disease (i.e. Crohn's)
    • Renal disease
    • Liver disease (Hepatitis B or C)
    • Diabetes
     
    N/A
    • Refer to the Dyspepsia Primary Care Pathway to help guide the care of your patient prior to referral.
    • Include the following, if available:
      • Any related motility and diagnostic testing as appropriate
      • Celiac serology results
    +-
    Dysphagia
    Medication List (dose, frequency, route)
     
    Within 1 month
    Past medical history
     
    Within 1 month
    Medication list (dose, frequency, route)
     
    Within 1 month
    Include detailed:
    • medical summary of patient's history
    • symptoms
    • description of disease progression and
    • treatments to date
    Include:
    • description of duration
    • severity
    • dysphagia to solids and/or liquids, and
    • weight loss
     
    Within 1 month
    Indicated within the referral any of the following co-morbidities:
    • History of stroke
    • Cardiovascular disease (i.e. prior MI)
    • Respiratory disease
    • Peripheral vascular disease
    • GI disease (i.e. Crohn's)
    • Renal disease
    • Liver disease (Hepatitis B or C)
    • Diabetes
     
    N/A
    Include imaging result if available.
    +-
    FIT - fecal immunochemical test positive
    Medication List (dose, frequency, route)
     
    Within 1 month
    Past medical history
     
    Within 1 month
    Include detailed:
    • medical history, with list of medications
    • anticoagulant usage
    • co-morbidities (e.g. diabetes)
    • family history of cancer and polyps
     
    N/A
    • Fecal Immunochemical Test (FIT) stool test indicating microscopic blood is present
    • CBC
    • Electrolytes
    • Creatinine/GFR
     
    Within 1 month
    Body Mass Index (BMI)
     
    Within a year of referral
    Indicated within the referral any of the following co-morbidities:
    • History of stroke
    • Cardiovascular disease (i.e. prior MI)
    • Respiratory disease
    • Peripheral vascular disease
    • GI disease (i.e. Crohn's)
    • Renal disease
    • Liver disease (Hepatitis B or C)
    • Diabetes
     
    N/A
    Include colonoscopy history details (if reports not available in NetCare, please include with referral and confirm whether or not polyps were removed).
    +-
    Family history of colorectal cancer
    Medication List (dose, frequency, route)
     
    Within 1 month
    Past medical history
     
    Within 1 month
    Include detailed:
    • medical history, with list of medications
    • anticoagulant usage
    • co-morbidities (e.g. diabetes)
    • summary of family history of colorectal cancer and polyps
     
    N/A
    Body Mass Index (BMI)
     
    Within 1 month
    Copy of previous colonoscopy and pathology reports, if applicable. If reports not available in NetCare, please include with referral and confirm whether or not polyps were removed.
     
    N/A
    Family history of CRC or polyps in first degree family members indicating they have had CRC or polyps, and age of diagnosis.
     
    N/A
    Indicated within the referral any of the following co-morbidities:
    • History of stroke
    • Cardiovascular disease (i.e. prior MI)
    • Respiratory disease
    • Peripheral vascular disease
    • GI disease (i.e. Crohn's)
    • Renal disease
    • Liver disease (Hepatitis B or C)
    • Diabetes
     
    N/A
    Family history of polyp of colon
    Includes: High Risk Adenomatous Polyps
    • Based on the age of affected first degree family members: Family history of colorectal cancer or advanced adenoma in one first degree relative less than or equal to 60 years or 2 or more affected first-degree relatives, any age.
    • For more information on surveillance guidelines: Screening for life guidelines
    +-
    GERD - Gastro-esophageal reflux disease
    Medication List (dose, frequency, route)
     
    Within 1 month
    Past medical history
     
    Within 1 month
    Include documentation or medical summary of completed GERD Primary Care Pathway including treatments tried.
     
    N/A
    Past medical history
     
    Within 1 month
    Medication list (dose, frequency, route)
     
    Within 1 month
    Indicated within the referral any of the following co-morbidities:
    • History of stroke
    • Cardiovascular disease (i.e. prior MI)
    • Respiratory disease
    • Peripheral vascular disease
    • GI disease (i.e. Crohn's)
    • Renal disease
    • Liver disease (Hepatitis B or C)
    • Diabetes
     
    N/A
    CBC
     
    Within 1 year
    Refer to the GERD Primary Care Pathway to help guide the care of your patient prior to referral.
    +-
    Gastrointestinal bleed
    Medication List (dose, frequency, route)
     
    Within 1 month
    Past medical history
     
    Within 1 month
    Include the following in a detailed medical summary:
    • Duration
    • frequency of bleed
    • NSAID use
    • anti-coagulants
    • anti-platelet agents use.
     
    Within 1 month
    • CBC
    • Creatinine
    • Ferritin
     
    Within 1 month
    Past medical history
     
    Within 1 month
    Medication list (dose, frequency, route)
     
    Within 1 month
    Indicated within the referral any of the following co-morbidities:
    • History of stroke
    • Cardiovascular disease (i.e. prior MI)
    • Respiratory disease
    • Peripheral vascular disease
    • GI disease (i.e. Crohn's)
    • Renal disease
    • Liver disease (Hepatitis B or C)
    • Diabetes
     
    N/A
    • Hematemesis
    • Melena
    • Hematochezia
    • For rectal bleeding referral criteria, please see “Rectal Bleeding” section

    Note: For acute cases, call RAAPID.
    If available: INR/PTT
    +-
    Helicobacter pylori infection
    Medication List (dose, frequency, route)
     
    Within 1 month
    Past medical history
     
    Within 1 month
    HpSAT (H. pylori Stool Antigen Test) or Urea Breath Test
     
    Within 3 months
    • Include summary of completed H. Pylori Primary Care Pathway.
    • Indicate three (3) failed attempts of treatment.
     
    N/A
    Past medical history
     
    Within 1 month
    Medication list (dose, frequency, route)
     
    Within 3 months
    Indicated within the referral any of the following co-morbidities:
    • History of stroke
    • Cardiovascular disease (i.e. prior MI)
    • Respiratory disease
    • Peripheral vascular disease
    • GI disease (i.e. Crohn's)
    • Renal disease
    • Liver disease (Hepatitis B or C)
    • Diabetes
     
    N/A
    Refer to the Helicobactor Pylori (H. Pylori) Primary Care Pathway
    to help guide the care of your patient prior to referral.
    +-
    Hepatitis C
    Medication List (dose, frequency, route)
     
    Within 1 month
    Past medical history
     
    Within 1 month
    Current medication list (dose, frequency, route) including:
    • Antithrombolitics (type and reason)
    • Antiplatelets
    • Insulin/ oral hypoglycemic agent
    • OTC medications
    • Herbals/remedies
    • Any illicit drugs
     
    Within 1 month
    Past medical history
     
    Within 1 month
    • Liver enzymes: ALT, AST, Alk phos
    • Liver function: INR, total/direct bilirubin, albumin
    • CBC, electrolytes, creatinine, CK
    • Etiological: Hep A IgM, Hep B surface Ag, Hep B core IgM, Hep C Ab
     
    Within 6 months
    • Toxin screen (acetaminophen, cocaine, if applicable)
    • Systemic symptoms (i.e. sore throat, rash)
    • BMI
    • Alcohol intake, symptoms (i.e. jaundice, abdominal pain, etc)
     
    Within 1 month
    Indicated within the referral any of the following co-morbidities:
    • History of stroke
    • Cardiovascular disease (i.e. prior MI)
    • Respiratory disease
    • Peripheral vascular disease
    • GI disease (i.e. Crohn's)
    • Renal disease
    • Liver disease (Hepatitis B or C)
    • Diabetes
     
    N/A
    +-
    IBD - inflammatory bowel disease
    Medication List (dose, frequency, route)
     
    Within 1 month
    Past medical history
     
    Within 1 month
    For active IBD:
    • Stools for C&S, O&P, and C. Difficile toxin
    • Fecal calprotectin
    • CBC, CRP
    • Celiac serology if not previously done
    • Albumin
    • B12
    • Creatine
    • Iron, ferritin
    • Liver enzymes (AST, ALT, ALP, GGT)
    • Vitamin D
    For inactive IBD:
    • All above except stool tests
     
    Within 3 months
    Past medical history
     
    Within 1 month
    Medication list (dose, frequency, route)
     
    Within 1 month
    Indicated within the referral any of the following co-morbidities:
    • History of stroke
    • Cardiovascular disease (i.e. prior MI)
    • Respiratory disease
    • Peripheral vascular disease
    • GI disease (i.e. Crohn's)
    • Renal disease
    • Liver disease (Hepatitis B or C)
    • Diabetes
     
    N/A
    Inflammatory bowel disease (ulcerative colitis, Crohn’s disease)
    • Active or suspected IBD
    • Inactive IBD

    For a severe flare up of Inflammatory Bowel Disease, refer patient to the emergency department or call RAAPID. A flare may include diarrhea, abdominal pain, bloody stools, rectal pain and bleeding.
    A flare may include diarrhea, abdominal pain, bloody stools, rectal pain and bleeding
    • Provide previous endoscopy report and histologic findings
    +-
    Iron deficiency anemia
    Medication List (dose, frequency, route)
     
    Within 1 month
    Past medical history
     
    Within 1 month
    Include summary of completed Iron Deficiency Anemia Primary Care Pathway including treatments tried if available.
     
    N/A
    Include a detailed:
    • medical history, incorporating any GI symptoms
    • family history of GI malignancy (colorectal cancer, gastric cancer, celiac disease, IBD)
    • duration & progression and
    • response to iron therapy (if applicable).
     
    N/A
    • CBC
    • serum ferritin
    • creatinine
     
    Within 8 weeks
    • Celiac serology
    • If suspect Inflammatory Bowel Disease: C-reactive protein (CRP)
     
    Within 5 years
    Past medical history
     
    Within 1 month
    Medication list (dose, frequency, route)
     
    Within 1 month
    Indicated within the referral any of the following co-morbidities:
    • History of stroke
    • Cardiovascular disease (i.e. prior MI)
    • Respiratory disease
    • Peripheral vascular disease
    • GI disease (i.e. Crohn's)
    • Renal disease
    • Liver disease (Hepatitis B or C)
    • Diabetes
     
    N/A
    +-
    Irritable bowel syndrome
    Medication List (dose, frequency, route)
     
    Within 1 month
    Past medical history
     
    Within 1 month
    Include summary of completed Irritable Bowel Syndrome Primary Care Pathway including treatments tried.
     
    N/A
    • CBC
    • Celiac serology
    • TSH
    • If applicable: for Irritable Bowel Syndrome-Diarrhea (IBS-D): Fecal calprotectin (>200mcg/g), C-reactive protein (CRP), stool for O&P
     
    Within 6 months
    Past medical history
     
    Within 1 month
    Medication list (dose, frequency, route)
     
    Within 1 month
    Indicated within the referral any of the following co-morbidities:
    • History of stroke
    • Cardiovascular disease (i.e. prior MI)
    • Respiratory disease
    • Peripheral vascular disease
    • GI disease (i.e. Crohn's)
    • Renal disease
    • Liver disease (Hepatitis B or C)
    • Diabetes
     
    N/A
    Refer to the Irritable Bowel Syndrome Primary Care Pathway to help guide the care of your patient prior to referral.
    +-
    NAFLD - nonalcoholic fatty liver disease
    Medication List (dose, frequency, route)
     
    Within 1 month
    Past medical history
     
    Within 1 month
    • CBC, Electrolytes, Creatinine
    • Liver enzymes (ALT, AST, ALP), GGT
    • Liver function (INR, Bilirubin, Albumin)
    • FIB-4
    • HbA1C
    • Lipid panel
    • If not previously done, additional investigations: Etiological (Hep B surface antigen, Hep C antibody).
    • Fibroscan score with CAP score
    • BMI
     
    Within 3 months
    Past medical history
     
    Within 1 month
    Medication list (dose, frequency, route)
     
    Within 1 month
    Indicated within the referral any of the following co-morbidities:
    • History of stroke
    • Cardiovascular disease (i.e. prior MI)
    • Respiratory disease
    • Peripheral vascular disease
    • GI disease (i.e. Crohn's)
    • Renal disease
    • Liver disease (Hepatitis B or C)
    • Diabetes
     
    N/A
    Note: NAFLD is also known as MASLD - Metabolic dysfunction associated steatosis liver disease

    Refer to the Non-Alcoholic Fatty Liver Disease (NAFLD) Primary Care Pathway to help guide the care of your patient prior to referral.
    +-
    Rectal bleeding
    Medication List (dose, frequency, route)
     
    Within 1 month
    Past medical history
     
    Within 1 month
    • DRE Findings or explanation of why unable to complete a DRE
    • Completed High Risk Rectal Bleeding Checklist
    • Include documentation or medical summary of completed High Risk Rectal Bleeding Pathway for Colorectal Cancer (CRC) Diagnosis Primary Care Pathway
     
    N/A
    • CBC
    • creatinine
    • serum iron
    • TIBC
    • serum ferritin
     
    Within 8 weeks
    Past medical history
     
    Within 1 month
    Medication list (dose, frequency, route)
     
    Within 1 month
    Indicated within the referral any of the following co-morbidities:
    • History of stroke
    • Cardiovascular disease (i.e. prior MI)
    • Respiratory disease
    • Peripheral vascular disease
    • GI disease (i.e. Crohn's)
    • Renal disease
    • Liver disease (Hepatitis B or C)
    • Diabetes
     
    N/A
    Rectal Bleeding (Bright Red Blood)
    • High Risk Rectal Bleeding Checklist
    • Refer to High Risk Rectal Bleeding Pathway for Colorectal Cencer (CRC) Diagnosis help guide the care of your patient prior to referral.
    • High Risk Rectal Bleeding defined as (all must be present):
      • Blood visibly present in/on the stool OR in the toilet AND not just on the tissue paper
      • New onset or worsening AND persistent rectal bleeding (ie. not just a single episode: present most days of the week for > 2 weeks)
      • Unexplained (ie. absence of complete colonoscopy within last 2 years)
    • Concerning change in bowel habit (increase or decrease in frequency and/or consistency).
    +-
    Urgent Reason for Referral
    Access Targets convey the clinically appropriate timeframe patients should be seen within, by reason for referral and priority level.
    Access Target
    Required Information/Investigations
    Investigation Timing
    Additional Details
    +-
    Iron deficiency anemia
    Medication List (dose, frequency, route)
     
    Within 1 month
    Past medical history
     
    Within 1 month
    Urgent referral consists of:
    • IDA with Hgb <110g/L in men or Hgb <100 in women or requires at least one of the following alarm symptoms:
      • Significant diarrhea as can occur in IBD
      • Unintentional weight loss (> 5-10% of body weight over 6 months)
      • Significant and progressive change in bowel habit
      • Significant abdominal pain
      • Symptomatic (significant fatigue/ dyspnea, syncope)
    Semi-urgent referral consists of IDA with Hgb 110-130g/L in men or Hgb 100-120 g/L women, resolved IDA or iron deficiency (ferritin <45) without anemia
     
    N/A
    Include a detailed:
    • medical history, incorporating any medications
    • GI symptoms or GI disease (celiac disease, IBD)
    • family history of GI malignancy (colorectal cancer, gastric cancer)
    • duration & progression
     
    N/A
    • CBC
    • serum ferritin
    • creatinine
     
    Within 8 weeks
    Celiac Serology
     
    Within last 5 years
    Indicated within the referral any of the following co-morbidities:
    • History of stroke
    • Cardiovascular disease (i.e. prior MI)
    • Respiratory disease
    • Peripheral vascular disease
    • GI disease (i.e. Crohn's)
    • Renal disease
    • Liver disease (Hepatitis B or C)
    • Diabetes
     
    N/A
    • Provide previous colonoscopy/flexible sigmoidoscopy or imagine reports, if available.
    • If having abdominal pain, weight loss, change in bowel habits, and/or family history to suggest IBD: Fecal calprotectin within 1 month.
    +-
    Rectal bleeding
    Medication List (dose, frequency, route)
     
    Within 1 month
    Past medical history
     
    Within 1 month
    Urgent ReferralRectal bleeding as defined under the additional details to the right, AND
    • Palpable abdominal or rectal mass, OR suspected colorectal lesion or evidence of metastases seen on imaging
    • New or worsening anemia (Hgb <100 g/L men and Hgb <100 g/L women) AND iron deficiency (serum ferritin below lower limit of normal)
     
    N/A
    Semi-urgent ReferralRectal bleeding as defined under the additional details to the right, AND associated with at least one of the following:
    • New or worsening anemia (Hgb <100 g/L men and Hgb <100 g/L women)
    • Iron deficiency (serum ferritin below lower limit of normal)
    • New onset or progressive unintentional weight loss (> 5-10% of body weight over 6 months)
    • Concerning change in bowel habit
     
    Within 1 month
    Medication List (dose, frequency, route)
     
    Within 1 month
    Past medical history
     
    Within 1 month
    Describe any recent change in bowel habit (duration and frequency).
     
    N/A
    DRE Findings or explanation of why unable to complete a DRE
     
    N/A
    CBC
     
    Within 8 weeks
    • CRP (optional if ulcerative colitis is suspected)
    • Past medical history and family history of CRC or polyps in first degree members indicating they have had CRC or polyps, and age of diagnosis
     
    Within 1 month
    Indicated within the referral any of the following co-morbidities:
    • History of stroke
    • Cardiovascular disease (i.e. prior MI)
    • Respiratory disease
    • Peripheral vascular disease
    • GI disease (i.e. Crohn's)
    • Renal disease
    • Liver disease (Hepatitis B or C)
    • Diabetes
     
    N/A
    High Risk Rectal Bleeding defined as (all symptoms must be present):
    • Blood visibly present in/on the stool OR in the toilet AND not just on the tissue paper
    • New onset or worsening AND persistent rectal bleeding (e.g. not just a single episode; present most days of the week for > 2 weeks)
    • Unexplained (e.g. absence of complete colonoscopy within last 2 years).
    Provide previous colonoscopy/flexible sigmoidoscopy or imagine reports, if available.
    PATIENT APPOINTMENT INFORMATION
    Email
    Print
     
    MISSED APPOINTMENT GUIDELINES
     
    HOURS OF OPERATION
    Monday: 9:00 am - 5:00 pm
    Tuesday: 9:00 am - 5:00 pm
    Wednesday: 9:00 am - 5:00 pm
    Thursday: 9:00 am - 5:00 pm
    Friday: 9:00 am - 5:00 pm
    Description:
    Available by appointment only.
       
     
    ADDRESS
    Public Health Department
    5101 38 Street
    High Prairie Alberta
    T0G 1E0
    PATIENT APPOINTMENT INSTRUCTIONS
     
    DIRECTIONS
     
    PHONE
    780-624-7506
    PATIENT RESOURCES
     
    PARKING INSTRUCTIONS
     
    EMAIL
    VIRTUAL APPOINTMENT INFORMATION
     
    PARKING MAP
     
    WHEELCHAIR ACCESSIBILITY
    Yes

    The primary purpose of the All Locations list is to let the user easily access any location of a healthcare service without going back to the main search screen.

    The locations listed have 3 background colors:
    • Green means the healthcare service@location has referral information attached to it.
    • Brown means the healthcare service@location never had referral information attached to it, or it has unpublished referral information.
    • Red means
      • IA changed the healthcare service@location's status to something other than Current
      • It was deleted if it is an ARD healthcare service@location.
    Green  and Brown are always at the top of the list. These are the Healthcare Service@Locations with the status of Current.
    The Red list at the bottom consists of non-current Healthcare Service@locations that once had Published referral information in the ARD.
    If the referral information was never published in ARD the Healthcare Service@location will not show in the Red list.

    The secondary purpose of the All Locations list is to allow ARD Administrators to recover (copy) referral information from the non-current Healthcare Service@Locations to ones that are current.

    Common Scenario:
    A Healthcare Service moves from one location to another. In this case the IA Healthcare Service@Location record will be made defunct (non-current) and a new Healthcare Service@Location record will be created with a current status. In this scenario the captured referral guidelines in ARD can become "orphaned" as they are not attached to any current IA healthcare service.

    Categories of non-current or orphaned referral guidelines: INDIVIDUAL and COMMON.
    The REFERRAL GUIDELINES section of the profile has the prefix INDIVIDUAL or COMMON to help you choose the method below when transferring referral guidelines from a non-current Healthcare Service@Location to a current healthcare service@location.

    Individual referral process
    1. Click on a non-current (Red) Healthcare Service@Location at the bottom of the All Locations list.
    2. The non-current referral info is displayed with the link Copy this Referral Process to another Healthcare Service@Location link on the upper right hand corner. Click on the copy link.
    3. Choose a current location (Green or Brown) from the All Locations list. This will be the Healthcare Service@Location you are pasting the referral info into.
    4. The system will display the Edit Referral Info screen populated with the referral info from the non-current Healthcare Service@Location you viewed in the first step.
    5. Click Save and the referral info is transferred from the non-current Healthcare Service@Location to the current one.
    6. Repeat these steps for each Healthcare Service@Location that needs attention.

    Common referral process - 2 sub cases.
    Case 1: At least 1 current Healthcare Service@Location with common referral info is with current status for this healthcare service; One or more Healthcare Healthcare Service@Locations where replaced by new one.
    1. Click on any current Healthcare Service@Location whether it has referral info (Green) or not (Brown).
    2. The healthcare service location opens in the Edit Referral Info screen populated with the current common referral info.
    3. Save it. 
    4. All locations will be updated with the common referral information, including all the locations that don't have referral info yet (Brown). The non-current referrals (Red) will also be updated.
    Case 2:  All Healthcare Healthcare Service@Locations for a healthcare service are set to a non-current status and replaced by new ones. In this case there is no current additional referral info to copy from, so the only alternative is to pick up the non-current common referral process (Red). Follow the steps described in the section Individual Referral Process above to copy/paste the non-current common referral info to the current healthcare service locations.
    Generally we want to replicate current common referral info to new or replaced healthcare service locations. We only resort to copying non-current common referral info if there is no other option.

    Remember: Some fields can be location specific with the common referral process:
    Parking Instructions, Directions, Parking Map, Wait Time, Referral Phone or Referral Fax.
    To update these items you have to edit each Healthcare Service@Location separately.

    ADDITONAL NOTES:
    • The info icon after the All Locations drop down will be visible to ARD Administrators.
    • The system doesn't allow you to copy referral information from one non-current Healthcare Service@Location to another.

     

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