PET/CT Scan Referrals

PET/CT scanning available at BC Cancer's Kelowna, Vancouver, and Victoria locations.

Below are printable PET/CT patient referral forms and accompanying patient information sheet for scans to be performed only at BC Cancer's Kelowna, Vancouver, or Victoria locations. Please use the form corresponding to the desired scan location. PET/CT scanning is available to those who meet specific approved indications and guidelines.

Referrals form

For additional patient information:

Referrals process

1Fill out the form and submit

To refer a patient for a PET/CT scan in Kelowna, Vancouver, or Victoria, please print the location-specific referral form, fill it out completely, and fax it back to our corresponding office at:

Kelowna: 250-861-6459
Vancouver: 604-877-6245
Victoria: 250-519-5458

2Await contact

If the request meets the criteria for BC Cancer's current clinical indications, our receptionist will contact the patient as soon as possible to book a scan date and time as well as go over any pre-scan instructions.

Provincial Health Services Authority

PET/CT Scan Referrals

Referrals form

Referrals process

1Fill out the form and submit

2Await contact

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