For sleep apnea & Home Oxygen Therapies

Refer your patient

We are ready to contact your patient once we receive your referral. Download the referral form below.

Download the provincial referral form, fill it out and send it to the VitalAire provincial fax number.

For oxygen set up after regular business hours, please call us at 1 833-904-AIRE (2473). We provide 24/7 oxygen phone support (excluding Quebec).

Alberta Referral Form

Download the document PDF (219.11 KB)

Alberta
British Columbia Referral Form

Download the document PDF (237.53 KB)

British Columbia
British Columbia DAP HSAT Referral Form

Download the document PDF (794.4 KB)

British Columbia
New Brunswick Referral Form

Download the document PDF (811.52 KB)
Newfoundland & Labrador Referral Form

Download the document PDF (411.14 KB)

Newfoundland & Labrador
Nova Scotia Referral Form

Download the document PDF (208.1 KB)

Nova Scotia
Ontario (CPAP) Referral Form

Download the document PDF (1.09 MB)

Ontario
Ontario (Home Oxygen) Referral form

Download the document PDF (80.86 KB)

Ontario
Prince Edward Island Referral Form

Download the document PDF (211.67 KB)

Prince Edward Island
EN Quebec (Sleep Apnea Therapy, CPAP only) Referral Form

Download the document PDF (4.27 MB)
FR Quebec (Sleep Apnea Therapy, CPAP only) Referral Form

Download the document PDF (4.09 MB)
Saskatchewan Referral Form

Download the document PDF (1.05 MB)

Saskatchewan
Manitoba

Manitoba

Alberta - Fax: 1 866-274-4183
British Columbia - Fax: 1 866-812-0202
New Brunswick - Fax: 1 866-489-0202
Newfoundland & Labrador - Fax: 1 866-489-0202
Nova Scotia - Fax: 1 866-489-0202
Ontario (CPAP) - Fax: 1 866-233-9926
Ontario (Home Oxygen) - Fax: 1 866-233-9926
Prince Edward Island - Fax: 1 866-489-0202
Quebec (Sleep Apnea Therapy, CPAP only) - Fax: 514-593-1063
Saskatchewan - Fax: 1 866-274-4183
Manitoba - Fax: 204-633-1091

Where to find us?

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Talk to us

Need assistance?

Refer your patient

Download the provincial referral form, fill it out and send it to the VitalAire provincial fax number.

Alberta Referral Form

British Columbia Referral Form

British Columbia DAP HSAT Referral Form

New Brunswick Referral Form

Newfoundland & Labrador Referral Form

Nova Scotia Referral Form

Ontario (CPAP) Referral Form

Ontario (Home Oxygen) Referral form

Prince Edward Island Referral Form

EN Quebec (Sleep Apnea Therapy, CPAP only) Referral Form

FR Quebec (Sleep Apnea Therapy, CPAP only) Referral Form

Saskatchewan Referral Form

Manitoba

Where to find us?

VitalAire Healthcare Cranbrook CLINIC

VitalAire Healthcare Nanaimo CLINIC

VitalAire Healthcare Prince George CLINIC

VitalAire Healthcare Victoria CLINIC

VitalAire Healthcare Abbotsford CLINIC

VitalAire Healthcare Ajax CLINIC

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VitalAire Healthcare Chatham CLINIC

VitalAire Healthcare Corner Brook CLINIC

VitalAire Healthcare Cornwall CLINIC

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VitalAire Healthcare Dartmouth Oxygen CLINIC

VitalAire Healthcare Edmonton Oxygen CLINIC

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