Collaborative Health Record (CHR)

You can submit eReferrals online using the TELUS Collaborative Health Record eReferral portal website if the clinic has it enabled for your type of referral Existing provider, New provider or Self referral (patient).

You can access and create eReferrals via the following URL: clinicdomainname.inputhealth.com/ereferral, where clinicdomainname is your clinic’s unique domain name. 

The steps for creating an eReferral depends on who is making the request.

Steps for existing providers (A provider already in the clinics contact book)

From the main eReferral portal page, click Existing provider.

If required, enter your passcode provided by the clinic and click Submit.

Enter your Billing Number and click Next.

Confirm your details and click Next.

Enter the patient information and click Next.

If required, from the list of presenting issues, select the primary reason for referral.

If required, from the list, select a Service Provider for this referral.

Add any requested attachment(s) and click Next.

Review Clinician details, Patient details and Referral details on the Review page and click Submit Referral.

1. From the main eReferral portal page, click Existing provider. 
2. If required, enter your passcode provided by the clinic and click Submit. 
3. Enter your Billing Number and click Next.
4. Confirm your details and click Next.
5. Enter the patient information and click Next.
6. If required, from the list of presenting issues, select the primary reason for referral.
7. If required, from the list, select a Service Provider for this referral. 
8. Add any requested attachment(s) and click Next.
9. Review Clinician details, Patient details and Referral details on the Review page and click Submit Referral.
10. Complete any Qnaire(s) that launch.

Steps for new providers (A provider not previously added to the clinics contact book)

From the main eReferral portal page, click New provider.

In the Clinician window, enter the information requested and click Next.

If required, from the list of presenting issues, select the primary reason for referral. 

1. From the main eReferral portal page, click New provider.
2. If required, enter your passcode provided by the clinic and click Submit. 
3. In the Clinician window, enter the information requested and click Next.
4. Enter the patient information and click Next.
5. If required, from the list of presenting issues, select the primary reason for referral. 
6. If required, from the list, select a Service Provider for this referral. 
7. Add any requested attachment(s) and click Next.
8. Review Clinician details, Patient details and Referral details on the Review page and click Submit Referral.
9. Complete any Qnaire(s) that launch.

Steps for patients (Self Referral)

From the main eReferral portal page, click Self referral.

Enter your information on the Patient screen and click Next.

If required, from the list, select a service provider for this referral. 

Review Patient details and Referral details on the Review page and click Submit Referral.

1. From the main eReferral portal page, click Self referral.
2. If required, enter your passcode provided by the clinic and click Submit. 
3. Enter your information on the Patient screen and click Next.
4. If required, from the list of presenting issues, select the primary reason for referral. 
5. If required, from the list, select a service provider for this referral. 
6. Add any requested attachment(s) and click Next.
7. Review Patient details and Referral details on the Review page and click Submit Referral.
8. Complete any Qnaire(s) that launch.