Developing a Traditional Medicine Intake/Referral Form

The health centre for a BC First Nation delivers a variety of holistic health services, including traditional healing and medicines. This project created a patient intake and referral form for the health centre’s traditional knowledge keeper to assist with referral to services. An environmental scan of available patient intake forms for both non-traditional health clinics and traditional health clinics was performed. A patient-friendly resource was designed based on findings of the scan and important characteristics identified by the knowledge keeper. The resource includes intake forms for patients and/or their providers, as well as groups requesting workshops and teaching sessions on traditional medicines.