Social Prescribing Referral Form Example - Edmonton

These are the referral forms being used in the Phase 1 Regional Projects. Many of the items that HAA is collecting data on are contained on the referral form. This form is part of the Social Prescribing - Community Implementation Toolkit - May 2024

About the Toolkit:

Healthy Aging Alberta (HAA) is a rich network of community-based, seniors-serving organizations and allies across the province united by a shared vision: to make Alberta one of the best places in the world to grow older. HAA facilitates social prescribing programs for older adults throughout the province by supporting a consistent approach to service delivery.

Social prescribing is a holistic approach to healthcare that provides a formal referral pathway for healthcare providers to connect patients to community-based services. This provides much-needed assistance – to doctors and patients alike – and bridges the gap between medical and social care services.

This community implementation toolkit contains information and resources for communities to introduce and implement social prescribing for older adults. It outlines the steps required to develop and grow a social prescribing program, including sample materials that can be adapted to the local context.