Health Care Information Sheets & Referral Forms

Preparing for Your Procedure

At PSFDH, we want to ensure you have the information you need to ensure the best possible outcomes for your care. Below are Health Care Information Sheets and Referral Forms on a variety of services and procedures offered at the hospital.


If you have additional questions, please speak with your health care provider.


Patient and Family Information Guide 2023

Diagnostic Imaging

Day Hospital (Out-Patient/Rehab)  

Rehabilitation Services (In-Patient)

  • Referral Form


Lanark County Sexual Assault & Domestic Violence Program

Medical Day Clinic (GWM/Perth Site)

      Blood Transfusion Forms




Orthopedics (Central Intake Assessment)