Surrey-North Delta PCN Social Work Program

The Surrey-North Delta Primary Care Network Social Work Team addresses social determinants of health for people with a variety of challenges.

The program exists to support Family Physicians and Nurse Practitioners in Surrey-North Delta to meet their patients' broader health needs. The vision of the PCN Social Work Program is to be a family practice extender, with PCN social workers operating alongside FPs and NPs as part of the patient medical home team to provide wrap-around primary care for patients.

Referral Information

PCN Social Workers offer brief, focused interventions for mild to moderate challenges aimed at preventing situations from becoming more severe.

If you are unsure whether a patient's situation warrants a PCN Social Work Program referral, we recommend making the referral - a PCN social worker will be able to determine whether or not that patient is a good fit for the program. Unsure? Refer!

Acceptance Criteria

19 years or older
not active with another community social worker or case manager
referred by and attached to a Family Physician or Nurse Practitioner practicing in Surrey-North Delta

Reasons for Referral

Financial hardship
Housing crisis
System navigation
Stress/bereavement
Legal assistance
Social isolation
Health care planning
Community connections for newcomers to Canada
Caregiver burnout and supports
And more

Out of Scope

Home Health support
Access to Long Term Care/Alternative Levels of Care
Mental Health or Substance Use counselling/intervention

e-Referral Forms

As part of our commitment to make PCN services as accessible as possible for our members, we have been working to create e-referral forms that are compatible with the EMRs that our members use most.

Finding PCN e-Forms in Your EMR

Accuro: Search and install form named: "Surrey-North Delta Primary Care Network Referral Form" (if required, follow instructions here)
CHR: Search e-form named "Surrey North Delta PCN (FHA-BC)".
Medaccess: Search e-form named "Referral: Surrey-North Delta Primary Care Network, PCN (FHA)"
Myle: Search the e-form named "Surrey North Delta Primary Care Network Referral Form"
Oscar:
- Download THIS FORM
- Install the form in your Oscar entity (if required, follow instructions here)

All SND PCN referrals are accepted via Pathways Referral Tracker. If you don't have Referral Tracker, or if you and your team need a refresher, support is available.

Video: Learn About Pathways Referral Tracker
Video: How to Refer to the SND PCN via Pathways Referral Tracker (OSCAR Users)
Video: How to Refer to the SND PCN via Pathways Referral Tracker (non-OSCAR Users)
Set-up support and small group education sessions: Contact April Bonise