FOR REFERRING HEALTHCARE PROVIDERS
Thank you for your trust in caring for your patient
Bloom Institute welcomes referrals for specialized mental health, metabolic health, and integrative medical services, including psychedelic-assisted therapy. Explore our referral pathways and connect your patient with the appropriate Bloom clinician or program.
Mental Health and Insomnia Clinic
Dr. Caroline Trieman (Family Medicine) is accepting referrals from physicians and nurse practitioners for adult patients (≥18 years) with the following:
AHS-covered service. A referral letter with patient information and relevant investigations is sufficient.
Required investigations prior to referral: CBC, ferritin, Vit B12, TSH, HbA1c, Cr/eGFR, ALT, AST, electrolytes, calcium, and albumin. ECG only if there is a history of cardiac pathology, family history of sudden cardiac death <50 years old, significant hypertension, history of arrhythmia, or history of chest pain.
Bone Health Clinic
Dr. Eric Campbell (Internal Medicine) is accepting referrals from physicians and nurse practitioners. AHS-covered service. A referral letter with patient information and relevant investigations is sufficient.
Helpful investigations prior to referral:
Metabolic Health Clinic
Services Offered
Comprehensive assessment of weight, metabolic function, and related comorbidities
Management of dyslipidemia, hypertension, and insulin resistance
Initiation and optimization of pharmacotherapy, including GLP-1 agonists, when indicated
Nutrition, lifestyle, and behavior-based counseling tailored to individual goals
Identification and support for underlying contributors to weight, including binge eating and emotional eating, with access to mental health assessments
Helpful Investigations Prior to Referral:
Fasting lipid panel, HbA1c or fasting glucose, TSH, liver enzymes, creatinine, urinalysis, BMI/waist circumference, blood pressure readings if available. (if indicated)
PAT Clinician Referral Form
Download, complete, and fax to (403) 948-3353.
Required Labs (within 90 days): CBC, electrolytes, Cr, Ca, Mg, Phos, Albumin, Ferritin, Vitamin B12, TSH, AST, ALT, GGT, Bilirubin Total and Conjugated/Direct, Urinalysis. Drug levels if relevant. Pregnancy test if relevant. HbA1c and lipids if on an antipsychotic. ECG if indicated.
Appropriate if the patient:
- Has MDD/PDD, PTSD/CPTSD, GAD, OCD, or Bipolar II (depressive phase)
- Has not responded to at least two evidence-based treatments
- Is 18+ and under physician or psychiatrist care
Not appropriate if:
- Active psychosis, mania, or schizophrenia
- Pregnancy, breastfeeding, or planning pregnancy within 12 weeks
- Uncontrolled hypertension or acute cardiovascular disease
- Active severe substance use disorder
- Neurocognitive disorders or dementia
- Previous negative response to psychedelic-assisted therapy

