Completed Home Ventilator Funding and client consent forms signed by client or delegate:

Non-Invasive Ventilation

• clients ≥ 18 yrs old must have a diagnosis of neuromuscular disease, spinal cord disorders / chest wall dysfunction
• a consult completed by a chronic ventilation respirologist and must include a diagnosis, indication for ventilator, client history, documentation of prior BPAP compliance, daytime ventilation hours, or retained bulbar function for mouthpiece ventilation request or dependence on BPAP ≥ 16 hours and documentation of daytime hypercapnia or failure to thrive secondary to increased work of breathing

Invasive Ventilation

• confirmation of client’s hospital discharge plan / home management care plan which addresses other non-oxygen benefits
• a second ventilator is based on client residence more than 100 km from PIRS service site or ≥ 16 hours / day ventilator usage

Healthcare providers should consult the Alberta Referral Directory for service referral information.

• application required
• by appointment
• professional referral required