ECMO Referral — Adult
Auckland City Hospital CVICU is the national referral centre for adult patients requiring ECMO.
Pātiki and Waharua Kōpito patterns
Please fill in the form below and press submit when finished.
Once submitted, please call the ECMO referral number on 0800 238 583.
If you cannot use the online form, you can complete this downloadable form [DOC, 289 KB] and send it to the CVICU SMO that you have discussed the case with, via email or photo of the completed form.