The BC Adult Cochlear Implant Program accepts referrals from the following members of the hearing healthcare team: otolaryngologists, family physicians, audiologists and hearing instrument practitioners. We are cognizant of your busy schedules and have streamlined the referral process to minimize the work/time required. Below, you will find an explanation of our referral process. You will also find our current program forms available to you for download. Should you have any questions, please do not hesitate to contact us.
Criteria for cochlear implantation
Adult patients (18 years and older) eligible for cochlear implantation must meet specific criteria. These include:
- Moderate (in the low frequencies) to profound sensorineural hearing loss in both ears.
- Limited benefit from well fit hearing aids.
- Speech perception scores on sentence recognition test of 50% or less in the ear to be implanted and 60% or less in the non-implanted ear or binaurally.
- Motivated and with realistic expectations of the cochlear implant.
- No medical contraindications.
Note: There is no upper age limit to obtaining a cochlear implant.
Referrals can be sent to BC Adult Cochlear Implant Program or to the office of Dr. Brian Westerberg and Dr. Jane Lea.
St. Paul’s Hospital
BC Rotary Hearing & Balance Centre
2600 Providence Building
1081 Burrard Street
Vancouver, BC, V6Z 1Y6
- An information package will be sent to the patient which will include requests for the following completed documents:
- CI Questionnaire: Provides to the clinic relevant patient history. To be completed in detail by patient or by patient's support.
- Hearing Aid Check: Provides information on the state of the patient's hearing aids. To be completed by patient's hearing aid provider.
- Current audiogram: Including air, bone conduction pure tone testing and speech testing (word recognition scores).
- Historical audiograms: Any additonal previous audiograms.
- Cochlear implant intake meeting: Once all documents have been received, each referral will be reviewed on an individual basis at our weekly cochlear implant intake meetings.
- If the documents reviewed indicate that the patient is clearly NOT a candidate, a letter will be sent advising the patient that they do not yet meet the candidacy criteria.
- If the documents indicate that the patient MIGHT be a candidate, a candidacy assessment will be scheduled.
- If the documents suggest that a hearing aid trial or hearing aid adjustment is required prior to completing a candidacy assessment, a letter will be sent to the patient, the referrer and the hearing aid provider notifying them of this.
- Hearing Aid Trial/Adjustment: Once the hearing aid trial or adjustment has been completed, a new Hearing Aid Check form will be required completed and sent in. This information will be reviewed at a second cochlear implant intake meeting where a decision will be made.
NOTE: Cochlear implant candidates that were originally referred to the program by an audiologist or a hearing instrument practitioner will be required to obtain a referral from their family phyisican to the office of Dr. Brian Westerberg and Dr. Jane Lea to complete the medical/surgical candidacy assessment. CI candidate - referral to surgeon required