BC Foot and Ankle

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FAST Clinic

The F.A.S.T. Clinic (Foot and Ankle Screening and Triage) was established in 2008 through the combined vision of the B. C. Foot and Ankle Specialists and Providence St. Paul’s Hospital to meet an urgent need for expert Foot and Ankle Care for B.C. residents, and consultation service.  The Clinic is set up to provide consultations for patients referred by their primary care providers.  We see all of the non-emergent patients who have been referred to the Foot and Ankle Service here at St. Paul’s.  The clinic is supervised by Dr. Jeffrey Nacht, an Orthopaedic Surgeon with over 30 years of Foot and Ankle surgical experience, who oversees our team of skilled specialists.  Each patient is evaluated by a physician with specialized training and expertise in all areas of Foot and Ankle problems.  Assessment includes a thorough history and physical examination and routine xray studies, often supplemented with appropriate special tests and studies, ordered by our physicians.  We provide guidance and prescriptions for orthotics, bracing, physiotherapy and other non-surgical interventions where appropriate.  When necessary, followup visits may be arranged to complete the evaluation.  We try to coordinate our care in concert with the patient’s primary care provider through all stages of treatment.  For each patient, we provide their referring physician a complete report, including diagnosis and treatment plan.  If the patient requires surgical intervention, we arrange a consultation with one of our colleagues at the B. C. Foot and Ankle Specialists group.

The F.A.S.T. Clinic is unique in Canada, and represents an innovative and efficient way for patients to obtain expert care for Foot and Ankle problems in a timely manner. Our average wait time to see a new referral ranges from 6 to 8 months.  Since our inception, we have seen and treated thousands of B. C. residents.  We enjoy the support of the Ministry of Health as well as primary care physicians throughout the province who have come to depend on our clinic to assist them with their patients’ care.

At this time, we do not have the ability to provide consultation and treatment for patients:

  1. Younger than 14 years of age
  2. Patients with problematic Foot and Ankle wounds
  3. Patients with acute fractures or injuries who require expedited or urgent management


We welcome referrals from anywhere in the Province, as well as from the Yukon and N.W.T. Requests for consultation should be sent via FAX to our Referrals Desk. Please be advised the wait for FAST consultation is approximately 7 months after receipt of referral.

FAST Referral Form (pdf)

F.A.S.T. Clinic Referrals Desk
Tel: 604-806-9691
Fax: 604-806-8680