Parenteral IV Iron order form VIHA
Created by Gunther Klein – Updated Parenteral Iron order form for Island Health (VIHA).
Open Source Clinical Applications and Resources
Open Source Clinical Applications and Resources
Tag BC
Fraser Health Echocardiogram Requisition
updated 2022/09/30/ 13:02 can now add site and address information to the email sent to the patient. 2022/09/29/ 13:47 Created at the request of the Horizon Medical Clinic. There is a standard BC wide Echocardiogram form that is supposed to…
Olive Tree Fertility Centre Surrey Referral
Created at the request of the Young Clinic in Chilliwack. Referral to the Olive Fertility Centre in Surrey. Additional Olive Fertility Centre eFORMS available for Kelowna, Victoria, and Vancouver. These have also been updated, based on the above eFORM. Please…
Courtyard Gardens (Richmond B.C.) Standing Order Form
Created By Stanly Hurwitz. Standing Orders for the Courtyard Garden Long Term Care Facility. NB: eForm references faxcontrol.js and will show a pop-up if it is not installed in your system (but it can be ignored).
Richmond Admission Orders for Residential Care
V2_Apr26_2023 update now has a 2021 background, and is nearly identical except there’s much less red in the allergy documentation area. Signature stamps and wet signatures are enabled. It appears to be specific to Richmond Lions Manor. This eFORM is…
Holy Family Outpatient Rehabilitation Referral
Created by Stanly Hurwitz. Referral form for Holy Family’s Outpatient Rehabilitation Services. For patients age 55 and older. Patients with Active ICBC or Worksafe BC claims are not accepted. NB: eForm references faxcontrol.js and will show a pop-up if it…
FH Traditional Wellness Mentors Referral
Created at the request of the Chilliwack and Fraser Health Rural Primary Care Network. Referral to Traditional Wellness Mentor.
Get to Surgery Referral Form August 2022
From their web site: The goal of the GET TO SURGERY program is to make sure that indeed we optimize your health in preparation for your joint replacement surgery. Ultimately we treat you where you are. We know that many…
Fraser Health Urgent/Emergent transfer from planned home birth
Created (and shared) at the request of the Chilliwack Midwifery Group. Fraser Health documentation for urgent/emergent transfers to Hospital from a planned home birth. Uses charAt() to get first and last initials. Has a drop down list for reasons for…
Fraser Health Outpatient Dietitian Counseling Referral Form
Updated to the 2024 version 2024/10/27/ 12:13 at the request of the Hope Medical Centre and the Chilliwack Division of Family Practice. This eForm is protected by the GNU General Public License version 2 (GPLv2) Updated image May 2022