CGH Cardioversion Requisition
Created at the request of Horizon Medical and the Chilliwack Division of Family Practice
Open Source Clinical Applications and Resources
Open Source Clinical Applications and Resources
Tag BC
Chilliwack Centre for Internal Medicine referral eForm
Updated 2023/11/25/ 17:15 Created at the request of the Chilliwack Division of Family Practice. Referral to Drs Luo, Ballard, Sajjadi, and Vakili. This is a mostly HTML form with the logo in place. It has links to other parts of…
Campbell River Physiotherapy Referral
Created by Dr. Gunther Klein.
Parenteral IV Iron order form VIHA
Created by Gunther Klein – Updated Parenteral Iron order form for Island Health (VIHA).
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.