Abbotsford Foot Wound Clinic Referral
From a 2020 form. Pulls eGFR and Date. Warns if there is no eGFR in the chart or if it is over 90 days old. Also looks for A1c and Creatinine and will check those boxes if there are values…
Open Source Clinical Applications and Resources
Open Source Clinical Applications and Resources
Tag British Columbia
Fraser Health Urgent Care Follow Up Referral
For patients seen in the Emergency Department or Admitted to Hospital. For Urgent follow up in the community.
Fraser Health Speech Language Pathology referral
FH Outpatient Speech Language Pathology referral form. Created at the request of The Chilliwack Pediatric Clinic.
WSBC Imaging Request 2025
Created at the request of the Chilliwack Division of Family Practice and the Southgate Medical Clinic. Imaging Request for Work Safe BC. This eform will check if the patient’s EDC (or EDD) is anywhere between 34 weeks in the future…
MedRay Breast Imaging Requisition 2021
Created at the request of The Chilliwack Division of Family Practice and the Newcombe Family Practice, Breast Imaging requisition for MedRay. Please note – the signature is set to “electronically signed”. If you wish to create a wet signature, please…
Access MRI referral
Created at the request of the Chilliwack Division of Family Practice and the Newcombe Family Practice. Referral to the Private MRI facility Access MRI.
FH Pediatric Admission 2021
Created at the request of Lionel Nyamurenje And the Chilliwack Department of Pediatrics. Admission form for Pediatrics in Fraser Health.
Asthma Action Plan Age 12-17 2025
Created at the request of the Chilliwack Pediatric Clinic and the Chilliwack Division of Family Practice. This eForm is based on the Government of BC Ministry of Health and Doctors of BC guidelines for Asthma Diagnosis Education and Management. It…
Asthma Action Plan Age 6-11 2025
Created at the request of the Chilliwack Pediatric Clinic and the Chilliwack Division of Family Practice. This eForm is based on the Government of BC Ministry of Health and Doctors of BC guidelines for Asthma Diagnosis Education and Management. It…
Asthma Action Plan Age 1-5 2025
Created at the request of the Chilliwack Pediatric Clinic and the Chilliwack Division of Family Practice. This eForm is based on the Government of BC Ministry of Health and Doctors of BC guidelines for Asthma Diagnosis Education and Management. It…