Lifestyle referral for Type 2 diabetes

Created by Dr. Klein’s MOA Crystal, this is an eform for referral to the LifestyleRx.io program.
Created by Dr. Klein’s MOA Crystal, this is an eform for referral to the LifestyleRx.io program.
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
Updated 2023/12/01/ 11:59 – the form now has a new background. Code for Faxing, copying fax numbers, pulling pregnancy information, and changing the FP information based on whether the FP is another member of the same office, or if the…