Jim Pattison Outpatient Care and Surgery Centre Early Pregnancy Assessment Clinic (EPAC)

For referral to the JPOCSC EPAC Clinic. This eForm is protected by the GNU General Public License version 2 (GPLv2)

For referral to the JPOCSC EPAC Clinic. This eForm is protected by the GNU General Public License version 2 (GPLv2)

Created at the request of the Chilliwack Pediatric Clinic. For referral to the Fraser Health Child and Youth Psychiatry clinics. This eForm is protected by the GNU General Public License version 2 (GPLv2)

Referral to the Regional Community Pain Self Management Program. Created by the Chilliwack Division of Family Practice.

created 2026/04/30/ 08:15 at the request of Dina Davidson. It has a side menu for Obstetrical Ultrasounds. Updated background, updated code, link to back page, faxing code, drop down list for location of delivery.

Created for Jan Nusche – Notification of acceptance into the Families and Babies Program.

Supplied by Dr. Darby – Regional Referral to Fraser Health Adult Mental Health and Substance Use Services

Created at the request of Dr. Darby and the Chilliwack Division of Family Practice. Referral to Fraser Health clinics for Early Psychosis Intervention (EPI). This eForm is protected by the GNU General Public License version 2 (GPLv2)

To be used for booking induction of Labour In Fraser Health. The second page has the bishop score and can be clicked to calculate the score.

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…

For patients seen in the Emergency Department or Admitted to Hospital. For Urgent follow up in the community.