Palliative Symptom Clinic referral form for Island Health
Created by Dr. Klein’s MOA Crystal. The form was updated earlier this year, and they are now refusing to accept the old version.
Open Source Clinical Applications and Resources
Open Source Clinical Applications and Resources
Tag Island Health
Laichwiltach Community Health Centre referral form
Created by Crystal Ross – Dr. Klein’s MOA. Referral to a local First Nations clinic in Campbell River.
Island Health Complex Headache Clinic referral form
Created by Dr. Klein’s MOA Crystal Ross. Referral to the Island Health Complex Headache Clinic.
Island Health General Imaging 2026
Created by Crystal in Dr. Klein’s office. General Imaging Requisition for Island Health
Island Health OP Iron booking
Vancouver Island Health Authority Outpatient IV Iron order and booking form. Created by Audrey Jones.
Island Health Outpatient IV IG booking request
Created by Audrey Jones. The form is 2 pages long, but the original was created as 2 separate eForms – one for each page. Updated to 1 eForm with added signature field and links to other eForms