Island Health – The Oscar Galaxy

Palliative Symptom Clinic referral form for Island Health

John Robertson — Sat, 15 Aug 2026 14:36:37 +0000

Created by Dr. Klein’s MOA Crystal. The form was updated earlier this year, and they are now refusing to accept the old version.

Laichwiltach Community Health Centre referral form

John Robertson — Fri, 31 Jul 2026 19:03:41 +0000

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

John Robertson — Fri, 31 Jul 2026 18:52:53 +0000

Created by Dr. Klein’s MOA Crystal Ross. Referral to the Island Health Complex Headache Clinic.

Island Health General Imaging 2026

John Robertson — Sun, 01 Mar 2026 20:51:56 +0000

Created by Crystal in Dr. Klein’s office. General Imaging Requisition for Island Health

Island Health OP Iron booking

John Robertson — Thu, 03 Feb 2022 20:27:44 +0000

Vancouver Island Health Authority Outpatient IV Iron order and booking form. Created by Audrey Jones.

Island Health Outpatient IV IG booking request

John Robertson — Sat, 29 Jan 2022 23:25:16 +0000

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