London Health Sciences Centre Pacemaker/ICD/CRT eForm 2024
This is the Pacemaker/ICD/CRT referral form to the London Health Sciences Centre. This eForm is protected by the GNU General Public License version 2 (GPLv2)
Open Source Clinical Applications and Resources
Open Source Clinical Applications and Resources
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London Health Sciences Centre Rhythm Program eForm 2024
This is the General Cardiology referral form to the London Health Sciences Centre. It links to both the LHSC pacemaker/ICD/CRT referral eForm and the Lead Extraction eForm. This eForm is protected by the GNU General Public License version 2 (GPLv2)
London Cardiac Institute General Cardiology Referral eForm 2024
This is the General referral form to the London Cardiac Institute, associated with the London Health Sciences Centre. It links to both the LHSC pacemaker/ICD/CRT referral eForm and the Lead Extraction eForm. This eForm is protected by the GNU General…
St. Joseph’s Breast Assessment Request 2024
Referral to the St. Joseph’s Health Care London Breast Assessment Clinic. Contains drawing code, fax code, signature script, required fields, links to other areas of the chart. This eForm is protected by the GNU General Public License version 2 (GPLv2)
Medical Imaging CT Request Form for Sinai Health System, UHN and WHC 2024
CT requisition for Sinai Health System, UHN and WHC. Will pull Serum Creatinine, eGFR, and date from the patient’s chart if it is present and they have been mapped. Checking yes to renal failure or diabetes will run a script…
GAM Diagnostic Imaging
Referral for Gam Diagnostic Imaging – Brampton, Oakville, Mississauga Ultrasound, Mammography, Bone Density, X-Ray diagnostic imaging Created by Adrian Starzynski
LHSC Mental Health and Addictions Routine Consultation
How to import an eform that is in a zip file ADULT (18-64) NON-URGENT CONSULTATION SERVICE MENTAL HEALTH AND ADDICTIONS REFERRAL FORM. Our program provides an interprofessional, collaborative service between London Health Sciences Centre (LHSC) and St. Joseph’s Heath Care…
LHSC Mental Health and Addictions Urgent Consultation
ADULT (18-64) URGENT CONSULTATION SERVICE (UCS) MENTAL HEALTH AND ADDICTIONS REFERRAL FORM. Our program provides an interprofessional, collaborative service between London Health Sciences Centre (LHSC) and St. Joseph’s Heath Care (SJHC) London. Our goal is to provide an urgent, consultative…
Ajax Women’s Health Clinic
Further Updates from D.H. Price 2023/12/18/ 10:18 – decreased font size for patient address and removed oscar db tag for history Updated 2023/12/18/ 09:15 – Email link, fax link, etc. Created by David H Price. Referral to the Ajax Women’s…
Pulmonary Function Lab at the WOHS in Etobicoke and Brampton
Created by David H Price.