Tag VIHA

Asthma, BC, COPD, COVID-19, eForms, Internal Medicine, Outpatient, Respirology, Vancouver Island Health Authority

Pulmonary Functions Testing requisition for Campbell River Hospital

Created by Günther Klein, this eForm is for referral to Campbell River Hospital’s Respiratory Services for Pulmonary Function Testing.

John Robertson
February 12, 2023

BC, Bone Health, Colonoscopy, eForms, Imaging, Ultrasound, Vancouver Island Health Authority, Xray

X-ray Outpatient Requisition E-form for Island Health

From Dr. Klein – I was asked to update the X-ray Outpatient requisition for Island Health. The previous one in use had a background image from 2013. This one has the most recent background from 2019 (after the VIHA to…

John Robertson
January 28, 2023

BC, Cancer, eForms, Genetics, Outpatient, Vancouver Island Health Authority

Medical Genetics General Referral form Vancouver Island Health

For referral to the Medical Genetics Department of Victoria General Hospital. This eForm is protected by the GNU General Public License version 2 (GPLv2). You may copy and distribute verbatim copies of the Program’s source code as you receive it,…

John Robertson
January 22, 2023

BC, eForms, Genetics, Gynecology, Midwifery, Obstetrics, Screening, Vancouver Island Health Authority

Prenatal Medical Genetics Referral Form VIHA 2015

Referral to Prenatal Medical Genetics at Victoria General Hospital. This eForm is protected by the GNU General Public License version 2 (GPLv2). You may copy and distribute verbatim copies of the Program’s source code as you receive it, in any…

John Robertson
January 10, 2023

BC, Bone Health, Chiropractic, eForms, Exercise therapy, Orthopaedics, Orthotics, Physiotherapy, Radiology, Vancouver Island Health Authority, Xray

North Island Hospital’s Bone & Joint Clinic Referral

Created by Audrey Jones.

John Robertson
March 18, 2022

BC, Cancer, Complex Care Planning, eForms, End of Life, Hospice, Long Term Care Facilities, Palliative Care, Vancouver Island Health Authority

Island Health Community Hospice Admission Referral

Created by Audrey Jones

John Robertson
March 18, 2022

BC, Cardiology, Cardiology, Consent, Consent, eForms, Exercise therapy, Vancouver Island Health Authority

SRD Exercise Program Consent

Created by Audrey Jones. Strathcona Regional District (Campbell River & area) Parks & Recreation Exercise Program Consent for various exercise programs geared to CDM and rehab needs.

John Robertson
February 16, 2022

BC, Cardiology, Cardiology, eForms, Exercise therapy, Outpatient, Vancouver Island Health Authority

Take Heart Breathe Well Rehab SRD

Created by Audrey Jones. Strathcona Regional District (Campbell River & area) Parks & Recreation Take Hearth & Breathe Well CDM support programs referral.