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  • Create Date December 6, 2025
  • Last Updated December 6, 2025

Abbotsford Foot Wound Clinic Referral

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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 in the chart. Has fax code.

This eForm is protected by the GNU General Public License version 2 (GPLv2)

Attached Files and Latest Versions

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FH Foot Wound Care Referral 2020.zipDownload