Bounceback referral eForm

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  • File Size 331.07 KB
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  • Create Date December 4, 2022
  • Last Updated December 4, 2022

Bounceback referral eForm

Created at the request of the Chilliwack Division of Family Practice. Referral to the Bounceback program run by the BC branch of the Canadian Mental Health Association. This new version contains the fax code for those who have built in faxing. It also includes a drop down of the PHQ-9 calculator, a printable version of the PHQ-9 questionnaire (for the patient to fill), a web link, an email link, and age alerts. There is also an alert for a PHQ-9 score over 21 as this is not appropriate for the program.

Attached Files

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Bounce_Back_Referral_Nov_2022.zipDownload