Chilliwack Centre for Internal Medicine referral eForm

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  • Download 27
  • File Size 74.88 KB
  • File Count 1
  • Create Date December 3, 2022
  • Last Updated December 4, 2022

Chilliwack Centre for Internal Medicine referral eForm

Created at the request of the Chilliwack Division of Family Practice. Referral to Drs Luo, Ballard, Sajjadi, and Vakili.
This is a mostly HTML form with the logo in place. It has links to other parts of the chart and to the Patient Summary eForm. With Faxcontrol for those that have built in faxing.

Attached Files

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Chilliwack_Centre_For_Internal_Medicine_2022_V3.zipDownload