2025/03/08/ 13:34 Updated fax number for Chest Pain clinic and RAC clinic. Updated form in general with more current javascript, signature script, and updated links.
This eForm is protected by the GNU General Public License version 2 (GPLv2)
2021-Jan-30 12:08 "Updated" back to version 3 as per the official version from CGH. Now uses the Fraser health background.Updated 2020-Dec-17 08:04 Referral date added to the top of the form. Updated 2020-Nov-28 07:32 created an input for days as well as weeks for referral to the Graduated care Clinic. Created to refer to the Internal Medicine clinics in Chilliwack. This form is almost entirely HTML (Tables and span elements) with a simple Fraser Health logo in the top right as the only image.
| File | Action |
|---|
| CGH IM Clinics Referral 2025 V2.zip | Download |
