Comox Valley Direct to Endoscopy Program eForm

This form was commissioned by the Vancouver Island Health Authority and created by OSCAR BC. Requested Tags include: Comox Valley, Colonoscopy, EGD, Endoscopy, CVDTE, Referral

V3_Dec19_2022 done at the request of VIHA. First available endoscopist option removed.  Copy fax feature added.

V2_Oct1_2022 has been updated with a new background (highlighting age eligibility), but is otherwise unchanged except for the fillable PDF boxes which could not be removed.  Tickler loop closer now added to track referrals.