- Version
- Download 103
- File Size 485.11 KB
- File Count 1
- Create Date July 19, 2023
- Last Updated July 18, 2023
Interior Health Authority Standard Outpatient Breast Imaging Requisition
This is the "generic" eFORM for all sites providing breast imaging services in IHA. This version is not fax-enabled, unfortunately.
Attached Files
| File | Action |
|---|---|
| IHA_Breast_Imaging_V2_Jul18_2023.zip | Download |