Interior Health Authority Standard Outpatient Breast Imaging Requisition

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  • Create Date July 19, 2023
  • Last Updated March 14, 2024

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.

V3_Mar14_2024 corrects error in RIH site location.  Note there is a new Rae Fawcett Breast Health Clinic also in Kamloops which is a "one-stop" option for any clinical high risk breast lesion.

Attached Files

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IHA_Breast_Imaging_V3_Mar14_2024.zipDownload
IHA_Breast_Imaging_V2_Jul18_2023.zipDownload