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  • Create Date July 21, 2024
  • Last Updated July 21, 2024

JPOCSC Chronic Pain Clinic

How to Import an e-Form

Use download button below, then import eform into your EMR by following these instructions

This eForm was created at the request of Sardis Family Practice and the Chilliwack Division of Family Practice. It is a referral form to The Jimmy Pattison Outpatient Care and Surgery Centre - Chronic Pain Clinic. The first two pages are for the Physician to fill. The last 2 pages are for the patient to fill. Because of peculiarities about the drawing code, the order of the first 2 pages is reversed (if anyone knows how to modify the drawing code to draw on subsequent pages in a multi page eForm I would be interested to learn). In the patient forms there are questions about the GAD7, PHQ9, TSK, and PCS questionnaires. All but the PCS are linked in the form.

This eForm is protected by the GNU General Public License version 2 (GPLv2)

Attached Files and Latest Versions

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JPOCSC Chronic Pain Clinic Referral V3.zipDownload