• Version
• Download 289
• File Size 330.18 KB
• File Count 1
• Create Date May 22, 2023
• Last Updated May 22, 2023

JPOCSC Medical DayCare referral for iron infusion or Phlebotomy

This is an updated version of the coversheet and MDC request specific to the Jim Pattison site.  The changes are VERY minor compared to the 2015 background.  In addition, there is no place to add details for your iron infusion instructions.  That requires another eFORM, called "FHA Parenteral Iron PPO".

Attached Files and Latest Versions