Updated Maternal Fetal Medicine Referral eForm as requested by the Surrey North Delta Division of Family Practice. The image for this form still dates back to 2012. The form I was given has been photoshopped to remove the 2 separate fax numbers and replaced with a single central fax referral line (which is the same as the old Jim Pattison OCSC fax number). As such, I have used HTML overlay to "edit" the original image. If you have previously uploaded this form, the image is unchanged and does not need to be uploaded (and won't be from the zip file). There were problems with the previous code and it would not zip and unzip properly. This has been solved, and other aspects of the code such as radio X boxes have been updated. JohnR.
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Maternal1188Fetal1188Medicine1188Referral1188Fraser1188Health-Provincial1188Health.zip | Download |