▲ ▼ ▲ ▼ (import missing eForm here) (import missing eForm here) (import missing eForm here) STI Treatment Guidelines Pt Info Add Fosfomycin ▲ ▼ ▲ ▼ “Electronically signed”
Subject:
Approximate cost of todays lab work:    $


Creative Commons License
Maternity Lab Requisition eFORM, created May 24th 2020 and updated October 28th 2020 by Dr. John Robertson, is licensed under a GPL.
Adapted from SOPLR. Updated V9_May30_2022 for Fraser Northwest users, by Dr. John Yap.
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 LOCATION:

Copy to Patient Locum Order No Fasting Required
Fasting Instructions Time Stamp

Web Links:    Best Beginnings     maternityhub.ca 

OBSTETRICS:
First Prenatal Labs
24-28 Wk Labs
35-37 Wk Labs
Gestational Hypertension
Recurrent pregnancy loss
Rh negative

INFERTILITY:
Female Male Abn Semen Analysis

HEMATOLOGY:
Anemia - initial Anemia - advanced
Thrombosis screen

ELEVATED LFTs
Acute Chronic Liver Enzymes/LFTs

POST-PARTUM + OTHER TESTS:
PCOS workup
Urine C&S
STI investigations
Urine Drug Screen
Gyn Cancer
IV Contrast Protocol
PrEP Baseline PrEP 1 mo PrEP q3mo Standing Order

 CONDITIONS:


 CURRENT MEDS:


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