- Version
- Download 213
- File Size 808.09 KB
- File Count 1
- Create Date June 7, 2023
- Last Updated June 6, 2023
VIHA Medical Imaging Requisition
This eFORM was requested by Shellbourne Medical. The original background was circa 2007, and this at least has a 2019 background. It appears to cover all imaging modalities including breast studies.
OSCAR BC was asked to add the drawing function for the breast imaging area. The rest was created by the Shellbourne Clinic using the eFORM generator.
Warning: the wet signature may not fax properly.
Attached Files and Latest Versions
File | Action |
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VIHA_Medical_Imaging_V1_Jun6_2023.zip | Download |