VIHA Urgent Medical Assessment Clinic Referral 2020

Created by Dr. Ian Bekker. Referral form for the VIHA Urgent Medical Assessment Clinic run by Vancouver Island Health Authority. I have made some modifications: radio X-boxes, increase or decrease font size in textareas, auto-fill reason from check boxes, added placeholders, added Calendar, added links to other parts of the chart, added email link (look at the bottom of the page).