WSBC Imaging Request 2025

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  • File Size 307.88 KB
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  • Create Date September 21, 2025
  • Last Updated October 7, 2025

WSBC Imaging Request 2025

How to Import an e-Form

Use download button below, then import eform into your EMR by following these instructions

Created at the request of the Chilliwack Division of Family Practice and the Southgate Medical Clinic. Imaging Request for Work Safe BC. This eform will check if the patient's EDC (or EDD) is anywhere between 34 weeks in the future and 3 weeks in the past and check off pregnant. It also checks for allergies, metformin, and diabetes to a greater or lesser degree of accuracy.

This eForm is protected by the GNU General Public License version 2 (GPLv2)

Attached Files and Latest Versions

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WSBC Imaging Request 2025.zipDownload