Chiropractic – The Oscar Galaxy https://oscargalaxy.org Open Source Clinical Application Resource Sat, 18 Apr 2026 16:36:41 +0000 en-US hourly 1 https://oscargalaxy.org/wp-content/uploads/2022/12/cropped-Untitled-design-12-32x32.png Chiropractic – The Oscar Galaxy https://oscargalaxy.org 32 32 Chiro-Med Rehab Centre Prescription Referral eFORM https://oscargalaxy.org/download/chiro-med-rehab-centre-prescription-referral-eform/ Sat, 11 Apr 2026 07:03:27 +0000 https://oscargalaxy.org/?post_type=wpdmpro&p=10395 Created by OSCAR BC, Dr. John Yap.

Two versions available, fax enabled, and fax-free.

]]> North York General Hospital Imaging Requisition https://oscargalaxy.org/download/north-york-general-hospital-imaging-requisition/ Fri, 23 Jan 2026 18:35:57 +0000 https://oscargalaxy.org/?post_type=wpdmpro&p=10092 Requisition for Xray, Breast imaging, BMD, Ultrasound, Nuclear Medicine for North York General Hospital. This eForm has a circling function when you click on a numbered finger, toe, etc. There is a drawing function for the breast imaging section. There is a tickler function and a faxing function.

Created 2026/01/23/ 10:33

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

]]> NeuPath Centre for Pain & Spine Referral eForm 2025 https://oscargalaxy.org/download/neupath-referral-eform-2025/ Fri, 12 Dec 2025 05:39:18 +0000 https://oscargalaxy.org/?post_type=wpdmpro&p=10000 Created for OSCAR BC at the request of NeuPath. Pain management clinics in Ontario. This eForm is protected by the GNU General Public License version 2 (GPLv2)

Arthritis & Musculoskeletal Pain / Back Pain / Cervicogenic Headache / Chronic Headaches / Complex Regional Pain Syndrome (CRPS) / Diabetic Neuropathic Pain / Fibromyalgia / Head and Neck Pain / Motor Vehicle or Work-Related Injuries / Myofascial Pain / Neuropathic Pain / Post-Shingles Neuropathic Pain / Post-Surgical Pain Syndromes / Shoulder and Arm Pain / Sports Injuries / Trigeminal Neuralgia  /Whiplash Related Injuries

Please note: Fluoroscopic procedures available at Mississauga & Ottawa clinics.

Please complete all required fields to ensure timely triage.  Attach any relevant diagnostic imaging (X-ray, MRI, CT) and recent consult notes if available. Select the preferred NeuPath clinic location from the list provided; if no preference is indicated, the referral will be directed to the nearest appropriate clinic.

]]> Bone and Joint Clinic North Island – Vancouver Island https://oscargalaxy.org/download/bone-and-joint-clinic-north-island-vancouver-island/ Fri, 04 Jul 2025 00:20:16 +0000 https://oscargalaxy.org/?post_type=wpdmpro&p=9661 Created by Dr. Klein’s MOA Crystal Ross. Referral to the North Island Bone and Joint Clinic

]]> Roam Health and Wellness eFORM https://oscargalaxy.org/download/roam-health-and-wellness-eform/ Sun, 09 Feb 2025 17:47:17 +0000 https://oscargalaxy.org/?post_type=wpdmpro&p=9284 Created by OSCAR BC, Dr. John Yap.

Referrals for physiotherapy, chiropractic, RMT, acupuncture, counselling, active rehabilitation, etc.

]]> Fusion Physio Custom Orthotics and Knee Bracing 2025 https://oscargalaxy.org/download/fusion-physio-custom-orthotics-and-knee-bracing-2025/ Tue, 04 Feb 2025 16:44:43 +0000 https://oscargalaxy.org/?post_type=wpdmpro&p=9272 Created at the request of Remmert Heinlopen and Fusion Physio. Referral for Custom Orthotics, Knee Bracing, Lower Extremity Osteoarthritis, Pre and Post Surgical Solutions.

]]> BCCH Spine Referral eForm 2024 https://oscargalaxy.org/download/bcch-spine-referral-eform-2024/ Mon, 09 Dec 2024 20:39:15 +0000 https://oscargalaxy.org/?post_type=wpdmpro&p=9196 Created as part of a package of Orthopaedic referrals for BC Children’s hospital. This eForm deals with Scoliosis and Kyphosis, but also back pain with red flags in children and other spine injuries/conditions. There is a linked handout for scoliosis.

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

]]> BC Children’s Hospital Developmental Dysplasia of the Hip Referral form https://oscargalaxy.org/download/bc-childrens-hospital-developmental-dysplasia-of-the-hip-referral-form/ Mon, 02 Dec 2024 19:50:36 +0000 https://oscargalaxy.org/?post_type=wpdmpro&p=9184 Created at the request of Dr. Andrea Heath. Referral to BC Children’s hospital Developmental dysplasia clinic. Please note – if you are referring for club foot as well, you need to fill out the general orthopaedic referral in addition – link in the eForm.

]]> Canadian Back Institute Chilliwack Referral 2024 https://oscargalaxy.org/download/canadian-back-institute-chilliwack-referral-2024/ Sat, 28 Sep 2024 22:01:24 +0000 https://oscargalaxy.org/?post_type=wpdmpro&p=9066 Created at the request of Village Park Medical and the Chilliwack Division of Family Practice. Referral form for the Canadian Back Institute in Chilliwack.

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

]]> Prana Physiotherapy https://oscargalaxy.org/download/prana-physiotherapy/ Sun, 08 Sep 2024 21:53:27 +0000 https://oscargalaxy.org/?post_type=wpdmpro&p=8988 Created by OSCAR BC.  Two Surrey locations and one in New Westminster.  Services include physiotherapy, massage therapy (RMT), custom orthotics, active rehabilitation, chiropractic, concussion, and pelvic health.

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