Transfusion – The Oscar Galaxy

Telus Infusion Referral – Vancouver

John Yap — Thu, 16 Jul 2026 17:26:31 +0000

Created by Dr. John Yap, OSCAR BC.

JPOCSC Medical DayCare referral for iron infusion or Phlebotomy

John Yap — Mon, 22 May 2023 15:41:47 +0000

This is an updated version of the coversheet and MDC request specific to the Jim Pattison site. The changes are VERY minor compared to the 2015 background. In addition, there is no place to add details for your iron infusion instructions. That requires another eFORM, called “FHA Parenteral Iron PPO”.

General Daycare Referral for ARHCC

John Robertson — Mon, 20 Feb 2023 01:29:07 +0000

Referral to Day Care for the Abbotsford Regional Hospital and Cancer Centre. Image is from 2017, created 2023/02/19/ 17:26 at the request of Winnifred Angus.

Fraser Health Pre Printed Orders for PICC Insertion 2015

John Robertson — Sun, 19 Feb 2023 23:15:31 +0000

Created December 2015 For referral for placement of a PICC line in Fraser Health.

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

Parenteral IV Iron order form VIHA

John Robertson — Sun, 04 Dec 2022 01:34:09 +0000

Created by Gunther Klein – Updated Parenteral Iron order form for Island Health (VIHA).

FH Regional Consent for Health Care 2022

John Robertson — Sat, 30 Apr 2022 22:58:44 +0000

Updated in March of 2022. Fraser Health Regional Consent for health care. This form can be used in conjunction with P2 of the Regional Consent form. It also links to the Fraser Health Substitute Decision Maker form and the Refusal of blood products form.

FHA_Consent_for_Care_GP_version_V3_May22_2023 is an updated version of the original, detuned as GP’s may not need the extensive OR forms that surgeons use routinely.

2023/Aug/17 – form updated with the latest code. Fax code added – set for CGH but can be altered.

FH Blood Refusal eform 2020

John Robertson — Sat, 30 Apr 2022 22:30:54 +0000

Fraser Health eForm to document refusal of blood products.

Update FHA_Blood_Refusal_2020_V2_May22_2023.zip with minor cosmetic tweaks.

FH Substitute Decision Maker 2011

John Robertson — Sat, 30 Apr 2022 19:17:14 +0000

For consent when the patient can not consent – Fraser Health form for substitute decision maker.

Update FHA_Confirm_Substitute_2011_V2_May22_2023 with minor cosmetic tweaks.

Island Health OP Iron booking

John Robertson — Thu, 03 Feb 2022 20:27:44 +0000

Vancouver Island Health Authority Outpatient IV Iron order and booking form. Created by Audrey Jones.

Island Health Blood Product Booking Request

John Robertson — Mon, 24 Jan 2022 16:24:57 +0000

Created by Audrey Jones. Referral for Outpatient Blood products for the Vancouver Island Health Authority. Has Added X boxes, Radio Boxes, drop down lists, Links, alert for print function,
default values, required fields, link to other eforms, and pulls lab values and lab dates.