Urgent Care – The Oscar Galaxy

Fraser Health Urgent Care Follow Up Referral

John Robertson — Sun, 16 Nov 2025 21:24:47 +0000

For patients seen in the Emergency Department or Admitted to Hospital. For Urgent follow up in the community.

Fraser Health Referral to Rapid Access Psychiatry Clinic

John Robertson — Sun, 30 Mar 2025 21:11:16 +0000

Created at the request of the Chilliwack Division of Family Practice. Referral to Rapid Access Psychiatry clinics in Fraser Health. Link to the combined PHQ-9/GAD-7 form. If those numbers have already been calculated and the measurements are present, those numbers will be imported into the eForm.

Fraser Health Urgent Pediatric Referral eForm

John Robertson — Thu, 12 Dec 2024 21:06:59 +0000

Created at the request of the Horizon Medical Clinic and the Chilliwack Division of Family Practice. Referral for urgent pediatric assessment.

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

BCCH Trauma Orthopaedics Referral 2024

John Robertson — Fri, 06 Dec 2024 16:02:09 +0000

Created at the request of Dr. Andrea Heath. Referral form for the BCCH Trauma Orthopaedics clinic. This eForm has a drop down list for The site of the Trauma. The next input is “Subsite” which has drop down lists that are different depending on the “Site” Category. The code for this was created with help from Chat GPT.

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

BCCH General Orthopaedics Referral 2024

John Robertson — Fri, 29 Nov 2024 20:05:47 +0000

Created at the request of Dr. Andrea Heath. Referral form for the BCCH General Orthopaedics clinic. This eForm has a drop down list for Diagnosis Category. The next input is diagnosis description which 1) has drop down lists that are different depending on the Diagnosis Category and 2) based on the selection for this input, the priority code , target wait time, and required X-Ray films are filled out automatically. The code for this was created with help from Chat GPT.
There are also links to other eForms present in this eForm.

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

VGH Thrombosis Clinic 2024

John Robertson — Sun, 15 Sep 2024 01:45:17 +0000

Created at the request of Tom Lee. Referral to the VGH Thrombosis Clinic.
This eForm is protected by the GNU General Public License version 2 (GPLv2)

CPR Advisor

John Robertson — Sat, 05 Aug 2023 21:59:23 +0000

Created by David Page — This pulls from different sources/calculators to help guide patients in their different choices for resuscitation options. This can be a standalone but is also linked to the MOST form. Updated for Pathways. Uses newer CPRAdvisor_Sep2017.js file. If you have an old version of CPR advisor, please delete before importing the newer version. JohnY

Peel Memorial Urgent Medical Clinic

John Robertson — Sun, 25 Jun 2023 18:49:07 +0000

Created by David H Price. For referral to the Peel Memorial Urgent Medical Clinic in Brampton Ontario.

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 Cascade Child and Youth Mental Health Referral 2022

John Robertson — Mon, 13 Feb 2023 00:54:31 +0000

Created at the request of the Chilliwack Division of Family Practice and Dr. Richard Darby. The Fraser Cascade Child and Youth Mental Health Collateral Information Form – For Community Use.

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