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Open Source Clinical Applications and Resources

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The Oscar Galaxy

Open Source Clinical Applications and Resources

Home Gynecology
  • CancereFormsGynecologyLakeridge HealthONOncology

Lakeridge Health Gynecologic Oncology Referral eForm

Provided by Leo Pavone

  • John Robertson
  • June 5, 2021
  • eFormsGTA TorontoGynecologyON

Women’s College Hospital Gynecology Referral 2021

Provided by Leo Pavone

  • John Robertson
  • May 29, 2021
  • BCeFormsFraser Health AuthorityGynecologyJim Pattison Outpatient Care and Surgery CentreMental HealthMidwiferyObstetricsPsychiatrySexual medicine

JPOCSC_RMH_Referral_2016_Fax_Update

The fax number has changed. I have written a line to overwrite the old number with the new one. 2020-Sep-08 15:54. This form was created by Jan Nusche with some additions by myself (John Robertson). Updated version of the Reproductive…

  • John Robertson
  • September 8, 2020
  • BCeFormsGynecologySexual medicineSurgeryVancouver Island Health Authority

Island Health Gynecology Referral Form 2019

2020-Feb-06 19:57 Level of Urgency Table is now clickable. Created by James Saunders. Referral to the Gynecologists working in the Vancouver Island Health Region in and around Victoria

  • John Robertson
  • February 6, 2020
  • BCBCWHeFormsGynecologyMidwiferyObstetricsVancouver Coastal Health Authority

British Columbia Women’s Hospital Referral Form for Recurrent Pregnancy Loss circa September 2020

Updated 2024/08/29/ 08:51 New background, updated xbox code, fax code added, updated print and submit code This is the new form for referral to BCWH RPL. It has some required fields and some colour changes when “sub Xboxes” are required.…

  • John Robertson
  • December 19, 2019
  • BCBCCACancereForms

BCCA Colposcopy Encounter Form 2024

2025/03/22/ 16:21 updated with link to new pap/hpv requisition 2024/01/28/ 16:28 Updated to new 2024 form. Created for Colposcopists working with the BC Cancer Agency.

  • John Robertson
  • February 18, 2019
  • BCeFormsProvidence Health AuthorityVancouver Coastal Health Authority

Centre for Pelvic Floor Competence 2018 referral form

Referral form to Dr. Geoffrey W. Cundiff and Dr. Roxana Geoffrion at the Centre for Pelvic Floor Competence. Referral form toggles between the 2 surgeons and their areas of expertise.

  • John Robertson
  • August 11, 2018
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