Lakeridge Health Gynecologic Oncology Referral eForm
Provided by Leo Pavone
Provided by Leo Pavone
Provided by Leo Pavone
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…
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
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.…
2024/01/28/ 16:28 Updated to new 2024 form. Created for Colposcopists working with the BC Cancer Agency.
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.