2021-Jan-30 12:08 “Updated” back to version 3 as per the official version from CGH. Now uses the Fraser health background.Updated 2020-Dec-17 08:04 Referral date added to the top of the form. Updated 2020-Nov-28 07:32 created an input for days as…
Updated version – parses names and dates, pushes and pulls G,P,T,A,L allows for “circling” of date by lmp or date by US. Has links to Labs, Documents, and the BCAR. has required fields
Jim Pattison Outpatient Clinic and Surgery Centre Hematology Referral eForm 2019. Links to Labs, Documents, and Prescription Module.
Referral form for the Graduated Care Clinic in Chilliwack.
Form Name: Obstetrics Internal Medicine Referral Description:for patient referral to JPOCSC for Obstetrics Internal Medicine
Created by OSCAR BC for the Surrey North Delta Division of Family Practice . To be used for patients with Possible or unclear diagnosis of Familial Hypercholesterolemia, or premature or severe atherosclerotic disease.
For patients Prescribed Maviret for the treatment of Chronic Hepatitis C
Referral to Pacific Gastroenterology Associates. V2_Jun5_2023 has a slightly different, less colourful background.
for referral to Rapid Access Internal Medicine Infectious Diseases in Fraser Health.
Rapid access and internal medicine referral for MSJ, SPH, and VGH . Contact Phone: 6042020243. Key words :internal medicine, rapid access, providence, VCH