COVID-19 Clinic for Campbell River ( Vancouver Island Health Authority)
April 12th 2020 – Updated cosmetics for improved readability. This form is specific to Campbell River and was created by Gunther Klein
Open Source Clinical Applications and Resources
Open Source Clinical Applications and Resources
Vancouver Island Health Medical Orders for Scope of Treatment ( MOST ) eForm
Created by Erin Nelson. Medical Orders for Scope of Treatment eForm for Island Health on Vancouver Island. Updated April 2 2020 – This version was originally created in Dec2019 when the form had revalidation option. The current form has this…
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
Victoria Vascular Surgery Referrals 2019
For non-urgent referrals for Vascular Surgery in Victoria
Rebalance MD orthopedic service based in Victoria, BC.
Eform Created by Crystal Ross
Vancouver Island Health Authority Surgical Booking form 2019
Created by Dr. John Yap. Originally for Dr. Morse, but now in generic form. Updated with drop-down list for procedure codes (circa Jul 2019). Fix bug in Date of Decision so that adjusted date is preserved. JohnY
Nanaimo Orthopaedics Referral
Referral to the Nanaimo Orthopaedics Clinic 2019-Aug-26.
Island Health MRI Requisition
Updated 2021-Dec-13 08:34 V 21-12-1 Formatting improved. Updated 2021-Nov-15 06:25 V 21-11-14.3 added circle boxes for multiple inputs. Updated 2021-Nov-11 08:31 for clarity in units and other formatting issues. Update 2021-Nov-09 17:05 – Dr. Klein has updated this for 2021…
VIHA Shapedown BC – BC Physician Referral eForm 2018
Referral form for the shapedown referral program on Vancouver Island.