Chilliwack Centre for Internal Medicine Referral eForm

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Created by John Robertson at the request of the Chilliwack Division of Family Practice. Referral to Drs. Luo, Ballard, Sajjadi, and Vakili.
This is a mostly HTML form with the logo in place. It has links to other parts of the chart and to the Patient Summary eForm. With Faxcontrol for those that have built in faxing.

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Chilliwack_Centre_For_Internal_Medicine_2022_V3.zipDownload
  BC     British Columbia     Chilliwack     Fraser Health     Fraser Health Authority     Internal Medicine  
Chilliwack Centre for Internal Medicine Referral eForm
  • Downloads 36
  • Last Updated December 5, 2022