Chilliwack Centre for Internal Medicine Referral eForm

Share this

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.


Attached Files

FileAction
Chilliwack_Centre_For_Internal_Medicine_2022_V3.zipDownload
Chilliwack Centre for Internal Medicine Referral eForm
  • Downloads 36
  • Last Updated December 5, 2022