Date: (click to change insurance)
Add Stamp Add Signature, if no stamp
Drop-in Spirometry available at some sites. Use Spirometry eForm.
Full PFT not required for diagnosis of COPD or asthma. Consider use of Pre-Post Spirometry. Full PFT requests may be diverted to Spirometry when appropriate. Contact site for more info.
(Circle or mark relevant instructions)
Subject:
Creative Commons License
FHA Pulmonary Diagnostics eForm, update V16_Jan7_2021, by Dr. John Yap, is licensed under a GPL. Please consider supporting oscarbc.ca | info@oscarbc.ca | Facebook | Twitter | LinkedIn |