Additional Lab Information:
BC Children/Womens Hospital
Fraser Health Hospitals
Vancouver Coastal/Providence Health sites
LifeLabs
Lower Mainland Locations
PHSA/LM Labs
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STI Treatment Guidelines
Pt Info
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“Electronically signed”
Subject:
Approximate cost of todays lab work:
$
Maternity Lab Requisition eFORM, created May 24
th
2020 and updated October 28
th
2020 by
Dr. John Robertson
,
is licensed under a
GPL
. Adapted from SOPLR. Updated V8_Dec19_2020 to display legacy results, by Dr, John Yap.
Please consider supporting
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LOCATION:
Choose a location
LifeLabs-NW 5th Ave
LifeLabs-NW Sapperton
LifeLabs-Bby Square
Royal Columbian Hospital
Eagle Ridge Hospital
Jim Patisson Outpatient
Surrey Memorial Hospital
Delta Hospital
Burnaby Hospital
Mobile Lab - Lower Mainland****
LifeLabs-Coq’m-Austin
LifeLabs-Coq’m-North Road
Lifelabs-Coq’m-Gordon
LifeLabs-Coq’m-Lansdowne
LifeLabs-Port Moody-St. John’s
LifeLabs-PoCo Wilson
LifeLabs-PoCo Salisbury
LifeLabs-Pitt Meadows
LifeLabs-Maple Ridge
Ridge Meadows Hospital
LifeLabs-Mission
Mission Memorial Hospital
LifeLabs-Bby Metrotown
LifeLabs-Bby Kensington Sq
LifeLabs-Bby Norburn
Lifelabs-Bby Central Park
Lifelabs-Bby Hastings Gilmore
Burnaby Hospital
LifeLabs-Delta 84th
LifeLabs-Delta Sunwood 63rd
Lifelabs-Ladner
Lifelabs-Tsawwassen
Delta Hospital
Lifelabs-Cloverdale
Lifelabs-Surrey Satnam
Lifelabs-Surrey Nordel
LifeLabs-Surrey Central
LifeLabs-Surrey Guildford
LifeLabs-Surrey Newton
LifeLabs-Surrey City Centre 2
LifeLabs-Surrey Fleetwood 152nd
LifeLabs-Surrey Hazelwood 84th
LifeLabs-S. Surrey Morgan Creek
Lifelabs-White Rock Martin Dr
LifeLabs-White Rock Peace Arch
Peace Arch Hospital
LifeLabs-Langley Douglas Cres
LifeLabs-Langley Willowbrook
LifeLabs-Langley Brookswood
LifeLabs-Langley Walnut Grove
Langley Memorial Hospital
Lifelabs-Van Discovery
Lifelabs-Van Kerrisdale
Lifelabs-Van Dunbar
Lifelabs-Van Regent-Kitsilano
Lifelabs-Van Laurel St
Lifelabs-Van Fairmont
Lifelabs-Van W Broadway
Mt St Joseph Hospital
Lifelabs-Van South Fraser
Lifelabs-Van Sunset
Lifelabs-Van Victoria Dr
Lifelabs-Van Champlain Square
LifeLabs-Van Commercial
Lifelabs-Van 3 Pillars
Lifelabs-Van Keefer
LifeLabs-Van E Hastings
Lifelabs-Van Marpole
Lifelabs-Van Woodridge
LifeLabs-Van King Edward
Lifelabs-Van Little Mountain
LifeLabs-Van St. Paul’s
St. Paul’s Hospital
Lifelabs-Van City Centre Burrard
Lifelabs-Van W Georgia
Lifelabs-Van Cityview
LifeLabs-Van-Yaletown
Lifelabs-N. Van-Lonsdale
Lifelabs-N. Van-Lynn Valley
Lifelabs-N. Van-Parkgate
Lifelabs-N. Van-Marine Dr
Lions Gate Hospital
Lifelabs-W. Van-Hollyburn
Lifelabs-W. Van-Dundarave
Lifelabs-Richmond-Buswell
Lifelabs-Richmond-No. 2 Rd
LifeLabs-Richmond-Aberdeen Ctr
Lifelabs-Richmond-Steveston
Lifelabs-Richmond-Crestwood
Lifelabs-Richmond-Cessna
Lifelabs-Richmond-No. 3 Rd
LifeLabs-Aldergrove
LifeLabs-Chilliwack
Satellite Lab Sardis
Chilliwack General Hospital
LifeLabs-Aggasiz
LifeLabs-Abbotsford-McCallum
LifeLabs-Abbotsford-Simon
LifeLabs-Abbotsford-Clearbrook
Abbotsford Regional Hospital
Fraser Canyon (Hope) Hospital
Mobile Lab - Kamloops****
Mobile Lab - Prince George****
Mobile Lab - Victoria/Sooke****
Mobile Lab - Central Nanaimo/Lantsville****
Mobile Lab - South Nanaimo/etc****
Mobile Lab - Parksville/etc****
Mobile Lab - Courtenay****
Mobile Lab - Campbell River****
Copy to Patient
Locum Order
No Fasting Required
Fasting Instructions
Time Stamp
OBSTETRICS:
First Prenatal Labs
24-28 Wk Labs
35-37 Wk Labs
Gestational Hypertension
Recurrent pregnancy loss
Rh negative
INFERTILITY:
Female
Male
Abn Semen Analysis
HEMATOLOGY:
Anemia - initial
Anemia - advanced
Thrombosis screen
ELEVATED LFTs
Acute
Chronic
Liver Enzymes/LFTs
POST-PARTUM + OTHER TESTS:
PCOS workup
Urine C&S
STI investigations
Urine Drug Screen
Gyn Cancer
IV Contrast Protocol
PrEP Baseline
PrEP 1 mo
PrEP q3mo Standing Order
CONDITIONS:
CURRENT MEDS:
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