BCWH Pelvic Pain Endometriosis Referral 2019
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BC, BCWH, Chronic Pain, eForms, Gynecology, Sexual medicine
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September 19, 2021
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Download
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BPI Short Form Fraser Health Pain Clinic
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BC, Chronic Pain, Clinical Counselling, Communication with Patient, Decision Tools, eForms, Fraser Health Authority
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October 13, 2020
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Download
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Brenda and David McLean Integrated Spine Clinic – aka VGH Spine Clinic
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BC, Bone Health, Chronic Pain, eForms, Imaging, Imaging, Kinesiology, Neurology, Orthopaedics, Surgery, Surgery, Vancouver Coastal Health Authority
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October 25, 2020
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Download
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Burnaby Hospital Pain Clinic Referral eForm 2019
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BC, Chronic Pain, eForms, Fraser Health Authority, Neurology
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June 23, 2019
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Download
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CADTH Non-drug Treatment form
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Addictions, Arthritis, Chronic Pain, Communication with Patient, Decision Tools, eForms, Emergency Department, Exercise therapy, Mental Health, Nutrition, Obesity, Orthotics, Outpatient, Physiotherapy, Preventions
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September 6, 2021
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Canadian Pain and Regenerative Institute
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BC, Chronic Pain, eForms
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April 25, 2021
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CHANGEpain Referral 2022
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Addictions, BC, Chronic Pain, Clinical Counselling, eForms, ICBC, Neurology, Neurology, Occupational Therapy, Physiotherapy, Psychiatry
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March 19, 2022
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Community Pain Management Program Fraser Health
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BC, Chronic Pain, Clinical Counselling, Communication with Patient, Decision Tools, eForms, Fraser Health Authority, Outpatient
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October 13, 2020
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Download
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Controlled substance prescribing eForm
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BC, Chronic Pain, eForms
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April 24, 2021
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Download
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CORE Low Back Pain Tool 2016
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Arthritis, Bone Health, Chiropractic, Chronic Pain, Clinical Counselling, Communication with Patient, Decision Tools, eForms, Exercise therapy, Neurology, Orthopaedics, Outpatient, Physiatry, Physiotherapy, Screening
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May 20, 2022
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Disability Tax Credit Certificate
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Audiology, Cancer, Chronic Pain, Communication with Patient, Complex Care Planning, eForms, Hearing, Medication Coverage, Mental Health, Occupational Therapy, Oncology, Physiotherapy, Screening
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January 24, 2022
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Download
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Fraser Health Pre-Printed Orders ( PPO ) Bowel care for Palliative Patients
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BC, Cancer, Chronic Pain, Complex Care Planning, Decision Tools, eForms, End of Life, Fraser Health Authority, Geriatrics, Long Term Care Facilities
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July 11, 2020
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Helmcken Pain Clinic Victoria BC
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BC, Chronic Pain, eForms, Internal Medicine, Neurology, Neurology, Vancouver Island Health Authority
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February 15, 2022
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Download
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ICBC forms CL 489, 489A, and 489B new for 2021
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BC, Chiropractic, Chronic Pain, Coding Systems, Communication with Patient, Consent, Consent, Decision Tools, eForms, History Taking, ICBC
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August 25, 2021
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Initium CPM referral
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BC, Chronic Pain, eForms, Fraser Health Authority, Neurology
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June 27, 2021
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Interior Health Authority NCS and EMG referral eForm
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BC, Chronic Pain, eForms, Interior Health Authority, Neurology, Neurology
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May 23, 2022
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Island Health Community Palliative Consultation
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BC, Cancer, Chronic Pain, Complex Care Planning, eForms, End of Life, Long Term Care Facilities, Palliative Care, Vancouver Island Health Authority
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February 12, 2022
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Download
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Lakeridge Outpatient Physiotherapy Ajax-Pickering and Oshawa
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Arthritis, Chronic Pain, eForms, Lakeridge Health, ON, Physiotherapy
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June 5, 2021
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Download
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Lions Gate Hospital Rapid Access Spinal Clinic (RASC) Referral Form 2020
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BC, Chronic Pain, eForms, Neurology, Neurosurgery, Orthopaedics, Surgery, Surgery, Vancouver Coastal Health Authority
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December 4, 2020
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Download
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Pain Disability Index ( PDI ) V2 2019
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Chronic Pain, Communication with Patient, Decision Tools, eForms, History Taking, Mental Health, Screening
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September 1, 2019
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Download
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Tampa Scale for Kinesiophobia
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Chronic Pain, eForms, History Taking, Kinesiology, Mental Health, Occupational Therapy, Orthopaedics, Outpatient, Physiotherapy
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August 21, 2019
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Download
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Vancouver Coastal Health Requisition for Nerve Conduction / EMG studies
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BC, Chronic Pain, eForms, Internal Medicine, Neurology, Neurology, Outpatient, Vancouver Coastal Health Authority
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March 14, 2022
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Download
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VIHA Outpatient Pain Management Referral 2020
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BC, Chronic Pain, eForms, Mental Health, Neurology, Vancouver Island Health Authority
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March 25, 2022
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Download
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WHODAS_2
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Chronic Pain, eForms, Mental Health, Psychiatry
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June 23, 2022
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Download
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