Caregiver Checklist
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Communication with Patient, Complex Care Planning, Decision Tools, eForms, End of Life, Geriatrics, Home Safety, Long Term Care Facilities
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December 27, 2020
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Chilliwack General Hospital Internal Medicine Clinics Referral 2020
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BC, Cardiology, Cardiology, Chilliwack, Complex Care Planning, Diabetes, eForms, Fraser Health Authority, Internal Medicine, Long Term Care Facilities, Respirology
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January 30, 2021
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Download
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Comox Valley Referral Form
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Addictions, BC, eForms, Home Health, Home Safety, Long Term Care Facilities, Mental Health, Outpatient, Preventions, Vancouver Island Health Authority
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February 12, 2022
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COVID-19 Clinic for Campbell River ( Vancouver Island Health Authority)
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BC, CDC, COVID-19, eForms, Infectious Disease, Long Term Care Facilities, Microbiology, Vancouver Island Health Authority, Virology
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April 12, 2020
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eForm for Home Checks on CDM patients
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Communication with Patient, Decision Tools, eForms, History Taking, Home Health, Home Safety, Long Term Care Facilities
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April 23, 2021
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FHA Medical Orders for Scope of Treatment (MOST) form updated 2020
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BC, Clinical Counselling, Communication with Patient, Complex Care Planning, Consent, Consent, Decision Tools, eForms, End of Life, Fraser Health Authority, Long Term Care Facilities, Oncology, Surgery
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July 6, 2022
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FHA Actively Dying Protocol 2022
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BC, eForms, End of Life, Fraser Health Authority, Geriatrics, Long Term Care Facilities
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July 4, 2022
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FHA Specialized Seniors Clinic
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BC, Complex Care Planning, eForms, End of Life, Fraser Health Authority, Geriatrics, Home Health, Long Term Care Facilities
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April 30, 2022
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Flu shot RBT to show who has had it and who is pending
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Clinical RBT, Decision Tools, Infectious Disease, Long Term Care Facilities, Medication, Preventions, Report Templates, Screening
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October 18, 2020
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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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Fraser NW DoFP Influenza Sx Testing Centre
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BC, CDC, COVID-19, eForms, Fraser Health Authority, Infectious Disease, Lab Requisitions, Long Term Care Facilities, Respirology, Screening, Virology
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April 14, 2020
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Interior Health Home Health referral
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BC, Cardiology, Diabetes, eForms, End of Life, Geriatrics, Home Health, Home Safety, Hospice, Interior Health Authority, Long Term Care Facilities, Nephrology, Neurology, Nutrition, Occupational Therapy, Outpatient, Palliative Care, Physiotherapy, Preventions, Respirology, Social Work, Speech
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April 22, 2022
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Interior Health Medical Orders for Scope of Treatment ( MOST )
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BC, Clinical Counselling, Communication with Patient, Complex Care Planning, Consent, Consent, Decision Tools, eForms, End of Life, Geriatrics, Interior Health Authority, Long Term Care Facilities
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May 23, 2022
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Island Health Community Hospice Admission Referral
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BC, Cancer, Complex Care Planning, eForms, End of Life, Hospice, Long Term Care Facilities, Palliative Care, Vancouver Island Health Authority
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March 18, 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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Medical Orders for Scope of Treatment (MOST) form for healthy elective surgery
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BC, Consent, Consent, Decision Tools, eForms, End of Life, Fraser Health Authority, Geriatrics, Long Term Care Facilities, Surgery
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June 26, 2019
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Download
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Mississauga Halton LHIN (Local Health Integration Network) referral
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Communication with Patient, Complex Care Planning, eForms, Home Safety, Long Term Care Facilities, ON, Outpatient, Social Work
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December 27, 2020
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Download
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Pacific Geriatricians Referral eForm
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BC, Clinical Counselling, eForms, End of Life, Geriatrics, Long Term Care Facilities
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December 27, 2020
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Download
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Primary Care Provider Patient Summary – 2019
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BC, Communication with Patient, Complex Care Planning, eForms, End of Life, Geriatrics, Geriatrics, History Taking, Home Health, Hospitalists, Long Term Care Facilities, Primary Care Network, Report Templates, Vancouver Island Health Authority
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December 2, 2019
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Red Cross Loan Program 2019
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eForms, End of Life, Geriatrics, Home Safety, Long Term Care Facilities, Medication Coverage, Orthopaedics, Outpatient, Physiotherapy, Surgery
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April 4, 2022
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Revera End of Life Orders
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eForms, End of Life, Geriatrics, Long Term Care Facilities
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September 14, 2020
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Richmond Geriatric Assessment Program 2020
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BC, Complex Care Planning, eForms, Geriatrics, Home Safety, Long Term Care Facilities, Outpatient, Palliative Care, Screening, Vancouver Coastal Health Authority
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January 22, 2021
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Sunny Hill Acute Rehab Referral 2017
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BC, BC Pediatric Society, BCCH, eForms, Exercise therapy, Long Term Care Facilities, Pediatrics
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September 2, 2020
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Download
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VCH MOST eFORM Apr6 2020
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BC, Communication with Patient, Complex Care Planning, eForms, Long Term Care Facilities, Palliative Care, Vancouver Coastal Health Authority
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November 15, 2021
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