Botox Head
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eForms, Neurology
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July 2, 2019
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Download
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Botox Neck
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eForms, Neurology
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July 2, 2019
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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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British Columbia Children’s Hospital Neurology Consultation Request 2018 png file
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BC, BCCH, eForms, Neurology
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September 13, 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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EMGALITY Patient Support Program
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eForms, Neurology, Neurology
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June 22, 2021
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Download
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Halton Healthcare EMG and Nerve conduction studies
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eForms, Internal Medicine, Neurology, Oakville, ON, Outpatient
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January 26, 2020
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Download
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HINTS test for acute vertigo syndrome 2018
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eForms, History Taking, Neurology
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May 19, 2018
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Download
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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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Download
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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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June 10, 2021
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Download
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Island Health North/Central Island Stroke Prevention Referral
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BC, eForms, Internal Medicine, Neurology, Neurology, Neurosurgery, Vancouver Island Health Authority
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January 4, 2022
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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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Migraine Disability Assessment eForm
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Clinical Counselling, Communication with Patient, Decision Tools, eForms, Neurology
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May 15, 2021
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Download
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MTOQ-5 Migraine Treatment Optimization Questionnaire (acute therapy)
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Clinical Counselling, Communication with Patient, Decision Tools, eForms, History Taking, Neurology
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April 26, 2021
|
Download
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Neurodiagnostic Requsition ARHCC 2019
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BC, eForms, Fraser Health Authority, Neurology, Outpatient
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January 2, 2021
|
Download
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Neurology Outpatient Referral Form for JPOCSC June 2020
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BC, eForms, Fraser Health Authority, Jim Pattison Outpatient Care and Surgery Centre, Neurology, Outpatient
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December 24, 2020
|
Download
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Referral form for Abbotsford Regional Hospital nerve Conduction Study and Electromyography circa 2019
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BC, eForms, Fraser Health Authority, Internal Medicine, Neurology
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January 11, 2020
|
Download
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Scarborough Health Network ( SHN ) EMG NCS Referral
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eForms, Neurology, Neurology, ON, SHN - Scarborough Health Network, SHN - Scarborough Health Network
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May 24, 2021
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Download
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Scarborough Health Network ( SHN ) Stroke prevention Clinic
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eForms, Neurology, Neurology, Preventions, SHN - Scarborough Health Network, SHN - Scarborough Health Network
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May 24, 2021
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Download
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SCAT-5 Concussion eForm
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Decision Tools, eForms, History Taking, Mental Health, Neurology, Screening
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September 21, 2019
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Download
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Shriners Sunny Hill Gait Lab Requisition 2013
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BC, BCCH, eForms, Exercise therapy, Kinesiology, Neurology, Pediatrics
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August 27, 2020
|
Download
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Strive Health and Performance Rehab eForm 2020
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BC, Chiropractic, eForms, Exercise therapy, Kinesiology, Neurology, Orthopaedics, Orthotics, Physiotherapy
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November 28, 2020
|
Download
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Sunny Hill CDBC and BCAAN Referral Form May 2019
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BC, BCCH, eForms, Hearing, Neurology, Pediatrics, Psychiatry
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August 30, 2020
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Download
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Sunny Hill Referral form for Neuromotor Services 2017
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BC, BCCH, eForms, Exercise therapy, Internal Medicine, Neurology, Pediatrics
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August 30, 2020
|
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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April 19, 2020
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Download
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