All Special Authority eForms 2020
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Antibiotics, Arthritis, BC, Cancer, Cardiology, Cardiology, Diabetes, eForms, End of Life, Gastroenterology, Geriatrics, Internal Medicine, Medication Coverage, Oncology, Special Authority BC
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January 13, 2022
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BCCA Hereditary Cancer Program Referral Form 2021
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BC, BCCA, eForms, Oncology
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July 28, 2021
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Download
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BCCA patient referral eForm 2018
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BC, BCCA, Cancer, eForms, Oncology
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August 26, 2018
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Download
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BCCA PET Scan Requisitions – Vancouver and Victoria
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BC, BCCA, Cancer, eForms, Imaging, Oncology, Radiology, Screening, Xray
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July 23, 2019
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Download
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BCCA Treatment Form (Cervix) 2019
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BC, BCCA, Cancer, Colposcopy, eForms, Gynecology, Oncology, Outpatient
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June 2, 2019
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Download
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BCCA VGH Flow Cytometry Requisition 2018
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BC, BCCA, Cancer, eForms, Lab Requisitions, Oncology, Screening, Vancouver Coastal Health Authority
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March 7, 2021
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Cancer Genetics and Genomic Laboratory Lymphoid Testing March 2020
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BC, BCCA, eForms, Oncology
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March 13, 2021
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Cancer Genetics and Genomic Laboratory Myeloid Tumor Testing March 2020
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BC, BCCA, Cancer, eForms, Hematology, Lab Requisitions, Oncology
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March 13, 2021
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Download
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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 16, 2022
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Download
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ECOG Performance Scale 2021
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Cancer, Decision Tools, eForms, Oncology
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April 4, 2021
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Download
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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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April 6, 2020
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FHA Bone Marrow Requisition February 2020
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BC, eForms, Fraser Health Authority, Hematology, Oncology
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March 13, 2021
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Download
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Lakeridge Health Breast Assessment Program Ajax Pickering
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Cancer, eForms, Lakeridge Health, ON, Oncology, Surgery
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May 30, 2021
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Lakeridge Health Gynecologic Oncology Referral eForm
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Cancer, eForms, Gynecology, Lakeridge Health, ON, Oncology
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June 5, 2021
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Download
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Nubeqa (darolutamide) BC Cancer UGUNMPDAR Orders and Instructions
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BC, Cancer, eForms, Medication Coverage, Oncology
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November 9, 2021
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Download
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Nubeqa_(darolutamide)_Ontario_EAP_Request_Form
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Cancer, eForms, Medication Coverage, ON, Oncology
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September 22, 2021
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Download
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Scarborough Health Network ( SHN ) Cancer Genetics Referral eForm
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Cancer, Clinical Counselling, eForms, ON, Oncology, SHN - Scarborough Health Network, SHN - Scarborough Health Network
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May 24, 2021
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Download
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William Osler Health System FIT Positive Colonoscopy Referral form
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Colonoscopy, eForms, Gastroenterology, Internal Medicine, ON, Oncology
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July 3, 2020
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Download
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Xpose Patient Support Program 2020 English et Français
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Cancer, Consent, eForms, Hematology, Internal Medicine, Oncology, QC
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November 26, 2020
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Download
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Xtandi XPAP Enrolment Form Feb 2019 ENG BC
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BC, eForms, Medication Coverage, Oncology
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July 8, 2019
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Download
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Xtandi XPAP Enrolment Form Feb 2019 ENG ON
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eForms, Medication Coverage, ON, Oncology
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July 8, 2019
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Download
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Xtandi XPAP Formulaire d’inscription et de consentement du patient Feb 2019
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eForms, Medication Coverage, Oncology, QC
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July 8, 2019
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Download
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Xtandi(enzalutamide)Ontario EAP prostate cancer 2020-10
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eForms, Medication Coverage, ON, Oncology
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September 9, 2021
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Download
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