ARH Cast Clinic Referral
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BC, Bone Health, eForms, Fraser Health Authority, Imaging, Imaging, Orthopaedics, Radiology, Xray
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August 15, 2021
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BC Children’s Hospital MRI Screening Form
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BC, BCCH, eForms, Imaging, Imaging, Pediatrics, Radiology, Xray
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September 28, 2020
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BC Standard Out-Patient Breast imaging Requisition
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BC, BCCA, Cancer, eForms, Imaging, Radiology, Surgery, Xray
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December 18, 2021
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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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BCCH Radiology Consultation Request 2012 V2
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BC, BCCH, eForms, Imaging, Imaging, Radiology, Xray
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September 25, 2020
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BCWH Fetal Diagnostics referral eForm 2020
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BC, BCWH, eForms, Imaging, Obstetrics, Radiology, Ultrasound
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December 30, 2021
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Canadian Vascular Laboratories Imaging Newmarket Ontario
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Cancer, Cardiology, Cardiology, eForms, GTA, Imaging, Imaging, Internal Medicine, Neurology, ON, Radiology, Ultrasound, Xray
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July 8, 2021
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FHA Medical Imaging
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BC, eForms, Fraser Health Authority, Imaging, Imaging, Radiology, Ultrasound, Xray
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October 2, 2021
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FHA Medical Imaging Obs US specific
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BC, eForms, Fraser Health Authority, Imaging, Imaging, Midwifery, Obstetrics, Radiology, Ultrasound, Xray
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October 25, 2021
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FHA RCH Vascular Lab Requisition – January 2021
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BC, eForms, Fraser Health Authority, Imaging, Imaging, Internal Medicine, Lab Requisitions, Outpatient, Radiology, Surgery, Surgery, Ultrasound
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January 11, 2021
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GAM Diagnostic Imaging
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eForms, Imaging, Imaging, Oakville, ON, Outpatient, Radiology, Screening, Xray
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January 26, 2020
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Generic Diagnostic Imaging Requisition
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eForms, Imaging, Imaging, ON, Radiology, Xray
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January 5, 2022
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Generic Imaging BC Lower Mainland
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BC, eForms, Fraser Health Authority, Imaging, Imaging, Providence Health Authority, Radiology, Vancouver Coastal Health Authority, Xray
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June 16, 2020
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Generic Imaging Requisition for New Westminister region – 2021
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BC, eForms, Fraser Health Authority, Imaging, Imaging, Radiology, Xray
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December 1, 2021
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Humber River Hospital Request for Nuclear Medicine Scan
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eForms, Imaging, Imaging, ON, Radiology
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December 25, 2019
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Lakeridge Health CT Requisitions
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eForms, Imaging, Imaging, Lakeridge Health, ON, Radiology, Xray
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June 5, 2021
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Lakeridge Health Diagnostic Imaging
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eForms, Imaging, Lakeridge Health, ON, Radiology, Xray
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June 11, 2021
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Lakeridge Health Diagnostic Imaging Nuclear Medicine
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eForms, Imaging, Imaging, Lakeridge Health, ON, Radiology
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June 6, 2021
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Lower Mainland MRI Requisition 2020
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BC, eForms, Fraser Health Authority, Imaging, Imaging, Radiology, Vancouver Coastal Health Authority, Xray
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May 15, 2021
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Maternal Fetal Medicine Fraser Health 2019
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BC, eForms, Fraser Health Authority, Midwifery, Obstetrics, Radiology, Ultrasound
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October 4, 2019
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MedRay Image-Guided Pain Management eForms
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BC, eForms, Imaging, Radiology
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April 13, 2019
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Modified Barium Swallow (MBS) Fraser Health Authority (FHA)
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BC, eForms, Fraser Health Authority, Imaging, Imaging, Occupational Therapy, Outpatient, Radiology
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April 14, 2020
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Mount St. Joseph Breast Clinic
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BC, Breast Health, Cancer, eForms, Imaging, Outpatient, Providence Health Authority, Radiology, Surgery, Vancouver Coastal Health Authority
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December 18, 2021
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Nuclear Medicine req – Fraser Health specific
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BC, Cancer, eForms, Fraser Health Authority, Imaging, Imaging, Radiology, Xray
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October 9, 2021
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One Vascular Imaging referral eForm
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eForms, GTA, ON, Radiology, Surgery, Ultrasound, Xray
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July 8, 2021
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PCRM Referral 2016
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BC, eForms, Imaging, Infertility, Radiology, Screening, Urology
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March 2, 2020
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Download
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Providence Health Care Vascular Lab req January 2021
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BC, eForms, Imaging, Internal Medicine, Lab Requisitions, Outpatient, Providence Health Authority, Radiology, Surgery, Ultrasound
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January 10, 2021
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Pulse Cardiac Centre referral eForm
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BC, Cardiology, Cardiology, eForms, Imaging, Imaging, Internal Medicine, Radiology, Ultrasound, Vancouver Coastal Health Authority
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October 16, 2019
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Download
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Scarborough Health Network ( SHN ) Immediate Response Breast Imaging
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Cancer, Decision Tools, eForms, Imaging, ON, Radiology, Screening, SHN - Scarborough Health Network, SHN - Scarborough Health Network, Surgery, Xray
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May 23, 2021
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Scarborough Health Network Request for MRI circa 2020
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eForms, Imaging, ON, Radiology, SHN - Scarborough Health Network
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May 8, 2020
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Download
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William Osler Health System ( WOHS ) Radiology Referral Comparison of Images
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eForms, Imaging, Imaging, ON, Radiology, WOHS - William Osler Health System, Xray
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July 18, 2020
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Yorkview Xray and Ultrasound
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eForms, GTA, Imaging, ON, Radiology, Ultrasound, Xray
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November 24, 2018
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