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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April 22, 2022
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BC Children’s Hospital Children’s Heart Centre Clinical Services Request
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BC, BCCH, Cardiology, Cardiology, eForms, Pediatrics
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October 10, 2020
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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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Cardiac Rehabilitation Program Referral Fraser Health 2018
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BC, Cardiology, Cardiology, eForms, Fraser Health Authority, Internal Medicine, Outpatient
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February 22, 2020
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CGH Cardiology Department Referral eForm 2018
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BC, Cardiology, eForms, Fraser Health Authority
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June 27, 2018
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CGH-Outpatient-Requisition-for-Cardiology-DX-Services-2019
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BC, Cardiology, Cardiology, Chilliwack, eForms, Fraser Health Authority, Internal Medicine, Lab Requisitions
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September 26, 2019
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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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Echocardiography: FHA, VIHA, VCH, PHC. V7_Dec22_2021
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BC, Cardiology, Cardiology, eForms, Fraser Health Authority, Imaging, Imaging, Outpatient, Providence Health Authority, Vancouver Coastal Health Authority, Vancouver Island Health Authority
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January 29, 2022
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FHA Regional Pre-Printed Orders for Parenteral Iron (adult)
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BC, Cancer, Cardiology, Cardiology, eForms, Fraser Health Authority, Gastroenterology, Internal Medicine, Lab Requisitions, Outpatient, Transfusion
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October 23, 2021
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Fraser Health Central Cath Lab Booking 2018
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BC, Cardiology, eForms, Fraser Health Authority, Lab Requisitions
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July 5, 2018
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Fraser Health Heart Function Clinic Referral 2019
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BC, Cardiology, Cardiology, eForms, Fraser Health Authority, Imaging, Internal Medicine
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August 19, 2019
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Hope Holter Monitor Referral eForm
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BC, Cardiology, Cardiology, eForms, Fraser Health Authority, Internal Medicine
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July 31, 2021
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Implantable Cardiac Electrical Devices RCH 2015
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BC, Cardiology, eForms, Fraser Health Authority
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June 22, 2018
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Interior Cardiac Services BC 2018
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BC, Cardiology, Cardiology, eForms, Interior Health Authority, Internal Medicine, Outpatient
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December 14, 2018
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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 Outpatient Echocardiography Requsition
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BC, Cardiology, Cardiology, eForms, Imaging, Interior Health Authority, Internal Medicine, Lab Requisitions, Ultrasound
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June 27, 2019
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Kelowna Cardiology Associates Referral eForm 2019
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BC, Cardiology, Cardiology, eForms, Imaging, Interior Health Authority, Internal Medicine, Ultrasound
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May 31, 2019
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My Praluent Coach
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BC, Cardiology, Cardiology, eForms, Internal Medicine, Medication Coverage
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August 27, 2021
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Oakville Cardiologists Referral eForm
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Cardiology, Cardiology, eForms, Internal Medicine, Oakville, ON
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January 26, 2020
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OHC Vascular Requisition
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Cardiology, Cardiology, eForms, Imaging, Internal Medicine, ON, Radiology, Ultrasound, Vascular, Xray
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June 7, 2022
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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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Repatha (evolocumab) Canada Life Insurance Form 03-22
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BC, Cardiology, eForms, Medication Coverage, ON, QC
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May 26, 2022
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Repatha (evolocumab) CanadaVie formulaire d’assurance 03-22
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Cardiology, eForms, Medication Coverage, QC
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May 26, 2022
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Repatha (evolocumab) Manulife Insurance Form
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BC, Cardiology, eForms, Medication Coverage, ON, QC
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February 7, 2022
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Repatha (evolocumab) Manuvie formulaire d’assurance
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Cardiology, eForms, Medication Coverage, QC
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February 17, 2022
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Richmond Cardiology Referral Form
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BC, Cardiology, Cardiology, eForms, Vancouver Coastal Health Authority
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December 21, 2021
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Scarborough Health Network ( SHN ) Non-Invasive Cardiac Diagnostics Referral Form
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Cardiology, Cardiology, eForms, Imaging, ON, SHN - Scarborough Health Network, SHN - Scarborough Health Network, Xray
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May 23, 2021
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SRD Exercise Program Consent
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BC, Cardiology, Cardiology, Consent, Consent, eForms, Exercise therapy, Vancouver Island Health Authority
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February 16, 2022
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Take Heart Breathe Well Rehab SRD
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BC, Cardiology, Cardiology, eForms, Exercise therapy, Outpatient, Vancouver Island Health Authority
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February 16, 2022
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VASCEPA Assistance Program Patient Enrolment Form
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BC, Cardiology, eForms, Medication Coverage, ON, QC
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May 3, 2022
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VASCEPA Programme d’Assistance – Formulaire d’inscription du patient
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Cardiology, eForms, Medication Coverage, QC
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May 3, 2022
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VCH and Providence Health Care Cardiology Referral form 2019
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BC, Cardiology, Cardiology, eForms, Providence Health Authority, Vancouver Coastal Health Authority
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December 20, 2019
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Download
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VIHA Echocardiography Requisition 2021
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BC, Cardiology, Cardiology, eForms, Imaging, Vancouver Island Health Authority
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January 29, 2022
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William Osler Health System ( WOHS ) Division of Thoracic Surgery Referral eForm
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Cardiology, Cardiology, eForms, ON, Surgery, WOHS - William Osler Health System
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July 18, 2020
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William Osler Health System Cardiology Referral and Patient Instructions
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Cardiology, Cardiology, eForms, ON
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December 26, 2019
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