Adult Guardianship Act (AGA) Assessment of Financial Incapability – Medical Component
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BC, Clinical Counselling, Coding Systems, Communication with Patient, Consent, Consent, Decision Tools, eForms, History Taking, Mental Health, Psychiatry, Screening, Urgent Care
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August 31, 2021
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Download
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BC CDC STI Notification
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AIDS, BC, CDC, eForms, Infectious Disease, Microbiology, Screening, Sexual medicine
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February 12, 2022
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Download
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BC Pap Smear Requsition 2022
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BC, BCCA, Cancer, Colposcopy, eForms, Gynecology, Lab Requisitions, Midwifery, Obstetrics, Screening
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June 16, 2022
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Download
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BCCA Hereditary Cancer Program DNA Storage eForm
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BC, BCCA, Cancer, Clinical Counselling, Communication with Patient, eForms, Genetics, Hematology, Lab Requisitions, Screening
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May 21, 2022
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Download
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BCCA Hereditary Cancer Program Family History
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BCCA, Cancer, Clinical Counselling, Communication with Patient, Decision Tools, eForms, Genetics, History Taking, Oncology, Screening
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May 21, 2022
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BCCA Lung Screening Program: LDCT Scan Referral Form
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BC, BCCA, Cancer, eForms, Oncology, Screening
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May 31, 2022
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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 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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BCWH Access Clinic Referral 2021
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BC, BCWH, eForms, Gynecology, Outpatient, Screening
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September 11, 2021
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BCWH Prenatal Procedures referral eForm May2019
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BC, BCWH, eForms, Obstetrics, Screening, Ultrasound
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January 16, 2021
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Canadian Blood Services Perinatal Screen Request for BC and Yukon 2019
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BC, eForms, Midwifery, Obstetrics, Screening, Surgery, Transfusion
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May 25, 2020
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Download
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CanSleep 2019 Referral eForm
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BC, eForms, Respirology, Screening, Sleep Apnea
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August 19, 2019
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Download
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Coastal Sleep referral eForm 2020
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BC, eForms, Fraser Health Authority, Lab Requisitions, Outpatient, Providence Health Authority, Respirology, Screening, Sleep Apnea, Vancouver Coastal Health Authority, Vancouver Island Health Authority
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October 10, 2020
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Download
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Coastal Sleep Vancouver Sleep Apnea Referral eForm 2019
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BC, eForms, Fraser Health Authority, Lab Requisitions, Respirology, Screening, Sleep Apnea, Vancouver Coastal Health Authority, Vancouver Island Health Authority
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March 12, 2020
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Download
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Colon Screening Program: Colonoscopy Referral Form BCCA
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BC, BCCA, Cancer, Colonoscopy, eForms, Gastroenterology, Imaging, Preventions, Screening, Surgery, Surgery
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October 18, 2020
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Colonoscopy (FIT +) referral Oakville Ontario 2019
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Cancer, Colonoscopy, eForms, Gastroenterology, Oakville, ON, Screening
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January 26, 2020
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Download
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CORE Low Back Pain Tool 2016
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Arthritis, Bone Health, Chiropractic, Chronic Pain, Clinical Counselling, Communication with Patient, Decision Tools, eForms, Exercise therapy, Neurology, Orthopaedics, Outpatient, Physiatry, Physiotherapy, Screening
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May 20, 2022
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COVID 19 Consent Form
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Consent, Consent, COVID-19, eForms, Infectious Disease, ON, Screening, Virology
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June 5, 2021
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Decision Tool for Screening 2019
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Communication with Patient, Decision Tools, eForms, History Taking, Screening
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June 5, 2019
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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 24, 2022
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FHA Pre-Surgical Health History 2016
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BC, Communication with Patient, eForms, Fraser Health Authority, History Taking, Screening, Surgery, Surgery
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June 14, 2020
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Fraser Health Perinatal Complex Care Plan Referral
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Addictions, BC, Cardiology, Communication with Patient, Complex Care Planning, Decision Tools, eForms, Fraser Health Authority, Internal Medicine, Midwifery, Obesity, Obstetrics, Preventions, Screening
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May 8, 2022
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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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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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Halton Health Care Breast Imaging Requisition
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Breast Health, Cancer, eForms, Imaging, Imaging, Oakville, ON, Radiology, Screening, Surgery, Surgery, Xray
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February 2, 2022
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Halton Healthcare Breast Imaging Requisition eForm
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eForms, Imaging, Imaging, Oakville, ON, Screening, Xray
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January 26, 2020
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Halton Healthcare Xray and Bone Density requisition eForm.
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Bone Health, eForms, Imaging, Imaging, Oakville, ON, Orthopaedics, Preventions, Radiology, Screening, Xray
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February 2, 2022
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Lifelabs Panorama NIPT 2019
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eForms, Lab Requisitions, Obstetrics, ON, Screening
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August 1, 2019
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Download
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Lower Extremity Functional Score (LEFS) eForm
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Arthritis, eForms, History Taking, Orthopaedics, Screening, Surgery
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June 22, 2021
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Outpatient Fetal Monitoring Referral Fraser Health July 2020
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BC, eForms, Fraser Health Authority, Midwifery, Obstetrics, Screening
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July 13, 2020
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Pain Disability Index ( PDI ) V2 2019
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Chronic Pain, Communication with Patient, Decision Tools, eForms, History Taking, Mental Health, Screening
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September 1, 2019
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Download
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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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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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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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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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Snore Care Patient Sleep Apnea Referral 2019
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BC, eForms, Respirology, Screening, Sleep Apnea
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July 5, 2019
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Download
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SNORESTOP Sleep Apnea and Oxygen Referral Form
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BC, Chilliwack, eForms, Fraser Health Authority, Respirology, Screening, Sleep Apnea
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May 7, 2020
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Download
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South Island Integrated Breast Cancer Program Centralized Referral (SIIBC) eForm
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BC, Cancer, eForms, Screening, Surgery, Surgery, Vancouver Island Health Authority
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February 27, 2022
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Download
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Surrey Sleep Laboratory Updated 2020
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BC, eForms, Respirology, Screening, Sleep Apnea
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December 1, 2020
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Download
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