Admission History and Progress Note Fraser Health 2019
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BC, Chilliwack, eForms, Fraser Health Authority, Gynecology, History Taking, Hospitalists, Obstetrics, Surgery, Surgery
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October 25, 2019
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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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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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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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Comox Valley Direct to Endoscopy Program eForm
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BC, Colonoscopy, eForms, Gastroenterology, Imaging, Surgery, Vancouver Island Health Authority
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November 24, 2020
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Comox Valley First in First Available Surgery (FIFAS) Program Jan 2021
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BC, eForms, Surgery, Surgery, Vancouver Island Health Authority
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January 27, 2021
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FH Blood Refusal eform 2020
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BC, Clinical Counselling, Communication with Patient, Consent, Consent, Decision Tools, eForms, Fraser Health Authority, Hematology, Surgery, Surgery, Transfusion
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April 30, 2022
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Download
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FH Regional Consent for Health Care 2022
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BC, Communication with Patient, Consent, Consent, eForms, Emergency Department, ENT, Fraser Health Authority, Gynecology, Hospitalists, Internal Medicine, Midwifery, Obstetrics, Surgery, Surgery, Transfusion
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May 2, 2022
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FH Substitute Decision Maker 2011
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BC, Communication with Patient, Complex Care Planning, Consent, Decision Tools, eForms, Fraser Health Authority, Midwifery, Palliative Care, Surgery, Surgery, Transfusion, Urgent Care
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April 30, 2022
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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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July 6, 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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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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Fraser Health Consent for Procedures and Transfusions Page 1
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BC, eForms, Fraser Health Authority, Surgery, Transfusion
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October 2, 2018
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Download
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Fraser Health Consent for Procedures and Transfusions Page 2
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BC, eForms, Fraser Health Authority, Surgery, Transfusion
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September 29, 2018
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Download
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Fraser Health Regional Consent P2 2022
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BC, Communication with Patient, Consent, Consent, Decision Tools, eForms, Emergency Department, Fraser Health Authority, Gynecology, Hematology, Hospitalists, Internal Medicine, Midwifery, Nephrology, Neurology, Neurosurgery, Obstetrics, Orthopaedics, Outpatient, Palliative Care, Pediatrics, Physiatry, Respirology, Rheumatology, Surgery, Surgery, Urgent Care, Urology, Vascular, Virtual Care
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April 30, 2022
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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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Download
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Island Health Gynecology Referral Form 2019
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BC, eForms, Gynecology, Sexual medicine, Surgery, Vancouver Island Health Authority
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February 8, 2020
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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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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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Medical Orders for Scope of Treatment (MOST) form for healthy elective surgery
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BC, Consent, Consent, Decision Tools, eForms, End of Life, Fraser Health Authority, Geriatrics, Long Term Care Facilities, Surgery
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June 26, 2019
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Modified Centor Score
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Antibiotics, Decision Tools, eForms, ENT, History Taking, Infectious Disease, Pediatrics, Surgery
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April 3, 2021
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Download
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Nanaimo General Surgery and Endoscopy referral eForm 2020
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BC, Colonoscopy, eForms, Gastroenterology, Surgery, Surgery, Vancouver Island Health Authority
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November 26, 2020
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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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Download
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Penticton Orthopaedics Group Centralized Patient Referral
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BC, eForms, Interior Health Authority, Orthopaedics, Surgery
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November 11, 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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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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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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STOP Bang Calculator
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eForms, Obesity, Respirology, Sleep Apnea, Surgery
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April 3, 2021
|
Download
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Surgical Patient Optimization Collaborative (SPOC)
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BC, Decision Tools, eForms, History Taking, Hospitalists, Surgery, Surgery, Vancouver Island Health Authority
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February 24, 2021
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Surrey Comprehensive Orthopaedics referral eForm
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BC, eForms, Fraser Health Authority, Orthopaedics, Surgery
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April 5, 2020
|
Download
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Toronto Centre for Liver Disease eForm
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Cancer, eForms, Gastroenterology, GTA, Infectious Disease, Internal Medicine, ON, Surgery, Surgery, Virology
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June 27, 2021
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Download
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Vancouver Island Health Authority Surgical Booking form 2019
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BC, eForms, Surgery, Surgery, Vancouver Island Health Authority
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October 12, 2019
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Download
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Vernon Orthopaedic Surgeons Referral eForm
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BC, eForms, Interior Health Authority, Orthopaedics, Surgery, Surgery
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July 30, 2020
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Download
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Victoria Vascular Surgery Referrals 2019
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BC, eForms, Surgery, Surgery, Vancouver Island Health Authority
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December 2, 2019
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Download
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