2020-Dec-24 18:41 Created for Sardis Family Practice when they found out the form they were using was no longer accepted. 2 versions – a version with “Electronically Signed” in the signature area, and a version that will pull a signature…
The fax number has changed. I have written a line to overwrite the old number with the new one. 2020-Sep-08 15:54. This form was created by Jan Nusche with some additions by myself (John Robertson)
Updated version – parses names and dates, pushes and pulls G,P,T,A,L allows for “circling” of date by lmp or date by US. Has links to Labs, Documents, and the BCAR. has required fields
Created for the Surrey North Delta Division of Family Practice. For PHS patient referral to Jim Pattison Outpatient Care. There may be certain measurements that need to be added for full functionality – as per John Yap.
Form Name: Postpartum Contraception and IUD Clinic Description:Contraception and IUD insertion and counselling
Form Name: Maternity Clinics Dietician Referral Description:For pregnancy concerns related to inadequate/excessive weight gain, poor nutrition
Form Name: Obstetrics Internal Medicine Referral Description:for patient referral to JPOCSC for Obstetrics Internal Medicine
Created by OSCAR BC for the Surrey North Delta Division of Family Practice . To be used for patients with Possible or unclear diagnosis of Familial Hypercholesterolemia, or premature or severe atherosclerotic disease.