Tag British Columbia

Aboriginal Health, BC, Chilliwack, Clinical Counselling, Communication with Patient, Consent, eForms, First Nations Health Authority, Fraser Health Authority, Mental Health, Outpatient, Preventions, Primary Care Network

FH Traditional Wellness Mentors Referral

Created at the request of the Chilliwack and Fraser Health Rural Primary Care Network. Referral to Traditional Wellness Mentor.

John Robertson
August 30, 2022

BC, Bone Health, Chronic Pain, Clinical Counselling, Communication with Patient, eForms, Exercise therapy, History Taking, Internal Medicine, Obesity, Orthopaedics, Outpatient, Surgery

Get to Surgery Referral Form August 2022

From their web site: The goal of the GET TO SURGERY program is to make sure that indeed we optimize your health in preparation for your joint replacement surgery. Ultimately we treat you where you are. We know that many…

John Robertson
August 15, 2022

BC, Decision Tools, eForms, Fraser Health Authority, History Taking, Midwifery, Obstetrics, Pediatrics

Fraser Health Urgent/Emergent transfer from planned home birth

Created (and shared) at the request of the Chilliwack Midwifery Group. Fraser Health documentation for urgent/emergent transfers to Hospital from a planned home birth. Uses charAt() to get first and last initials. Has a drop down list for reasons for…

John Robertson
August 7, 2022

BC, Child Development, Clinical Counselling, eForms, Fraser Health Authority, Internal Medicine, Obesity, Outpatient

Fraser Health Outpatient Dietitian Counseling Referral Form

Updated to the 2023 version 2023 This form replaces the 2022 version. This eForm is protected by the GNU General Public License version 2 (GPLv2)

John Robertson
July 29, 2022

BC, BCCA, Cancer, Clinical Counselling, Communication with Patient, eForms, Genetics, Hematology, Lab Requisitions, Screening

BCCA Hereditary Cancer Program DNA Storage eForm

Goes with the October 2021 BCCA Hereditary Cancer Program Referral eForm. For urgent storage of DNA. This originally came as 3 pages. The first page was instructions for Health Care Providers, the second page was information for patients, and the…

John Robertson
May 21, 2022

BCCA, Cancer, Clinical Counselling, Communication with Patient, Decision Tools, eForms, Genetics, History Taking, Oncology, Screening

BCCA Hereditary Cancer Program Family History

Goes with BCCA Hereditary Cancer Program ( HCP ) referral form. 2 pages – Name and DOB are filled out for the patient, they will need to fill in the rest.

John Robertson
May 19, 2022

Addictions, BC, Cardiology, Communication with Patient, Complex Care Planning, Decision Tools, eForms, Fraser Health Authority, Internal Medicine, Midwifery, Obesity, Obstetrics, Preventions, Screening

Fraser Health Perinatal Complex Care Plan Referral

Referral to either Royal Columbian Hospital or Surrey Memorial Hospital for the care of complex obstetrical patients.

John Robertson
May 8, 2022

BC, Communication with Patient, Consent, eForms, Emergency Department, ENT, Fraser Health Authority, Gynecology, Hospitalists, Internal Medicine, Midwifery, Obstetrics, Surgery, Transfusion

FH Regional Consent for Health Care 2022

Updated in March of 2022. Fraser Health Regional Consent for health care. This form can be used in conjunction with P2 of the Regional Consent form. It also links to the Fraser Health Substitute Decision Maker form and the Refusal…

John Robertson
April 30, 2022

BC, Clinical Counselling, Communication with Patient, Consent, Decision Tools, eForms, Fraser Health Authority, Hematology, Surgery, Transfusion

FH Blood Refusal eform 2020

Fraser Health eForm to document refusal of blood products.

John Robertson
April 30, 2022

BC, Communication with Patient, Complex Care Planning, Consent, Decision Tools, eForms, Fraser Health Authority, Midwifery, Palliative Care, Surgery, Transfusion, Urgent Care

FH Substitute Decision Maker 2011

For consent when the patient can not consent – Fraser Health form for substitute decision maker form.

John Robertson
April 30, 2022