PulseMD – Cardiology and Electrodiagnostics
Referral eForm for Victoria BC area cardiologists.
World EMR
Open Source Electronic Medical Records Software
World EMR
Open Source Electronic Medical Records Software
Tag Vancouver Island Health Authority
North Island Hospital Hip and Knee Centre Central Intake Referral
For Northern Vancouver Island. Centralized Intake Referral eForm for Hip and Knee patients for Northern Vancouver Island. eForm originally created by Dr. Gunther Klein. Updated by Adrian Starzynski to include fullscreen, faxing options, and PDF buttons.
VIHA Medical Imaging Requisition
VIHA Medical Imaging Requisition – Vancouver Island Health Authority Warning: the wet signature may not fax properly.
British Columbia Inherited Arrhythmia Program (BCIAP) Victoria Site
Referral to BC Inherited Arrhythmia Program Victoria. This eForm is protected by the GNU General Public License version 2 (GPLv2)
North Island Hospital’s Bone & Joint Clinic Referral
Bone and Joint Clinic Referral Northern Vancouver Island – Bone and Joint clinic referral for Campbell River and Comox Valley hospitals (North Island Hospitals) Updated Feb 2023
Pulmonary Functions Testing requisition for Campbell River Hospital
This eForm is for referral to Campbell River Hospital’s Respiratory Services for Pulmonary Function Testing. Created by Günther Klein. Updated by Adrian Starzynski.
Medical Genetics General Referral form Vancouver Island Health
For referral to the Medical Genetics Department of Victoria General Hospital. This eForm is protected by the GNU General Public License version 2 (GPLv2). You may copy and distribute verbatim copies of the Program’s source code as you receive it,…
Prenatal Medical Genetics Referral Form VIHA
Referral to Prenatal Medical Genetics at Victoria General Hospital. This eForm is protected by the GNU General Public License version 2 (GPLv2). You may copy and distribute verbatim copies of the Program’s source code as you receive it, in any…
X-Ray Outpatient Requisition for Island Health
From Dr. Klein – I was asked to update the X-ray Outpatient requisition for Island Health. The previous one in use had a background image from 2013. This one has the most recent background from 2019 (after the VIHA to…
Campbell River Physiotherapy Referral
Campbell River Physiotherapy Referral Created by Gunther Klein.