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 VIHA
VIHA Medical Imaging Requisition
VIHA Medical Imaging Requisition – Vancouver Island Health Authority Warning: the wet signature may not fax properly.
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…
Island Health Community Hospice Admission Referral
Created by Audrey Jones
SRD Exercise Program Consent
Created by Audrey Jones. Strathcona Regional District (Campbell River & area) Parks & Recreation Exercise Program Consent for various exercise programs geared to CDM and rehab needs.
Take Heart Breathe Well Rehab SRD
Created by Audrey Jones. Strathcona Regional District (Campbell River & area) Parks & Recreation Take Hearth & Breathe Well CDM support programs referral.