Chilliwack Centre for Internal Medicine Referral eForm

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  • Create Date December 5, 2022
  • Last Updated November 25, 2023

Chilliwack Centre for Internal Medicine Referral eForm

Updated 2023/11/25/ 17:15
Created at the request of the Chilliwack Division of Family Practice. Referral to Drs Luo, Ballard, Sajjadi, and Vakili.
This is a mostly HTML form with the logo in place. It has links to other parts of the chart and to the Patient Summary eForm. With Faxcontrol for those that have built in faxing.

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Chilliwack_Centre_For_Internal_Medicine_2023.zipDownload