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World EMR
Open Source Electronic Medical Records Software
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Mounjaro (tirzepatide) PSP Form – 2023
1 file(s)
642.75 KB
Download
Mounjaro (tirzepatide) PSP FR Formulaire d’inscription 2023
1 file(s)
673.60 KB
Download
Kal’numet Primary Care (KPC) Diabetes Wellness Referral Form
1 file(s)
144.25 KB
Download
Dexcom G7 Prescription Form
1 file(s)
140.57 KB
Download
Dexcom G7 Formulaire de prescription
1 file(s)
164.74 KB
Download
Kirsty and Semglee Copay Financial Assistance Letter 2023
1 file(s)
191.26 KB
Download
Forxiga (dapagliflozin) innoviCares Patient Resource Tool
1 file(s)
0.00 KB
Download
Diabetes Tool
2 file(s)
1.19 MB
Download
Interior Health Home Health referral
1 file(s)
555.94 KB
Download
VIHA Central / North Island Diabetes Education Centre Referral eForm
1 file(s)
238.13 KB
Download
Dexcom G6 – RAMQ Demande d’autorisation de paiement
1 file(s)
271.19 KB
Download
Special Authority: Continuous Glucose Monitor (CGM)
2 file(s)
366.77 KB
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