Lakeridge Health MRI Request eForm Oshawa

Provided by Leo Pavone
Open Source Electronic Medical Records Software
Open Source Electronic Medical Records Software
Provided by Leo Pavone
I have updated this form and added some additional inputs: I added a button to open the patient screening eform, I changed the checkboxes to X-boxes, i added Radio X-boxes, a Calendar, and measurements (Ht Wt)
Created at the request of Dr. Michael Singer. BCCH will no longer accept MRI requisitions unless the screening form is filled out in advance. This form as constructed checks all the boxes as No. Please be careful to insure that…
V12_Aug1_2023 – updated because Burnaby Hospital changed their fax number in May and then changed it back again! Otherwise, unchanged. V8_Apr12_2022 update. General formatting upgrades and changes to Contact Box – no longer need to create an array for your…
Created by Leo Pavone
V12_July_7_2023 fixed bug with second page not showing up after printing only page 1. V11_June_15_2023 email input changed to “text” from “email” so it will retain information, added ids to inputs so they will retain information, renamed duplicate names to…
Updated 2021-Dec-13 08:34 V 21-12-1 Formatting improved. Updated 2021-Nov-15 06:25 V 21-11-14.3 added circle boxes for multiple inputs. Updated 2021-Nov-11 08:31 for clarity in units and other formatting issues. Update 2021-Nov-09 17:05 – Dr. Klein has updated this for 2021…