Forms Mental Health Lab Radiology Surgical TitleDescriptionVersionSizeDownload Blank Prescribers Orders PHC-PH099(R. Oct 2015) BC57.96 KB DownloadPreview Cardiology Lab Requisition (Hard Copy) EK002(R.Jul-03)BC22.05 KB DownloadPreview Caution Form Allergy Intolerance Status PHC-PH047(R June 27 -17)BC22.66 KB DownloadPreview Consent for Transfusion of Blood and or Blood Products PHC-MR030(R Jan 10-13)BC(2)21.65 KB DownloadPreview Consent to Treatment PHC-MR002(R. Dec-07)BC(1)28.74 KB DownloadPreview DT Procedure Room Patient Questionnaire PHC-OP116(Feb 29-12)BC28.45 KB DownloadPreview Diabetic Health Centre Referral PHC-DB145(R Sep 25-13)BC32.97 KB DownloadPreview ED Instructions for SDPts 2016 (Chinese Simplified) T53068502.74 KB DownloadPreview ED Instructions for SDPts 2016 (Chinese Traditional) T53068473.05 KB DownloadPreview ED Instructions for SDPts 2016 (Persian) T53068404.60 KB DownloadPreview ED Instructions for SDPts 2016 (Punjabi) T53068396.65 KB DownloadPreview EMG-Nerve Conduction Studies Requisition PHC-EE011(R. Jun-11)BC84.69 KB DownloadPreview Eye clinic Ophthalmology Referral OO052(Apr 16-15)BC17.38 KB DownloadPreview Geriatric Ambulatory Clinic Referral PHC-EL074(R. Oct9-18 )BC222.72 KB DownloadPreview Gynecology Thromboprophylaxis Risk Assessment Tool OB115(Jan 19-12)BC34.02 KB DownloadPreview Instructions for Surgical Daycare Patients (July 2016)704.12 KB DownloadPreview Interdisciplinary Progress Notes PHC-NF205(R. Oct-09)BC17.85 KB DownloadPreview Magnetic Resonance Imaging (MRI) Requisition PHC-RA095(R Jun 13-13)print51.83 KB DownloadPreview Mental Health Wellness Clinic (MHWC) Referral PHC-OP112(R Oct 15-13)BC31.11 KB DownloadPreview Nuclear Medicine Requisition PHC-NM001(R. Feb-09)248.16 KB DownloadPreview Ophthalmology Surgery Pre-Admission History PHC-OR069(R Sep 15-11)BC31.89 KB DownloadPreview Outpatient Bone Densitometry Requisition HLTH1905(R 2012-07-25)549.62 KB DownloadPreview Outpatient CT Requisition PHC-RA091(R Jun 13-13)print36.15 KB DownloadPreview Outpatient X-Ray Requisition PHC-RA092(R Jun 13-13)print34.74 KB DownloadPreview Post-COVID-19 Recovery Clinic Referral 353.63 KB DownloadPreview Pre-Admission Information PHC-AD045(R. Dec 17-13)43.70 KB DownloadPreview Pulmonary Diagnostics Requisition PHC-RE001(R. Jun 24-15)BC179.35 KB DownloadPreview Referral to Pacific Lung Clinic (Fillable) PHC-OP043(R. Apr 6-17)(1)40.30 KB DownloadPreview Refusal to Accept Transfusion of Blood and or Blood Products PHC-MR031(R Jan 10-13)BC(1)25.34 KB DownloadPreview SPH Maternity Centre Postpartum Referral 225.52 KB DownloadPreview Temporary Substitute Decision Maker - Referral and Identification PHC-MR081(R. Sep 21-11)BC28.04 KB DownloadPreview Ultrasound Requisition PHC-RA088(R Jun 13-13)print33.71 KB DownloadPreview
