Search Forms Mental Health Lab Radiology Surgical TitleDescriptionVersionSizeDownload Aspirin Exacerbated Disease (AERD) Clinic Referral 182.96 KB DownloadPreview Blank Prescribers Orders PHC-PH099(R. Oct 2015) BC57.96 KB DownloadPreview Blank Prescribers Orders R. Feb 7, 2023206.96 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 Pre-op History Patient Questionnaire 3007 (PHC-OP116)(R. May 11-21)fillable438.98 KB DownloadPreview Diabetic Health Centre Referral DB145(R. Feb 4-21)165.75 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)BC404.88 KB DownloadPreview Eye clinic Ophthalmology Referral OO052(Apr 16-15)BC17.38 KB DownloadPreview General Internal Medicine Clinic Referral 280.85 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 Hypertension Clinic Referral 259.46 KB DownloadPreview IWL- Toolkit Indigenous Wellness Liaison Toolkit73.66 KB DownloadPreview IWR-ICS-Resources-2021 Indigenous Wellness, Reconciliation and Partnerships Resources516.54 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 R. Jul 14-22266.70 KB DownloadPreview Pre-Admission Information PHC-AD045(R. Dec 17-13)43.70 KB DownloadPreview Pre-admission Clinic Anesthetic Consult Request 289.26 KB DownloadPreview Pulmonary Diagnostics Requisition PHC-RE001(R. Sep 8-2022)BC330.50 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 Regional Respiratory Referral R. Dec 1-21338.36 KB DownloadPreview SPH Maternity Centre Postpartum Referral 225.52 KB DownloadPreview SPH Pain Clinic Referral (Revised 19 Oct 22)368.85 KB DownloadPreview Temporary Substitute Decision Maker - Referral and Identification PHC-MR081(R. Sep 21-11)BC28.04 KB DownloadPreview Thrombosis Clinic Referral 264.83 KB DownloadPreview Ultrasound Requisition PHC-RA088(R Jun 13-13)print33.71 KB DownloadPreview
