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Immunology Clinic Referral Form (fillable)
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Immunology Clinic Referral Form (fillable) 172 KB Download … IMMUNOLOGY CLINIC Dr. Kyla Hildebrand Dr. Catherine Biggs Dr. Elliot James Dr. Stuart Turvey Dr. Sarah Lohrenz Phone: 604-875-2118 x2 Fax: 604-642-8894 Mailing address: 1C31B 4480 Oak St …
Health professionals
Spinal Cord Clinic Referral Form
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Spinal Cord Clinic Referral Form 615 KB Download … SPINAL CORD CLINIC Phone: 604-875-2975 BC Children’s Hospital Fax: 604-875-2553 4500 Oak Street, Vancouver, BC. V6H 3N1 Email: sccbookingclerk@cw.bc.ca PHYSICIAN REFERRAL FORM Date of Referral: …
Health professionals
ALL with CNS RT Early Follow Up Clinic
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ALL with CNS RT Early Follow Up Clinic 291 KB Download … ALL with CNS Radiation Therapy Pediatric Surveillance & Follow-up Guidelines Months from end of therapy Date Location H&P CBC LDH Chem Urine tests ECHO# LH, FSH, Test or Est Metab TSH, T4 Neuropsych …
Health professionals
ALL with CNS RT Late Effects Clinic
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ALL with CNS RT Late Effects Clinic 258 KB Download … ALL with CNS Radiation Therapy Pediatric Surveillance & Follow-up Guidelines Years from end of therapy Date Location H&P CBC & LDH Biochem Urine tests ECHO# LH, FSH, Test or Est Metab TSH, T4 Thyroid …
Health professionals
Standard and High Risk ALL and LLy Early Follow Up Clinic
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Standard and High Risk ALL and LLy Early Follow Up Clinic 268 KB Download … Standard Risk and High Risk ALL and Lymphoblastic Lymphoma (LLy)* Pediatric Surveillance & Follow-up Guidelines Months from end of therapy Date Location H&P CBC +LDH Chem Urine …
Health professionals
Standard and High Risk ALL and LLy Late Effects Clinic
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Standard and High Risk ALL and LLy Late Effects Clinic 277 KB Download … Standard Risk and High Risk ALL and Lymphoblastic Lymphoma* Pediatric Surveillance & Follow-up Guidelines Years from End of Therapy Date Location H&P CBC +LDH Biochem Urine tests …
Health professionals
Very High Risk, Infant and Ph pos ALL Early Follow-up Clinic
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Very High Risk, Infant and Ph pos ALL Early Follow-up Clinic 279 KB Download … Very High Risk, Infant and Philadelphia-positive ALL* Pediatric Surveillance & Follow-up Guidelines Months from end of therapy Date Location H&P CBC +LDH Chem BCR-ABL (Ph+ …
Health professionals
Very High Risk, Infant and Ph pos ALL Late Effects Clinic
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Very High Risk, Infant and Ph pos ALL Late Effects Clinic 291 KB Download … Very High Risk, Infant and Philadelphia-positive ALL* Pediatric Surveillance & Follow-up Guidelines *Excludes patients treated with cranial RT ^CED: Cyclophosphamide Equivalence …
Health professionals
Acute Myeloid Leukemia Early Follow-Up Clinic
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Acute Myeloid Leukemia Early Follow-Up Clinic 270 KB Download … AML Pediatric Surveillance & Follow-up Guidelines Months from end of therapy Date Location H&P CBC +LDH Ferritin Biochem Urine tests ECHO# LH, FSH, Test or Est Neuropsych assessment Other Ea …
Health professionals
Acute Myeloid Leukemia Late Effects Clinic
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Acute Myeloid Leukemia Late Effects Clinic 269 KB Download … AML Pediatric Surveillance & Follow-up Guidelines Years from end of therapy Date Location H&P CBC Biochem Urine tests ECHO# LH, FSH, Test or Est Neuropsych assessment Other La te E ff ec ts C …