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Endocrine Clinic Referral Form - fillable
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Endocrine Clinic Referral Form - fillable 158 KB Download … October 31, 2024 www.bcchildrens.ca/endocrinology-diabetes-site/documents/endoreferralfill.pdf Page 1 of 1 ENDOCRINOLOGY & DIABETES UNIT Endocrinology Clinic: 604-875-2117 Toll-free Phone: …
Health professionals
Gender Clinic Referral Form
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Gender Clinic Referral Form 125 KB Download … July 5, 2024 www.bcchildrens.ca/endocrinology-diabetes-site/documents/genderreferral.pdf Page 1 of 2 BCCH GENDER CLINIC Gender Clinic: 604-875-2345 x6550 Toll-free Phone: 1-888-300-3088 x6550 Fax: 604-875-2426 …
Health professionals
Diabetes Program Referral Form
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Diabetes Program Referral Form 202 KB Download … December 6, 2024 www.bcchildrens.ca/endocrinology-diabetes-site/documents/diabetesreferral.pdf Page 1 of 1 ENDOCRINOLOGY & DIABETES UNIT Diabetes Clinic: 604-875-2868 Toll-free Phone: 1-888-300-3088, x2868 …
Health professionals
Visual Electrophysiology Requisition Form
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Visual Electrophysiology Requisition Form 207 KB Download … Department of Ophthalmology Shaughnessy Building, off Heather St. Entrance #73 4480 Oak Street Vancouver, BC V6H 3V4 Booking Phone Line: 604-875-2111 FAX: 604-602-8651 NAME: DOB: GENDER: M ☐ F ☐ …
Health professionals
Orthoptic Clinic Referral Form
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Orthoptic Clinic Referral Form 353 KB Download … Humphrey Automated Visual Field - children only 30 - 2 10 - 2 Colour Vision - children only Farnsworth D15 FM 100 - 60min BCCH346 | OCT.2014 … Ophthalmology-orthoptic-clinic-referral.pdf … …
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+ …