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Cardiology: Medical transfer summary (clinic-specific template)
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Cardiology: Medical transfer summary (clinic-specific template) 422 KB Download … CARDIOLOGY - Medical Transfer Summary – Transcription code #102 Patient Identification Enter Encounter # to populate: Patient Name Provincial Health Number Medical Record …
Health professionals
Complex Care Referral Form
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Complex Care Referral Form 1013 KB Download … Ver 2024 Feb 16 - updated phone number Referral Date: ____________ REFERRAL FORM Name Referring Provider (MD or NP) Date of Birth Family Physician or Primary Care Nurse Practitioner BCCH MRN PHN Community …
Health professionals
Complex Pain Service Referral Form
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Complex Pain Service Referral Form 545 KB Download … COMPLEX PAIN SERVICE CPS Office: Tel: 604.875.2345 ext 5108 / Fax: 604.875.2767 / Email: CPS@phsa.ca TOLL-FREE within BC: 1.888.300.3088 ext 5108 / Fax ext 2767 Website: …
Health professionals
Complex Feeding and Nutrition Referral Form
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Complex Feeding and Nutrition Referral Form 2 MB Download … Complex Feeding and Nutrition Service Division of Gastroenterology, Hepatology, and Nutrition BC Children’s Hospital Room K4-190 4480 Oak Street Vancouver, BC V6H 3V4 Phone: (604) 875-2345, …
Health professionals
Audiology Referral Form
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Audiology Referral Form 351 KB Download … BCCH AUDIOLOGY REFERRAL 4480 Oak Street, Vancouver, BC V6H 3V4 Ambulatory Care Building, Area 9 Fax: 604-642-8837 Phone: 604-875-2112 Last Updated: August 2, 2023 BCCH AUDIOLOGY ACCEPTS REFERRALS FOR THE FOLLOWING …
Health professionals
Diagnostic Neurophysiology: EEG outpatient requisition
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Diagnostic Neurophysiology: EEG outpatient requisition 139 KB Download … S:\REQUISITIONS\EEG REQUISITION (Revised February 2024).docx DEPARTMENT OF DIAGNOSTIC NEUROPHYSIOLOGY 1B10 – 4480 OAK STREET VANCOUVER, BC V6H 3V4 PHONE: 604-875-2124 / FAX: …
Health professionals
Diagnostic Neurophysiology: Nerve conduction/EMG requisition
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Diagnostic Neurophysiology: Nerve conduction/EMG requisition 112 KB Download … S:\REQUISITIONS\EMG REQUISITION (Revised February 2024).docx Department Of Diagnostic Neurophysiology 1B10 – 4480 Oak Street, Vancouver, BC V6H 3V4 Phone: 604-875-2124 • Fax: …
Health professionals
Rehabilitation Pathway After Surgery for Hip Displacement
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Rehabilitation Pathway After Surgery for Hip Displacement 365 KB Download … *This pathway is meant as a guideline only. All progressions of casting/splinting , weight bearing, and ROM must be confirmed by the Orthopaedic Team **Adapted from: Benard, L., …
Health professionals
Rehabilitation Following Single Event Multi-level Surgery
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Rehabilitation Following Single Event Multi-level Surgery 368 KB Download … *This pathway is meant as a guideline only. All progressions of casting/splinting , weight bearing, and ROM must be confirmed by the Orthopaedic Team **Adapted from: Benard, L., …
Health professionals
Dermatology Referral Guidelines
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Dermatology Referral Guidelines 241 KB Download … Last updated: December 19, 2024 Pediatric Dermatology Referral Guidelines and suggestions for initial care Below recommendations do not substitute for your clinical judgement and should be taking into …