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BC Womens Hospital EMMA Clinic Referral Form

The clinic's Goal is " Evaluating Maternal and fetal Markers of Adverse placental outcomes" and "Antenatal risk assessment for placentallymediated pregnancy complications" Form Created by Dina Davidson: I've attached a draft of the new BCWH EMMA Clinic Referral form. I've used the more old-fashioned checkboxes (probably JohnY will want to change them to x-boxes, but I'm rather partial to the old-school ones myself :). It is a two-pager, and I've included comments indicating which section is which. Let me know if you see anything that needs fixing. We're trialling it at 2 midwifery clinics now, and if I find errors, I'll re-export and send you a new .zip file.

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