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Heartwood Referral Forms 2017

The creation of these forms was requested by The Division of Family Practice in Chilliwack. The Heartwood centre is a residential treatment program, a provincial tertiary 28 bed resource for women with substance dependence, mental health concerns (including trauma) and primary health and/or chronic disease issues. The referral form package consists of 18 pages. Pages 8-13 comprise the main referral form. This has been made in to a 6 page eform. There are several handouts that have been adapted to be opened as pdf's as per Darius Opensource's code. The links to these appear as (non printing) buttons across the first page below the client's name. There are also (non printing) buttons to the right of the first page of the form that allow you to jump to 3 other eforms - the funding information form, the early exit form, and the participation agreement form. The main form also has a link to the web page for the program. All eforms should be imported to the server. Please do not alter the names of the eforms as this will break the link to opening them from the main referral eform. JohnR.

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