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Fraser Health Home Health Referral Form

Updated May 11 - From JohnY --- figured out what was odd about the Home Health form - onFocus creates the desired behaviour. I’ve added links to to additional eForms. Update May 10th 2014 -- Herb Chang -- Hi JohnY, I could not resist. I merged some of the features from the form created by Kevin Meyerink onto your form. It will save now some of the information checked into the Subject box. H. Update May 7th 2014: -- Minor tweaks and major proofreading and trimming to this eForm. Now 22% “lighter”!! Thanks to Herb for noticing, and JohnR for the wound care tweak. JohnY------Update March 20 2014 - A request was made to import the history in to the Details/Problem list box. Two versions have been created - the first inputs the latest history in to the text box. V2 is for those who have multiple bullets in their history box, but has the characters and dates that divide the inputs. JohnR. <!--- Created July 2013, Written by Kevin Meyerink for version 12.0, Has x boxes, and gender boxes, Updated March 2014---> They have changed 1 line in the form and sent out a new form - HTML code has compensated for this - HTML, Zip, and png all supplied, but those with the previous version from a few months ago will only need the html. JohnR.

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