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Seamless Perinatal Care Referral

Update Nov 17 2020, change in fax number, updated code, added link to antenatal record. Created March 2014 By John Robertson. Made using eform generator 5.1. This form is Very busy. I have done my best to make things legible. JohnR. Updated Jul9_2017 by Dr. John Yap. Still a very busy form! Now with font-size change function, colour X-boxes, JohnR's radio_Box function, signature script. If you have the old eForm, you need to rename or delete/archive that one first before importing the new zip file.
Seamless Perinatal Care Referral Nov 17 2020
updated fax number. Updated radio boxes, removed unnecessary scripts, updated ParseName and ParseDate, corrected last name and first name, added link to BCAR
Seamless Perinatal Care Referral png V3_Jan22_2019
For identification purposes

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