HIV drug request and enrolment forms
update 2021-Feb-17 19:09 PrEP Refill Prescriptions. Upgraded with signature stamp. The default STI site is the HIM clinic in New Westminster. Now there is the GP site option - which pastes the user's contact info. This info, along with pick-up site, etc, is retained for future eFORM loads. There is also a "REFILL NOW" option for those patients who wait until the last minute!
Update 2018 - PReP HIV forms have been updated. Please use the 2018 forms.
For BC Users, who are managing HIV patients - BCcFE for HIV/AIDS have updated their forms. cFE = centre for Excellence, or as Jel puts it - a ?silo?.
Comments welcome. Measurements required for the Prescription form. The eForm names must be exactly as they are imported. Otherwise you will need to customize the html.
JohnY
- HIV Risk Assessement for MSM 2018
- Import this into eForms
- HIV Risk Assessement for MSM 2018 png file
- for identification purposes
- HIV Pre Exposure Prophylaxis Enrolment and Prescription Requestion
- Import this in to the eForms. BC Centre for excellence in HIV/Aids treatment Drug treatment Program.
- HIV Pre Exposure Prophylaxis Enrolment and Prescription Requestion png file
- for identification purposes
- Pre-Exposure Prophylaxis Intake Information
- Import this in to eFroms. Pure HtML intake form for first visit for HIV Prophylaxis
- Pre-Exposure Prophylaxis Intake Information pdf file
- for identification purposes
- PrEP Rx Refill eFORM: V9_Jan30_2022
- Builds on version 8 - sets Stamp as the default signature; grabs and pastes fax # to clipboard. Attention-seeking submit buttons, and validity checking added.
- PrEP Rx Refill eFORM: V8_Jan31_2021
- Import this into eForms. PrEP Refill Prescriptions. Upgraded with signature stamp. The default STI site is the HIM clinic in New Westminster. Now there is the GP site option - which pastes the user's contact info. This info, along with pick-up site, etc, is retained for future eFORM loads. There is also a "REFILL NOW" option for those patients who wait until the last minute!
- HIV Pre Exposure Prophylaxis Refill Prescription png file
- for identification purposes
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