HIV drug request and enrolment forms
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
- HIV Pre Exposure Prophylaxis Refill Prescription: PrEP_refill_V6_Nov17_2019.zip
- Import this into eForms. PrEP Refill Prescriptions. Upgraded with Pending button so that refills can be requested prior to lab results being available, in order to reduce gap in med adherence.
- HIV Pre Exposure Prophylaxis Refill Prescription png file
- for identification purposes
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