Interior Health Authority Forms
- 100 Mile House Child and Youth Mental Health Referral form
- From OSCARWest: 100 Mile House Child and Youth Mental Health Referral form Populates current Medications and Medical History: Created November 2013 with Word document provided by the Ministry of Children at Cedar Street - 100 Mile House ---I added in Xboxes and gender check. JohnR.
- 100 Mile House Holter Monitor Referral Form
- Created November 2013 from Word document contributed by 100 Mile House Hospital - IHA logo included on form
- 100 Mile House Diabetes Education Referral Form
- 100 Mile House Hospital - Interior Health Requisition Diabetes Education Referral Created November 2013 with Word document Provided by Hospital
- 100 Mile House Dietitian Services Referral Form
- Provided by OSCARWest --- 100 Mile House Dietician Services Referral Created November 2013 with Word Document contributed by 100 Mile Hospital in Word Format - reformatted Populates Medical History, Current Medication and Current User Identification.
- 100 Mile House Physiotherapy Referral Form
- 100 Mile House Physiotherapy Referral - IN or OUT Patient Created November 2013 with Word Document contributed by 100 Mile House Hospital -reformatted for use in OSCAR by OSCARwest
- MedPro_Respiratory_Interior
- Donated by Nerd BC and MedPro
- Kelowna Orthopedics Central Intake Referral Form 2016
- Created by Giana Currie and Oscar West
- MedPro Respiratory - Thompson / Okanagan 2017
- Created by NERD BC and Commissioned by George Louvros, MedPro Respiratory Care.
- Interior Health Newborn Hearing Screening 2017
- This eForm was commissioned by Malachite Midwives.
- Penticton, Kelowna & Vernon Sleep Clinic Patient Referral Requisition 2018
- These form have been created by OSCAR BC for Penticton, Kelowna & Vernon Sleep Clinics. JohnR.
- SOPLR - IHA specific lab requisition: IH_LabRequisition_V20_Feb1_2019c.zip
- With lab locations specific to Kelowna/Kamloops area. Based on Lower Mainland SOPLR. First draft. FHCV measurement removed (fixed!)
- Interior Cardiac Services BC 2018
- referral to interior Cardiac services Kelowna and Westbank BC
- Primary Care Obstetrical Referral Central Okanagan BC 2018
- Division of Family Practice Primary Care Obstetrical Referral for Central Okanagan.
- Interior Health Outpatient Echo Requisition 2019
- Created for the Interior Health Region of BC.
- Interior Health Medical Imaging Requisition 2019
- Created for the Interior Health Region of BC. Updated 2019-Jul-15 08:45 To allow for single page printing
- Kelowna Cardiology Associates Referral eForm 2019
- Created by Ariana Williams
- TranqSleep Care - Williams Lake location
- Created for IHA at the request of PSP. Contact Oscar BC if modifications needed.
- MOST Form for IHA V2_Apr12_2020 zip file
- Updated from Feb2020. Enable unchecking of X-boxes. May load slower because it draws inputs from previous MOST forms. Note that some patients may request DNR with C2 - especially during current COVID pandemic. JohnY
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