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
- Kelowna Orthopedics Central Intake Referral Form 2016
- Created by Giana Currie and Oscar West
- 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
- Vernon Orthopaedic Surgeons Referral eForm
- Created By OSCAR BC
- Penticton Orthopedic Group: update Nov26_2020
- Created by OscarBC. V3 with corrected phone number. V4 with addition of onBodyLoad link, needed for link to other parts of Oscar.
- Kamloops Orthopaedic Surgeons Referral eForm
- Created by OSCAR BC for Kamloops Orthopaedics. referral eForm.
- IHA EMG requisition: V1_May10_2021
- Created by Oscar BC for Interior Health
- IHA Non-Stress Test eFORM: V1_May10_2021
- Created for IHA by Oscar BC
- Kamloops Cardiology Associates: V2_Sep6_2021
- Originally created for Exeter Clinic, 100 Mi House, in 2019; but never posted on OCUS. Updated to 2021 standards now.
- IHA Standard Out-Patient Breast Imaging Requisition: V1_Oct8_2021
- Created by OSCAR BC at the request of Interior Health. Signature stamp-enabled.
- Kamloops Gastroenterology Referral: V1_Sep5_2021b.zip
- Created by OSCAR BC at the request of the Specialist Services Committee.
- Interior Health Antenatal Ultrasound Request
- Created 2021-Oct-10 17:02 By OSCAR BC for Interior Health. Requisition for Obstetrical Ultrasound For Interior health / Kelowna General Hospital / Kelowna Medical Imaging.
- Interior Health Non Stress Test Request
- Created 2021-Oct-14 08:36 by OSCAR BC at the request of Interior Health. Includes the latest signature options, age check, bmi check, and link to criteria on the back page. There is a link to open the lab requisition. If the Lab Req is not in the server, there is a link to download the eForm.
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