Communication With Others
Referrals, sick notes, general letters, patient summaries, and more
- Allied Health Referral
- Department of National Defense - Consultation Report
- Generic Letter
- Blank letter head. Buttons on the side allows you to quickly paste in a patient label and the other patient information.
- Patient Summary
- Blank page with demographic at the top. Shortcut button on the side that lets you quickly insert the social history & family history/other meds/past medical history/ongoing concerns/reminders text into the page.
- Sick Note
- WCB
- Eforms contributed by Jel Coward
- These eforms are contributed by Jel Coward. Please feel free to download and modify them. They are best edited in a text editor, eg Notepad rather than a word processor or HTML editor such as Frontpage or Dreamweaver.
- A Standard Rich Text Letter
- This eForm provides a method to produce multipage letters with markup attributes including bold, font size, underline, italic and database lookups that allow for pasting of attending doctor, referral doctor and patient information. All the button images (.png), the javascript (.js) the help file (editor_help.html) and the templates (blank.html, MissedAppointment.html, certificate.html, narcotic.html, custom.html and so on) need to get uploaded into your images folder. The main editor file (Editor-For-XX.html) needs to be uploaded as a form. This version is tuned for Firefox and works the best with FF2+. IE Chrome and Opera browsers have been tested and will open and write letters, but may not have all the bells and whistles supported. The latest version has 26 formatting functions and support to back port spelling for IE. Cut and paste are supported through keyboard shortcuts as they are variably implemented across browsers.
- Sample Rich Text Letter example
- Patient Assistance Program by Eli Lilly
- Financial assistance application for patients requiring help with funding for medications supplied by Eli Lilly. Includes Insulin.
- LEAPS
- Lam Employment Absence and Productivity Scale
- RCMP Billing Certificate
- Updated By John Yap. It has the updated first and second pages - the accommodate the X-boxes and the instruction reference.
- Sigvaris Prescription
- Prescription for Compression Stockings. Has a link to a second image with the indications and the Disclaimers
- communication with others
- 2012 versions of some of the forms. Supplied by JohnY
- Service Canada Medical Report
- Designed by Peter HC. One version with a signature image, one version with "Electronically Signed"
- Merck Patient Assistance Form
- For patients who cannot afford certain drugs - from Merck - financial aid
