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GTA forms

Forms for the Greater Toronto Area

Total Care Diagnostics and Wexford Wellness Care

July 30th 2017 - Referral form provided by Leo Pavone - Xray clinic and Physio/Massage/Acupuncture etc clinic

Total Care Diagnostics and Wexford Wellness Care - Read More…

Oxford Medical Imaging Ultrasound Requisition 2018

Ultrasound requisition for the Greater Toronto Area with Ajax and Mississauga - Created by Raffi. Updated to V2 2020.11.06 by KC Lai

Oxford Medical Imaging Ultrasound Requisition 2018 - Read More…

Yorkview Xray and Ultrasound

Created November 2018. Referral for Yorkview Xray and Ultrasound

Yorkview Xray and Ultrasound - Read More…

GTA endoscopy Eform

Referral to Endoscopy in Scarborough

GTA endoscopy Eform - Read More…

Reporting vaccination for Toronto area schools

Provided by Leo pavone - Sheet for parents telling them which vaccines their children have received.

Reporting vaccination for Toronto area schools - Read More…

Mississauga Vascular Lab: version 1

This eFORM was developed by Konrad Paliga for use by physicians in the GTA.

Mississauga Vascular Lab: version 1 - Read More…

Mississauga Vascular Lab

This eFORM was developed by Konrad Paliga for use by physicians in the GTA. Version 3 created February 24th

Mississauga Vascular Lab - Read More…

Mississauga Halton LHIN (Local Health Integration Network) referral

Created by Dr. Gyula Voros. This form uses signature stamps, and requires the stamps.js file in the format Peter Hutten-Czapski outlined in his eform Generator 6.3 post: sample stamps.js (uploaded as image) <!-- Stamped Signatures --> //autoloading signature images var ImgArray = [ "anonymous|BNK.png", "zapski|PHC.png", "hurman|MCH.png", "mith|PJS.png", "arron|BAB.png", "urrie|LNC.png", "lgadi|KME.png", "alardeau|KME.png", "ears|STS.png", "esilet|SAD.png", "awson|HAL.png", "acasse|MLL.png", "eller|MKK.png" ]; //important check on loaded file var stamps_loaded = true;

Mississauga Halton LHIN (Local Health Integration Network) referral - Read More…

Edward Street Diagnostic Imaging eFORM

This eFORM was created by the Bluewater Imaging clinic in Ontario. It has been adjusted to import zip into Oscar EMR, but otherwise is unedited. Beware - the image file is 1.3 MB in size.

Edward Street Diagnostic Imaging eFORM - Read More…

One Vascular Imaging: V1_Jun25_2021

Created at the request of One Vascular Imaging, by OSCAR BC.

One Vascular Imaging: V1_Jun25_2021 - Read More…

One Vascular Imaging: V2_Jul13_2021

This version is both FireFox and Chrome friendly. The copy to clipboard is designed to capture the phone # for pasting into another field - e.g. a web fax input field.

One Vascular Imaging: V2_Jul13_2021 - Read More…

Toronto Centre for Liver Disease eForm

Created at the request of Dr. Yehia Qaisy. 2 page referral form to the Toronto Centre for Liver Disease. ***Search Terms***Ontario, Toronto, Liver Disease, Toronto General, Toronto Western, Princess Margaret, Toronto Rehab, Michener Institute

Toronto Centre for Liver Disease eForm - Read More…

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