1 3000002581 2016-04-05T14:49:50-07:00 EForms for use with Oscar McMaster electronic medical record system in Alberta. These forms are from Alberta Health Services. 3000009610 false Alberta Health Services 3 2018-12-31T11:07:18-08:00 1 1 2018-04-19T14:53:30-07:00 0 0 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035951636/original/DKWCIYTKDz-hWRXzgepQprii5zoJK__9iw.png?1524174769" style="width: 870px; height: 1125.88px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035951636/original/DKWCIYTKDz-hWRXzgepQprii5zoJK__9iw.png?1524174769" data-fileid="3035951636" data-uniquekey="1524174746908"><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035951634/original/Im-xfC1lVgM3ryVhfIgrGu7wurSKxpvlKg.png?1524174761" style="width: 877px; height: 1134.94px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035951634/original/Im-xfC1lVgM3ryVhfIgrGu7wurSKxpvlKg.png?1524174761" data-fileid="3035951634" data-uniquekey="1524174746908"></p> 3000009610 81 3000077234 2018-04-19T14:53:30-07:00 3018168548 1 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035951636/original/DKWCIYTKDz-hWRXzgepQprii5zoJK__9iw.png?1524174769" style="width: 870px; height: 1125.88px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035951636/original/DKWCIYTKDz-hWRXzgepQprii5zoJK__9iw.png?1524174769" data-fileid="3035951636" data-uniquekey="1524174746908"><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035951634/original/Im-xfC1lVgM3ryVhfIgrGu7wurSKxpvlKg.png?1524174761" style="width: 877px; height: 1134.94px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035951634/original/Im-xfC1lVgM3ryVhfIgrGu7wurSKxpvlKg.png?1524174761" data-fileid="3035951634" data-uniquekey="1524174746908"></p> 2 0 0 Alberta Health Services Alberta Healthy Living Program Referral - Calgary Zone 2018-06-06T15:16:47-07:00 3018168548 1 2018-03-21T14:40:07-07:00 6 9 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035332620/original/hVhusVVi11JZoPlcqLuhxC_J2MujRawXaA.png?1521668377" style="width: 1010px; height: 1339.92px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035332620/original/hVhusVVi11JZoPlcqLuhxC_J2MujRawXaA.png?1521668377" data-fileid="3035332620" data-uniquekey="1521668372793"></p> 3000009610 1483 3000076308 2018-03-21T14:40:07-07:00 3018168548 2 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035332620/original/hVhusVVi11JZoPlcqLuhxC_J2MujRawXaA.png?1521668377" style="width: 1010px; height: 1339.92px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035332620/original/hVhusVVi11JZoPlcqLuhxC_J2MujRawXaA.png?1521668377" data-fileid="3035332620" data-uniquekey="1521668372793"></p> 2 6 9 Alberta Health Services Anorectal Clinic Referral Form 2018-06-06T15:16:47-07:00 3018168548 1 2016-08-12T14:29:34-07:00 1 1 This eForm is designed to assist you in the assessment of 10 common symptoms for patients in palliative care.  <div dir="ltr"><p></p><p><img src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3021418739/original/ESAS_R_Pg1.png?1471036679" class="inline-image" data-id="3021418739" data-height="963" style="height: 963px;"></p><p><br></p><p>This eForm is designed to assist you in the assessment of 10 common symptoms for patients in palliative care. </p><br><p></p></div> 3000009610 543 3000056274 2019-12-31T14:28:49-08:00 3036604958 3 2 1 1 Alberta Health Services - Edmonton Symptom Assessment System 2019-12-31T14:28:49-08:00 3009777009 1 2018-03-09T09:48:47-08:00 0 0 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035080226/original/paGRng0fIQHDqJ4U_a71pdZfEYabk8IsWQ.png?1520617700" style="width: 868px; height: 1123.29px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035080226/original/paGRng0fIQHDqJ4U_a71pdZfEYabk8IsWQ.png?1520617700" data-fileid="3035080226" data-uniquekey="1520617696382"></p> 3000009610 85 3000075761 2018-03-09T09:48:47-08:00 3018168548 3 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035080226/original/paGRng0fIQHDqJ4U_a71pdZfEYabk8IsWQ.png?1520617700" style="width: 868px; height: 1123.29px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035080226/original/paGRng0fIQHDqJ4U_a71pdZfEYabk8IsWQ.png?1520617700" data-fileid="3035080226" data-uniquekey="1520617696382"></p> 2 0 0 Alberta Health Services Audiology Service Consultation Request 2018-06-06T15:16:47-07:00 3018168548 1 2018-04-19T15:27:32-07:00 1 0 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035952054/original/NAYvnqhxd9FgM1yWSxGTFnJCyk7qFFYy1Q.png?1524176824" style="width: 875px; height: 1132.35px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035952054/original/NAYvnqhxd9FgM1yWSxGTFnJCyk7qFFYy1Q.png?1524176824" data-fileid="3035952054" data-uniquekey="1524176804228"><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035952052/original/LUAW9Utn3h-uWH-_gUepseojvaJH-l9y1g.png?1524176817" style="width: 875px; height: 1132.35px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035952052/original/LUAW9Utn3h-uWH-_gUepseojvaJH-l9y1g.png?1524176817" data-fileid="3035952052" data-uniquekey="1524176804228"></p> 3000009610 142 3000077235 2018-04-19T15:27:32-07:00 3018168548 4 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035952054/original/NAYvnqhxd9FgM1yWSxGTFnJCyk7qFFYy1Q.png?1524176824" style="width: 875px; height: 1132.35px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035952054/original/NAYvnqhxd9FgM1yWSxGTFnJCyk7qFFYy1Q.png?1524176824" data-fileid="3035952054" data-uniquekey="1524176804228"><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035952052/original/LUAW9Utn3h-uWH-_gUepseojvaJH-l9y1g.png?1524176817" style="width: 875px; height: 1132.35px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035952052/original/LUAW9Utn3h-uWH-_gUepseojvaJH-l9y1g.png?1524176817" data-fileid="3035952052" data-uniquekey="1524176804228"></p> 2 1 0 Alberta Health Services Calgary Bariatric Specialty Clinic Adult Referral 2018-06-06T15:16:47-07:00 3018168548 1 2018-03-07T15:09:02-08:00 0 0 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035030501/original/H2-60fLHrI89svrGe7LlQO196SznIoMe1w.png?1520464107" style="width: 866px; height: 1120.71px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035030501/original/H2-60fLHrI89svrGe7LlQO196SznIoMe1w.png?1520464107" data-fileid="3035030501" data-uniquekey="1520464101801"></p> 3000009610 89 3000075624 2018-03-07T15:09:02-08:00 3018168548 5 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035030501/original/H2-60fLHrI89svrGe7LlQO196SznIoMe1w.png?1520464107" style="width: 866px; height: 1120.71px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035030501/original/H2-60fLHrI89svrGe7LlQO196SznIoMe1w.png?1520464107" data-fileid="3035030501" data-uniquekey="1520464101801"></p> 2 0 0 Alberta Health Services Calgary Laboratory Services Microbiology Specimen Referral Requisition 2018-06-06T15:16:47-07:00 3018168548 1 2018-03-21T15:12:48-07:00 0 0 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035333102/original/LU6rCfJRRoTGMqIvhWovLg2M0t421BmGUA.png?1521670303" style="width: 1011px; height: 1308.35px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035333102/original/LU6rCfJRRoTGMqIvhWovLg2M0t421BmGUA.png?1521670303" data-fileid="3035333102" data-uniquekey="1521668663924"></p> 3000009610 74 3000076311 2018-03-21T15:12:48-07:00 3018168548 6 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035333102/original/LU6rCfJRRoTGMqIvhWovLg2M0t421BmGUA.png?1521670303" style="width: 1011px; height: 1308.35px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035333102/original/LU6rCfJRRoTGMqIvhWovLg2M0t421BmGUA.png?1521670303" data-fileid="3035333102" data-uniquekey="1521668663924"></p> 2 0 0 Alberta Health Services Calgary Laboratory Services Non-Gynecological Cytopathology Requisition 2018-06-06T15:16:47-07:00 3018168548 1 2018-03-09T09:54:08-08:00 0 0 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035080369/original/CqMc44-6TaVggqdVQcTBIyf0Al7HKHA9GA.png?1520617993" style="width: 864px; height: 1128.51px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035080369/original/CqMc44-6TaVggqdVQcTBIyf0Al7HKHA9GA.png?1520617993" data-fileid="3035080369" data-uniquekey="1520617946634"></p> 3000009610 138 3000075764 2018-11-21T16:26:44-08:00 3018168548 7 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035080369/original/CqMc44-6TaVggqdVQcTBIyf0Al7HKHA9GA.png?1520617993" style="width: 864px; height: 1128.51px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035080369/original/CqMc44-6TaVggqdVQcTBIyf0Al7HKHA9GA.png?1520617993" data-fileid="3035080369" data-uniquekey="1520617946634"></p> 2 0 0 Alberta Health Services Capital Health Lois Hole Hospital for Women Perineal Clinic Referral Form (within 12 weeks postpartum) 2018-11-21T16:40:47-08:00 3018168548 1 2018-03-20T12:22:07-07:00 0 1 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035302410/original/15eV9e98KrUvFr29_bzc_hjqehsuUfNHcQ.png?1521573677" style="width: 1006px; height: 1301.88px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035302410/original/15eV9e98KrUvFr29_bzc_hjqehsuUfNHcQ.png?1521573677" data-fileid="3035302410" data-uniquekey="1521573666213"></p> 3000009610 213 3000076214 2018-03-20T12:22:07-07:00 3018168548 8 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035302410/original/15eV9e98KrUvFr29_bzc_hjqehsuUfNHcQ.png?1521573677" style="width: 1006px; height: 1301.88px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035302410/original/15eV9e98KrUvFr29_bzc_hjqehsuUfNHcQ.png?1521573677" data-fileid="3035302410" data-uniquekey="1521573666213"></p> 2 0 1 Alberta Health Services Client Response Centre DynaLIFE Dx Routine Requisition 2018-11-21T16:40:46-08:00 3018168548 1 2018-03-07T14:22:48-08:00 0 0 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029700/original/ph5UtQc8rgEhe8rbizL8QR-8vsqzlhEgaw.png?1520461332" style="width: 875px; height: 1132.35px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029700/original/ph5UtQc8rgEhe8rbizL8QR-8vsqzlhEgaw.png?1520461332" data-fileid="3035029700" data-uniquekey="1520461328930"></p> 3000009610 73 3000075612 2018-03-07T14:23:27-08:00 3018168548 9 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029700/original/ph5UtQc8rgEhe8rbizL8QR-8vsqzlhEgaw.png?1520461332" style="width: 875px; height: 1132.35px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029700/original/ph5UtQc8rgEhe8rbizL8QR-8vsqzlhEgaw.png?1520461332" data-fileid="3035029700" data-uniquekey="1520461328930"></p> 2 0 0 Alberta Health Services Computed Tomography (CT) Request 2017 2018-11-21T16:40:46-08:00 3018168548 1 2016-04-05T14:53:27-07:00 0 0 CT  This eForm is to be used when sending a CT Request for a patient. The form auto-fills with the patient and physician's information, and can be filled digitally. <div dir="ltr"><p><span>CT </span><img src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3017950640/original/CTRequest.png?1459893145" class="inline-image fr-dii fr-draggable" data-id="3017950640" data-height="1153" style="height: 1153px;"><br></p><p><br></p><p>This eForm is to be used when sending a CT Request for a patient. The form auto-fills with the patient and physician's information, and can be filled digitally.<br></p></div> 3000009610 213 3000051241 2018-03-07T14:23:51-08:00 3018168548 10 2 0 0 Alberta Health Services CT Request 2014 2018-11-21T16:40:46-08:00 3007196298 1 2018-03-20T13:46:58-07:00 0 0 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035304211/original/a4PmmnzrHM6HLt84MVfBXueHKCBiAqGQoQ.png?1521578786" style="width: 1003px; height: 1298px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035304211/original/a4PmmnzrHM6HLt84MVfBXueHKCBiAqGQoQ.png?1521578786" data-fileid="3035304211" data-uniquekey="1521578742793"><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035304208/original/6jfZ_genFzGL665hSo8dSEz4x9dHjAL6PQ.png?1521578776" style="width: 1008px; height: 1304.47px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035304208/original/6jfZ_genFzGL665hSo8dSEz4x9dHjAL6PQ.png?1521578776" data-fileid="3035304208" data-uniquekey="1521578742793"></p> 3000009610 177 3000076235 2018-03-20T13:46:58-07:00 3018168548 11 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035304211/original/a4PmmnzrHM6HLt84MVfBXueHKCBiAqGQoQ.png?1521578786" style="width: 1003px; height: 1298px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035304211/original/a4PmmnzrHM6HLt84MVfBXueHKCBiAqGQoQ.png?1521578786" data-fileid="3035304211" data-uniquekey="1521578742793"><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035304208/original/6jfZ_genFzGL665hSo8dSEz4x9dHjAL6PQ.png?1521578776" style="width: 1008px; height: 1304.47px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035304208/original/6jfZ_genFzGL665hSo8dSEz4x9dHjAL6PQ.png?1521578776" data-fileid="3035304208" data-uniquekey="1521578742793"></p> 2 0 0 Alberta Health Services Culture and Serology Requisition Microbiology and Public Health 2018-11-21T16:40:46-08:00 3018168548 1 2018-03-07T14:18:16-08:00 0 0 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029639/original/jMPjS0aKK8W3Eg9TBg-1k6FDZcgZ65tCWQ.png?1520461068" style="width: 873px; height: 1129.76px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029639/original/jMPjS0aKK8W3Eg9TBg-1k6FDZcgZ65tCWQ.png?1520461068" data-fileid="3035029639" data-uniquekey="1520461044133"><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029634/original/MsMUZE2i9Utv38nvDFZkUOiVoNgFb95mHw.png?1520461059" style="width: 873px; height: 1129.76px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029634/original/MsMUZE2i9Utv38nvDFZkUOiVoNgFb95mHw.png?1520461059" data-fileid="3035029634" data-uniquekey="1520461044133"><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029630/original/mp8tA_y0IAO8wkWN4AFEbZU5WmujJs2GeA.png?1520461050" style="width: 866px; height: 1130.92px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029630/original/mp8tA_y0IAO8wkWN4AFEbZU5WmujJs2GeA.png?1520461050" data-fileid="3035029630" data-uniquekey="1520461044133"></p> 3000009610 32 3000075610 2018-03-07T14:18:16-08:00 3018168548 12 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029639/original/jMPjS0aKK8W3Eg9TBg-1k6FDZcgZ65tCWQ.png?1520461068" style="width: 873px; height: 1129.76px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029639/original/jMPjS0aKK8W3Eg9TBg-1k6FDZcgZ65tCWQ.png?1520461068" data-fileid="3035029639" data-uniquekey="1520461044133"><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029634/original/MsMUZE2i9Utv38nvDFZkUOiVoNgFb95mHw.png?1520461059" style="width: 873px; height: 1129.76px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029634/original/MsMUZE2i9Utv38nvDFZkUOiVoNgFb95mHw.png?1520461059" data-fileid="3035029634" data-uniquekey="1520461044133"><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029630/original/mp8tA_y0IAO8wkWN4AFEbZU5WmujJs2GeA.png?1520461050" style="width: 866px; height: 1130.92px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029630/original/mp8tA_y0IAO8wkWN4AFEbZU5WmujJs2GeA.png?1520461050" data-fileid="3035029630" data-uniquekey="1520461044133"></p> 2 0 0 Alberta Health Services Diabetes Program Referral - Adult 2018-11-21T16:40:46-08:00 3018168548 1 2018-05-01T13:23:39-07:00 0 0 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3036183101/original/8YKM-El5UknHSyZlSHaRo6bal0PNQ1I_zA.png?1525206190" style="width: 1007px; height: 1304.47px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3036183101/original/8YKM-El5UknHSyZlSHaRo6bal0PNQ1I_zA.png?1525206190" data-fileid="3036183101" data-uniquekey="1525206174850"></p> 3000009610 145 3000077516 2018-11-21T16:13:00-08:00 3018168548 13 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3036183101/original/8YKM-El5UknHSyZlSHaRo6bal0PNQ1I_zA.png?1525206190" style="width: 1007px; height: 1304.47px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3036183101/original/8YKM-El5UknHSyZlSHaRo6bal0PNQ1I_zA.png?1525206190" data-fileid="3036183101" data-uniquekey="1525206174850"></p> 2 0 0 Alberta Health Services Dr. Cort Pagenkopf, M.D., FRCS(C) General Surgery and Endoscopy Questionnaire 2018-11-21T16:40:46-08:00 3018168548 1 2018-03-07T14:15:16-08:00 3 0 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029567/original/R6oCw2BejCVC8qDX6o9M35xGP7SfDKtukg.png?1520460862" style="width: 857px; height: 662.026px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029567/original/R6oCw2BejCVC8qDX6o9M35xGP7SfDKtukg.png?1520460862" data-fileid="3035029567" data-uniquekey="1520460859339"></p> 3000009610 430 3000075609 2018-03-07T14:15:16-08:00 3018168548 14 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029567/original/R6oCw2BejCVC8qDX6o9M35xGP7SfDKtukg.png?1520460862" style="width: 857px; height: 662.026px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029567/original/R6oCw2BejCVC8qDX6o9M35xGP7SfDKtukg.png?1520460862" data-fileid="3035029567" data-uniquekey="1520460859339"></p> 2 3 0 Alberta Health Services EEG / Evoked Potentials Requisition (Clinical Neurophysiology Laboratory) 2018-11-21T16:40:46-08:00 3018168548 1 2018-03-07T13:48:03-08:00 0 2 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029059/original/ie1AoZjBcMscLXtGwmKggatLJI0dTeIfWw.png?1520459246" style="width: 850px; height: 1100px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029059/original/ie1AoZjBcMscLXtGwmKggatLJI0dTeIfWw.png?1520459246" data-fileid="3035029059" data-uniquekey="1520459223482"></p> 3000009610 587 3000075597 2018-11-21T16:14:23-08:00 3018168548 15 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029059/original/ie1AoZjBcMscLXtGwmKggatLJI0dTeIfWw.png?1520459246" style="width: 850px; height: 1100px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029059/original/ie1AoZjBcMscLXtGwmKggatLJI0dTeIfWw.png?1520459246" data-fileid="3035029059" data-uniquekey="1520459223482"></p> 2 0 2 Alberta Health Services EMG/Nerve Conduction Consultation Request (Calgary Zone) 2018-11-21T16:40:46-08:00 3018168548 1 2018-03-07T13:52:17-08:00 0 0 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029186/original/a2-VIWsxjgu6b05KCkhg_4MCT24PYe6rpA.png?1520459494" style="width: 842px; height: 1089.65px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029186/original/a2-VIWsxjgu6b05KCkhg_4MCT24PYe6rpA.png?1520459494" data-fileid="3035029186" data-uniquekey="1520459490311"></p> 3000009610 108 3000075598 2018-11-21T16:17:13-08:00 3018168548 16 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029186/original/a2-VIWsxjgu6b05KCkhg_4MCT24PYe6rpA.png?1520459494" style="width: 842px; height: 1089.65px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029186/original/a2-VIWsxjgu6b05KCkhg_4MCT24PYe6rpA.png?1520459494" data-fileid="3035029186" data-uniquekey="1520459490311"></p> 2 0 0 Alberta Health Services Forzani & MacPhail Colon Cancer Screening Centre Referral Form 2018-11-21T16:40:46-08:00 3018168548 1 2018-04-18T16:28:32-07:00 0 0 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035925013/original/K30Yyb37RZbP7ubzEBZrrYSQFp2pei-1fQ.png?1524094088" style="width: 1005px; height: 1301.88px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035925013/original/K30Yyb37RZbP7ubzEBZrrYSQFp2pei-1fQ.png?1524094088" data-fileid="3035925013" data-uniquekey="1524094077910"></p> 3000009610 107 3000077187 2018-04-18T16:28:32-07:00 3018168548 17 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035925013/original/K30Yyb37RZbP7ubzEBZrrYSQFp2pei-1fQ.png?1524094088" style="width: 1005px; height: 1301.88px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035925013/original/K30Yyb37RZbP7ubzEBZrrYSQFp2pei-1fQ.png?1524094088" data-fileid="3035925013" data-uniquekey="1524094077910"></p> 2 0 0 Alberta Health Services Generic Referral 2018-11-21T16:40:46-08:00 3018168548 1 2016-08-18T10:57:05-07:00 0 0 Use the Genetics Laboratories Requisition form to request cytogenetics and molecular genetics exams. This form includes both general and prenatal genetics tests. <div dir="ltr"><p><img src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3021559019/original/genetics_lab_rqs.png?1471542800" class="inline-image fr-dii fr-draggable" data-id="3021559019" data-height="903" style="height: 1116.46px; width: 878px;"></p>Use the Genetics Laboratories Requisition form to request cytogenetics and molecular genetics exams. This form includes both general and prenatal genetics tests.</div> 3000009610 364 3000056484 2018-11-21T16:18:31-08:00 3018168548 18 2 0 0 Alberta Health Services Genetics Laboratories Requisition 2018-11-21T16:40:47-08:00 3009777009 1 2018-03-29T10:03:58-07:00 0 3 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035506556/original/qU6WZghpqlNGi1NNnB-J_ZvpUVYxJR0BUw.png?1522343016" style="width: 1001px; height: 1295.41px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035506556/original/qU6WZghpqlNGi1NNnB-J_ZvpUVYxJR0BUw.png?1522343016" data-fileid="3035506556" data-uniquekey="1522342939285"><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035506552/original/nhABMpFoJ3aANEoy3fZifLFEel5Znb_J-w.png?1522343008" style="width: 1006px; height: 1301.88px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035506552/original/nhABMpFoJ3aANEoy3fZifLFEel5Znb_J-w.png?1522343008" data-fileid="3035506552" data-uniquekey="1522342939285"></p> 3000009610 490 3000076626 2018-03-29T10:03:58-07:00 3018168548 19 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035506556/original/qU6WZghpqlNGi1NNnB-J_ZvpUVYxJR0BUw.png?1522343016" style="width: 1001px; height: 1295.41px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035506556/original/qU6WZghpqlNGi1NNnB-J_ZvpUVYxJR0BUw.png?1522343016" data-fileid="3035506556" data-uniquekey="1522342939285"><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035506552/original/nhABMpFoJ3aANEoy3fZifLFEel5Znb_J-w.png?1522343008" style="width: 1006px; height: 1301.88px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035506552/original/nhABMpFoJ3aANEoy3fZifLFEel5Znb_J-w.png?1522343008" data-fileid="3035506552" data-uniquekey="1522342939285"></p> 2 0 3 Alberta Health Services Goals of Care Designation (GCD) Order 2018-11-21T16:40:47-08:00 3018168548 1 2018-04-19T09:39:11-07:00 0 0 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035945796/original/GBEZGf2_j8L0hLYyHNNfjWix9xl24krK1w.png?1524155928" style="width: 876px; height: 1133.65px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035945796/original/GBEZGf2_j8L0hLYyHNNfjWix9xl24krK1w.png?1524155928" data-fileid="3035945796" data-uniquekey="1524155879305"><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035945782/original/UKkLRNuTxN6iGFVbquVPOzglj-Mo7U-gJA.png?1524155899" style="width: 878px; height: 1136.24px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035945782/original/UKkLRNuTxN6iGFVbquVPOzglj-Mo7U-gJA.png?1524155899" data-fileid="3035945782" data-uniquekey="1524155879305"></p> 3000009610 56 3000077226 2018-04-19T09:39:11-07:00 3018168548 20 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035945796/original/GBEZGf2_j8L0hLYyHNNfjWix9xl24krK1w.png?1524155928" style="width: 876px; height: 1133.65px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035945796/original/GBEZGf2_j8L0hLYyHNNfjWix9xl24krK1w.png?1524155928" data-fileid="3035945796" data-uniquekey="1524155879305"><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035945782/original/UKkLRNuTxN6iGFVbquVPOzglj-Mo7U-gJA.png?1524155899" style="width: 878px; height: 1136.24px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035945782/original/UKkLRNuTxN6iGFVbquVPOzglj-Mo7U-gJA.png?1524155899" data-fileid="3035945782" data-uniquekey="1524155879305"></p> 2 0 0 Alberta Health Services Hip and Knee Replacement Referral 2018-11-21T16:40:47-08:00 3018168548 1 2018-05-02T16:32:32-07:00 0 0 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3036217312/original/mW39-NEuqpYrA01i3HYpMPiK5mhtuXaUXw.png?1525303915" style="width: 1011px; height: 1308.35px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3036217312/original/mW39-NEuqpYrA01i3HYpMPiK5mhtuXaUXw.png?1525303915" data-fileid="3036217312" data-uniquekey="1525303905633"></p> 3000009610 102 3000077555 2018-05-02T16:32:32-07:00 3018168548 21 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3036217312/original/mW39-NEuqpYrA01i3HYpMPiK5mhtuXaUXw.png?1525303915" style="width: 1011px; height: 1308.35px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3036217312/original/mW39-NEuqpYrA01i3HYpMPiK5mhtuXaUXw.png?1525303915" data-fileid="3036217312" data-uniquekey="1525303905633"></p> 2 0 0 Alberta Health Services Image Guided Interventional Procedures Request 2018-11-21T16:40:47-08:00 3018168548 1 2018-04-23T11:33:14-07:00 0 0 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3036011751/original/AsFJqxt-b5tK3CBlJqWU2yDpGA3qLAz0Bw.png?1524508371" style="width: 875px; height: 1132.35px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3036011751/original/AsFJqxt-b5tK3CBlJqWU2yDpGA3qLAz0Bw.png?1524508371" data-fileid="3036011751" data-uniquekey="1524508303714"></p> 3000009610 175 3000077338 2018-04-23T11:33:14-07:00 3018168548 22 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3036011751/original/AsFJqxt-b5tK3CBlJqWU2yDpGA3qLAz0Bw.png?1524508371" style="width: 875px; height: 1132.35px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3036011751/original/AsFJqxt-b5tK3CBlJqWU2yDpGA3qLAz0Bw.png?1524508371" data-fileid="3036011751" data-uniquekey="1524508303714"></p> 2 0 0 Alberta Health Services Integrated Home Care Physician Referral 2018-11-21T16:40:47-08:00 3018168548 1 2018-03-20T12:07:26-07:00 0 0 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035302106/original/bFhjkOUsAqxDikyPfETZQYOsYJAaE7h5zw.png?1521572799" style="width: 1003px; height: 1298px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035302106/original/bFhjkOUsAqxDikyPfETZQYOsYJAaE7h5zw.png?1521572799" data-fileid="3035302106" data-uniquekey="1521572773513"></p> 3000009610 38 3000076210 2018-03-20T12:07:26-07:00 3018168548 23 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035302106/original/bFhjkOUsAqxDikyPfETZQYOsYJAaE7h5zw.png?1521572799" style="width: 1003px; height: 1298px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035302106/original/bFhjkOUsAqxDikyPfETZQYOsYJAaE7h5zw.png?1521572799" data-fileid="3035302106" data-uniquekey="1521572773513"></p> 2 0 0 Alberta Health Services Laboratories Cytopathology / Tissue Pathology 2018-11-21T16:40:47-08:00 3018168548 1 2018-03-20T12:12:22-07:00 0 0 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035302223/original/JBfHSnUejmdCWHm3FiePwAWA4AOaCxp8zg.png?1521573099" style="width: 1007px; height: 1343.33px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035302223/original/JBfHSnUejmdCWHm3FiePwAWA4AOaCxp8zg.png?1521573099" data-fileid="3035302223" data-uniquekey="1521573072777"></p> 3000009610 124 3000076212 2018-03-20T12:12:22-07:00 3018168548 24 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035302223/original/JBfHSnUejmdCWHm3FiePwAWA4AOaCxp8zg.png?1521573099" style="width: 1007px; height: 1343.33px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035302223/original/JBfHSnUejmdCWHm3FiePwAWA4AOaCxp8zg.png?1521573099" data-fileid="3035302223" data-uniquekey="1521573072777"></p> 2 0 0 Alberta Health Services Laboratories Microbiology Requisition 2018-11-21T16:40:47-08:00 3018168548 1 2018-04-25T11:01:13-07:00 0 1 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3036068356/original/7PLBVKMnKhj3XW9gcTYxUMqUPUcPc7XZcA.png?1524679246" style="width: 873px; height: 1129.76px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3036068356/original/7PLBVKMnKhj3XW9gcTYxUMqUPUcPc7XZcA.png?1524679246" data-fileid="3036068356" data-uniquekey="1524679233630"></p> 3000009610 83 3000077383 2018-04-25T11:01:13-07:00 3018168548 25 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3036068356/original/7PLBVKMnKhj3XW9gcTYxUMqUPUcPc7XZcA.png?1524679246" style="width: 873px; height: 1129.76px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3036068356/original/7PLBVKMnKhj3XW9gcTYxUMqUPUcPc7XZcA.png?1524679246" data-fileid="3036068356" data-uniquekey="1524679233630"></p> 2 0 1 Alberta Health Services Laboratory Services Vitamin D (25-Hydroxy) Requisition 2018-11-21T16:40:47-08:00 3018168548 1 2018-03-09T10:04:53-08:00 0 0 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035080546/original/T2I5egL_0vIy6wpoB1t7xBdxXkbgFqP_YQ.png?1520618655" style="width: 862px; height: 1128.65px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035080546/original/T2I5egL_0vIy6wpoB1t7xBdxXkbgFqP_YQ.png?1520618655" data-fileid="3035080546" data-uniquekey="1520618584841"></p> 3000009610 128 3000075765 2018-03-09T10:04:53-08:00 3018168548 26 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035080546/original/T2I5egL_0vIy6wpoB1t7xBdxXkbgFqP_YQ.png?1520618655" style="width: 862px; height: 1128.65px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035080546/original/T2I5egL_0vIy6wpoB1t7xBdxXkbgFqP_YQ.png?1520618655" data-fileid="3035080546" data-uniquekey="1520618584841"></p> 2 0 0 Alberta Health Services Lois Hole Hospital for Women Maternal Fetal Medicine Clinic Outpatient Booking Request Form 2018-11-21T16:40:47-08:00 3018168548 1 2018-03-09T10:07:28-08:00 1 0 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035080601/original/fgONM7rHd2koBde4rDZO9KWKZaeorhgxYQ.png?1520618818" style="width: 864px; height: 1128.51px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035080601/original/fgONM7rHd2koBde4rDZO9KWKZaeorhgxYQ.png?1520618818" data-fileid="3035080601" data-uniquekey="1520618790414"></p> 3000009610 338 3000075766 2018-03-09T10:07:28-08:00 3018168548 27 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035080601/original/fgONM7rHd2koBde4rDZO9KWKZaeorhgxYQ.png?1520618818" style="width: 864px; height: 1128.51px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035080601/original/fgONM7rHd2koBde4rDZO9KWKZaeorhgxYQ.png?1520618818" data-fileid="3035080601" data-uniquekey="1520618790414"></p> 2 1 0 Alberta Health Services Lois Hole Hospital for Women Reproductive Mental Health Referral Form 2018-06-06T15:16:47-07:00 3018168548 1 2018-03-20T12:04:32-07:00 0 0 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035302053/original/4Www3xpwrWe1F7UrOR0PV1rnVpiUAmwtTg.png?1521572650" style="width: 1006px; height: 1342.68px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035302053/original/4Www3xpwrWe1F7UrOR0PV1rnVpiUAmwtTg.png?1521572650" data-fileid="3035302053" data-uniquekey="1521572640979"></p> 3000009610 44 3000076209 2018-03-20T12:04:32-07:00 3018168548 28 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035302053/original/4Www3xpwrWe1F7UrOR0PV1rnVpiUAmwtTg.png?1521572650" style="width: 1006px; height: 1342.68px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035302053/original/4Www3xpwrWe1F7UrOR0PV1rnVpiUAmwtTg.png?1521572650" data-fileid="3035302053" data-uniquekey="1521572640979"></p> 2 0 0 Alberta Health Services Lois Hole Hospital For Women Request for Fetal Echo 2018-06-06T15:16:47-07:00 3018168548 1 2018-03-07T13:54:22-08:00 0 2 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029224/original/V7u-BKFs1i1K31HmBDi4hhnUO0vBRfXrKw.png?1520459639" style="width: 764px; height: 1011.85px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029224/original/V7u-BKFs1i1K31HmBDi4hhnUO0vBRfXrKw.png?1520459639" data-fileid="3035029224" data-uniquekey="1520459620580"></p> 3000009610 333 3000075599 2018-03-07T13:54:22-08:00 3018168548 29 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029224/original/V7u-BKFs1i1K31HmBDi4hhnUO0vBRfXrKw.png?1520459639" style="width: 764px; height: 1011.85px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029224/original/V7u-BKFs1i1K31HmBDi4hhnUO0vBRfXrKw.png?1520459639" data-fileid="3035029224" data-uniquekey="1520459620580"></p> 2 0 2 Alberta Health Services Lumbar Spine MRI Screening Form 2018-06-06T15:16:47-07:00 3018168548 1 2018-04-02T09:33:23-07:00 0 0 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035548680/original/In06KqepJlRo-TiZV0z3YvfoAfSc9PxcmQ.png?1522686783" style="width: 1003px; height: 1298px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035548680/original/In06KqepJlRo-TiZV0z3YvfoAfSc9PxcmQ.png?1522686783" data-fileid="3035548680" data-uniquekey="1522686737894"></p> 3000009610 206 3000076696 2018-11-21T16:29:13-08:00 3018168548 30 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035548680/original/In06KqepJlRo-TiZV0z3YvfoAfSc9PxcmQ.png?1522686783" style="width: 1003px; height: 1298px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035548680/original/In06KqepJlRo-TiZV0z3YvfoAfSc9PxcmQ.png?1522686783" data-fileid="3035548680" data-uniquekey="1522686737894"></p> 2 0 0 Alberta Health Services Maternal Prenatal Screen Requisition (First or Second Trimester Screen) 2018-06-06T15:16:48-07:00 3018168548 1 2018-03-07T13:57:36-08:00 1 2 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029293/original/jMV1Tk_5Ph1ZUq9V4VP108L-LYf0qaKXrA.png?1520459821" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029293/original/jMV1Tk_5Ph1ZUq9V4VP108L-LYf0qaKXrA.png?1520459821" data-fileid="3035029293" data-uniquekey="1520459816631" style="width: 867px; height: 1178.59px;"></p> 3000009610 244 3000075600 2018-03-07T13:57:36-08:00 3018168548 31 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029293/original/jMV1Tk_5Ph1ZUq9V4VP108L-LYf0qaKXrA.png?1520459821" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029293/original/jMV1Tk_5Ph1ZUq9V4VP108L-LYf0qaKXrA.png?1520459821" data-fileid="3035029293" data-uniquekey="1520459816631" style="width: 867px; height: 1178.59px;"></p> 2 1 2 Alberta Health Services Medical Specialists & Medical Services Central Access & Triage Form 2018-06-06T15:16:48-07:00 3018168548 1 2018-03-07T13:59:33-08:00 0 0 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029326/original/752xiASrJHlauTm4uuDXs2AWObdrvnzang.png?1520459953" style="width: 871px; height: 1127.18px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029326/original/752xiASrJHlauTm4uuDXs2AWObdrvnzang.png?1520459953" data-fileid="3035029326" data-uniquekey="1520459948862"></p> 3000009610 71 3000075601 2018-03-07T13:59:33-08:00 3018168548 32 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029326/original/752xiASrJHlauTm4uuDXs2AWObdrvnzang.png?1520459953" style="width: 871px; height: 1127.18px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029326/original/752xiASrJHlauTm4uuDXs2AWObdrvnzang.png?1520459953" data-fileid="3035029326" data-uniquekey="1520459948862"></p> 2 0 0 Alberta Health Services MRI Request 2018-06-06T15:16:48-07:00 3018168548 1 2018-03-07T14:21:03-08:00 2 0 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029677/original/bxRyvc8NU4p26K-BK4ZobHUm9dn8yFh2hg.png?1520461217" style="width: 870px; height: 1125.88px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029677/original/bxRyvc8NU4p26K-BK4ZobHUm9dn8yFh2hg.png?1520461217" data-fileid="3035029677" data-uniquekey="1520461213738"></p> 3000009610 79 3000075611 2018-03-07T14:21:03-08:00 3018168548 33 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029677/original/bxRyvc8NU4p26K-BK4ZobHUm9dn8yFh2hg.png?1520461217" style="width: 870px; height: 1125.88px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029677/original/bxRyvc8NU4p26K-BK4ZobHUm9dn8yFh2hg.png?1520461217" data-fileid="3035029677" data-uniquekey="1520461213738"></p> 2 2 0 Alberta Health Services Myocardial Perfusion Imaging (MPI) and Multi-Gated Acquisition (MUGA) Requisition 2018-06-06T15:16:48-07:00 3018168548 1 2018-09-25T14:34:33-07:00 0 0 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3039334113/original/8ICcc7yaH6z654wTXToDeFhcxEuT3Z1LaA.png?1537911255" style="width: 1017px; height: 1316.12px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3039334113/original/8ICcc7yaH6z654wTXToDeFhcxEuT3Z1LaA.png?1537911255" data-fileid="3039334113" data-uniquekey="1537911243361"></p> 3000009610 39 3000082472 2018-09-25T14:34:33-07:00 3018168548 34 2 0 0 Alberta Health Services Nuclear Medicine Request 2018-11-21T16:40:47-08:00 3018168548 1 2018-03-07T14:01:40-08:00 0 0 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029364/original/XXyjAfSU3_5_61sE0LeA5SsMWXAFdSNe1Q.png?1520460062" style="width: 847px; height: 1103.08px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029364/original/XXyjAfSU3_5_61sE0LeA5SsMWXAFdSNe1Q.png?1520460062" data-fileid="3035029364" data-uniquekey="1520460058299"></p> 3000009610 47 3000075602 2018-03-07T14:01:40-08:00 3018168548 35 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029364/original/XXyjAfSU3_5_61sE0LeA5SsMWXAFdSNe1Q.png?1520460062" style="width: 847px; height: 1103.08px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029364/original/XXyjAfSU3_5_61sE0LeA5SsMWXAFdSNe1Q.png?1520460062" data-fileid="3035029364" data-uniquekey="1520460058299"></p> 2 0 0 Alberta Health Services Outpatient Pre-Registration (Referral) Information Cardiac Diagnostics 2018-11-21T16:40:47-08:00 3018168548 1 2018-03-07T14:04:17-08:00 2 0 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029409/original/yDJ6VfgTvIHAgSb2pdt2Z7nZOpjoOhxYOQ.png?1520460228" style="width: 860px; height: 1112.94px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029409/original/yDJ6VfgTvIHAgSb2pdt2Z7nZOpjoOhxYOQ.png?1520460228" data-fileid="3035029409" data-uniquekey="1520460208954"></p> 3000009610 152 3000075603 2018-03-07T14:04:17-08:00 3018168548 36 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029409/original/yDJ6VfgTvIHAgSb2pdt2Z7nZOpjoOhxYOQ.png?1520460228" style="width: 860px; height: 1112.94px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029409/original/yDJ6VfgTvIHAgSb2pdt2Z7nZOpjoOhxYOQ.png?1520460228" data-fileid="3035029409" data-uniquekey="1520460208954"></p> 2 2 0 Alberta Health Services Path to Care Directory Referral Form 2018-11-21T16:40:47-08:00 3018168548 1 2018-03-09T09:52:07-08:00 0 0 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035080309/original/dSJ6rxwfEZcbKIktxx1UF8X5W2XENhAvzw.png?1520617890" style="width: 869px; height: 1124.59px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035080309/original/dSJ6rxwfEZcbKIktxx1UF8X5W2XENhAvzw.png?1520617890" data-fileid="3035080309" data-uniquekey="1520617885974"></p> 3000009610 68 3000075763 2018-03-09T09:52:07-08:00 3018168548 37 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035080309/original/dSJ6rxwfEZcbKIktxx1UF8X5W2XENhAvzw.png?1520617890" style="width: 869px; height: 1124.59px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035080309/original/dSJ6rxwfEZcbKIktxx1UF8X5W2XENhAvzw.png?1520617890" data-fileid="3035080309" data-uniquekey="1520617885974"></p> 2 0 0 Alberta Health Services Provincial Laboratory for Public Health Zoonotic Serology Requisition 2018-11-21T16:40:47-08:00 3018168548 1 2018-05-03T10:17:46-07:00 0 0 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3036241108/original/qdT8wWBepG7JcBWtRhc5mi6hbZe1f9peiQ.png?1525367829" style="width: 1008px; height: 1304.47px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3036241108/original/qdT8wWBepG7JcBWtRhc5mi6hbZe1f9peiQ.png?1525367829" data-fileid="3036241108" data-uniquekey="1525367726645"><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3036241103/original/sq7MyeXuwVvU7wW7EUwrkEbbdWhOs0nq2Q.png?1525367821" style="width: 1007px; height: 1304.47px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3036241103/original/sq7MyeXuwVvU7wW7EUwrkEbbdWhOs0nq2Q.png?1525367821" data-fileid="3036241103" data-uniquekey="1525367726645"></p> 3000009610 50 3000077583 2018-05-03T10:17:46-07:00 3018168548 38 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3036241108/original/qdT8wWBepG7JcBWtRhc5mi6hbZe1f9peiQ.png?1525367829" style="width: 1008px; height: 1304.47px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3036241108/original/qdT8wWBepG7JcBWtRhc5mi6hbZe1f9peiQ.png?1525367829" data-fileid="3036241108" data-uniquekey="1525367726645"><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3036241103/original/sq7MyeXuwVvU7wW7EUwrkEbbdWhOs0nq2Q.png?1525367821" style="width: 1007px; height: 1304.47px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3036241103/original/sq7MyeXuwVvU7wW7EUwrkEbbdWhOs0nq2Q.png?1525367821" data-fileid="3036241103" data-uniquekey="1525367726645"></p> 2 0 0 Alberta Health Services Provincial Pediatric Weight Management Referral 2018-11-21T16:40:47-08:00 3018168548 1 2018-03-29T12:27:22-07:00 0 0 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035509192/original/ZY_fXHqlmG7hdJkb86wnlSAWAI4NSYVwwQ.png?1522351619" style="width: 1003px; height: 1305.38px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035509192/original/ZY_fXHqlmG7hdJkb86wnlSAWAI4NSYVwwQ.png?1522351619" data-fileid="3035509192" data-uniquekey="1522351556741"></p> 3000009610 96 3000076633 2018-03-29T12:27:22-07:00 3018168548 39 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035509192/original/ZY_fXHqlmG7hdJkb86wnlSAWAI4NSYVwwQ.png?1522351619" style="width: 1003px; height: 1305.38px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035509192/original/ZY_fXHqlmG7hdJkb86wnlSAWAI4NSYVwwQ.png?1522351619" data-fileid="3035509192" data-uniquekey="1522351556741"></p> 2 0 0 Alberta Health Services Referral to Community Audiology 2018-11-21T16:40:47-08:00 3018168548 1 2019-01-08T16:36:47-08:00 1 1 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3041501666/original/8Jx0tFytlkrCwY34BJ9XmRQ7zQhbEhBgGw.png?1546994106" style="width: 871px; height: 1127.18px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3041501666/original/8Jx0tFytlkrCwY34BJ9XmRQ7zQhbEhBgGw.png?1546994106" data-fileid="3041501666" data-uniquekey="1546994086075"></p> 3000009610 469 3000085266 2019-01-08T16:36:47-08:00 3018168548 40 2 1 1 Alberta Health Services South Health Campus Bone & Joint Clinic Referral Form 2019-01-08T16:37:12-08:00 3018168548 1 2018-03-07T14:07:20-08:00 0 0 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029432/original/2c5wuP3N-ssZmuG023n3yT1pNWwgUK8Zgg.png?1520460404" style="width: 862px; height: 1115.53px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029432/original/2c5wuP3N-ssZmuG023n3yT1pNWwgUK8Zgg.png?1520460404" data-fileid="3035029432" data-uniquekey="1520460333021"></p> 3000009610 62 3000075604 2018-03-07T14:07:20-08:00 3018168548 41 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029432/original/2c5wuP3N-ssZmuG023n3yT1pNWwgUK8Zgg.png?1520460404" style="width: 862px; height: 1115.53px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029432/original/2c5wuP3N-ssZmuG023n3yT1pNWwgUK8Zgg.png?1520460404" data-fileid="3035029432" data-uniquekey="1520460333021"></p> 2 0 0 Alberta Health Services Sleep Centre Referral (Foothills Medical Centre) 2019-01-08T16:37:11-08:00 3018168548 1 2018-03-19T10:11:04-07:00 1 0 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035270398/original/MfGBCf08Y19s28rRnB92WBh_S5PuueyabQ.png?1521479373" style="width: 1001px; height: 1295.41px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035270398/original/MfGBCf08Y19s28rRnB92WBh_S5PuueyabQ.png?1521479373" data-fileid="3035270398" data-uniquekey="1521479369658"></p> 3000009610 53 3000076122 2018-03-19T10:11:04-07:00 3018168548 42 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035270398/original/MfGBCf08Y19s28rRnB92WBh_S5PuueyabQ.png?1521479373" style="width: 1001px; height: 1295.41px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035270398/original/MfGBCf08Y19s28rRnB92WBh_S5PuueyabQ.png?1521479373" data-fileid="3035270398" data-uniquekey="1521479369658"></p> 2 1 0 Alberta Health Services Surgical Booking Request 2019-01-08T16:37:11-08:00 3018168548 1 2018-04-19T10:20:26-07:00 0 0 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035946704/original/w2SEhWrGhIkdTzic-aA89SDC1Pc0QYXpWQ.png?1524158414" style="width: 875px; height: 1132.35px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035946704/original/w2SEhWrGhIkdTzic-aA89SDC1Pc0QYXpWQ.png?1524158414" data-fileid="3035946704" data-uniquekey="1524158395999"></p> 3000009610 50 3000077227 2018-04-19T10:20:26-07:00 3018168548 43 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035946704/original/w2SEhWrGhIkdTzic-aA89SDC1Pc0QYXpWQ.png?1524158414" style="width: 875px; height: 1132.35px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035946704/original/w2SEhWrGhIkdTzic-aA89SDC1Pc0QYXpWQ.png?1524158414" data-fileid="3035946704" data-uniquekey="1524158395999"></p> 2 0 0 Alberta Health Services Ultrasound Request 2019-01-08T16:37:11-08:00 3018168548 1 2018-03-07T14:10:10-08:00 0 0 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029494/original/jSeSJV4FNHiQjNMRrAuqURQv2JXzQZPUmw.png?1520460570" style="width: 873px; height: 1129.76px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029494/original/jSeSJV4FNHiQjNMRrAuqURQv2JXzQZPUmw.png?1520460570" data-fileid="3035029494" data-uniquekey="1520460567442"></p> 3000009610 269 3000075605 2018-03-07T14:10:10-08:00 3018168548 44 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029494/original/jSeSJV4FNHiQjNMRrAuqURQv2JXzQZPUmw.png?1520460570" style="width: 873px; height: 1129.76px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029494/original/jSeSJV4FNHiQjNMRrAuqURQv2JXzQZPUmw.png?1520460570" data-fileid="3035029494" data-uniquekey="1520460567442"></p> 2 0 0 Alberta Health Services Virology Requisition Microbiology and Public Health 2019-01-08T16:37:11-08:00 3018168548 1 2018-03-07T14:11:58-08:00 0 0 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029528/original/ARlShv3qlnBNohXiMJSuDzthIn2aPYpuPA.png?1520460694" style="width: 872px; height: 1128.47px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029528/original/ARlShv3qlnBNohXiMJSuDzthIn2aPYpuPA.png?1520460694" data-fileid="3035029528" data-uniquekey="1520460689884"></p> 3000009610 36 3000075606 2018-03-07T14:11:58-08:00 3018168548 45 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029528/original/ARlShv3qlnBNohXiMJSuDzthIn2aPYpuPA.png?1520460694" style="width: 872px; height: 1128.47px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035029528/original/ARlShv3qlnBNohXiMJSuDzthIn2aPYpuPA.png?1520460694" data-fileid="3035029528" data-uniquekey="1520460689884"></p> 2 0 0 Alberta Health Services X-Ray Request 2019-01-08T16:37:12-08:00 3018168548 1 2019-02-22T15:51:41-08:00 0 0 Use this form to request lumbar spine imaging in Alberta. <p><img src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3042520687/original/2tzb6xrTr2NOfc0FitZTbZQ-MU01v5q8aA.png?1550879385" class="fr-fic fr-dib fr-fil" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3042520687/original/2tzb6xrTr2NOfc0FitZTbZQ-MU01v5q8aA.png?1550879385" data-fileid="3042520687" data-uniquekey="1550879378366" style="width: 650px;"></p><p>Use this form to request lumbar spine imaging in Alberta.</p> 3000009610 86 3000086654 2019-02-22T15:51:41-08:00 3009777009 46 2 0 0 AHS Lumbar Spine Imaging Screening Record 2019-02-22T15:51:41-08:00 3009777009