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