1 3000002580 2016-08-15T16:59:55-07:00 This collection of eForm is to use with the OSCAR EMR, and will be of particular interest to physicians working within the William Osler Health Systerm in Ontario, Canada. 3000010747 false William Osler Health System 30 2018-11-21T15:36:26-08:00 1 1 2018-03-22T13:13:13-07:00 0 1 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035359925/original/4prjiwsSNft9JdOLIPC3COu80MzsH07ebg.png?1521749569" style="width: 1001px; height: 1295.41px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035359925/original/4prjiwsSNft9JdOLIPC3COu80MzsH07ebg.png?1521749569" data-fileid="3035359925" data-uniquekey="1521749517462"></p> 3000010747 143 3000076382 2018-03-22T13:13:13-07:00 3018168548 1 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035359925/original/4prjiwsSNft9JdOLIPC3COu80MzsH07ebg.png?1521749569" style="width: 1001px; height: 1295.41px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035359925/original/4prjiwsSNft9JdOLIPC3COu80MzsH07ebg.png?1521749569" data-fileid="3035359925" data-uniquekey="1521749517462"></p> 2 0 1 William Osler Health System Consultation Referral Form Review/Comparison of Images 2018-06-06T14:56:48-07:00 3018168548 1 2018-03-08T11:27:23-08:00 0 2 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035055217/original/aSm6_3RQIZjyqF8wLUdz38YQHacUnLYHKQ.png?1520537200" style="width: 874px; height: 1131.06px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035055217/original/aSm6_3RQIZjyqF8wLUdz38YQHacUnLYHKQ.png?1520537200" data-fileid="3035055217" data-uniquekey="1520537190813"></p> 3000010747 147 3000075682 2018-03-08T11:27:23-08:00 3018168548 2 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035055217/original/aSm6_3RQIZjyqF8wLUdz38YQHacUnLYHKQ.png?1520537200" style="width: 874px; height: 1131.06px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035055217/original/aSm6_3RQIZjyqF8wLUdz38YQHacUnLYHKQ.png?1520537200" data-fileid="3035055217" data-uniquekey="1520537190813"></p> 2 0 2 William Osler Health System CT Early Detection of Lung Cancer Examination Low Dose Chest CT 2017 2018-06-06T14:56:47-07:00 3018168548 1 2016-08-16T10:15:21-07:00 0 1 Use this requisition form to request an Early Detection of Lung Cancer Examination for your patients. The exam is done through the Department of Diagnostic Imaging of the William Osler Health System. <div dir="ltr"><p><img src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3021494046/original/LungScreenReq%202012.png?1471367558" class="inline-image fr-dii fr-draggable" data-id="3021494046" data-height="842" style="height: 842px;"></p>Use this requisition form to request an Early Detection of Lung Cancer Examination for your patients. The exam is done through the Department of Diagnostic Imaging of the William Osler Health System.</div> 3000010747 224 3000056408 2018-11-21T14:41:01-08:00 3018168548 3 2 0 1 William Osler Health System CT Early Detection of Lung Cancer Examination 2012 2018-11-21T14:52:54-08:00 3009777009 1 2018-03-08T11:10:09-08:00 1 1 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035054872/original/kR5wbolyDsxGC49HsU-vNvfqhcH5hUppCg.png?1520536179" style="width: 871px; height: 1127.18px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035054872/original/kR5wbolyDsxGC49HsU-vNvfqhcH5hUppCg.png?1520536179" data-fileid="3035054872" data-uniquekey="1520536173673"></p> 3000010747 118 3000075673 2018-03-08T11:10:09-08:00 3018168548 4 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035054872/original/kR5wbolyDsxGC49HsU-vNvfqhcH5hUppCg.png?1520536179" style="width: 871px; height: 1127.18px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035054872/original/kR5wbolyDsxGC49HsU-vNvfqhcH5hUppCg.png?1520536179" data-fileid="3035054872" data-uniquekey="1520536173673"></p> 2 1 1 William Osler Health System CT Outpatient Request 2017 2018-11-21T14:52:54-08:00 3018168548 1 2016-08-15T17:02:32-07:00 0 1 Use this form to request a CT Consultation for your patients at the Department of Diangostic Imaging, Brampton Civic Hospital. <div dir="ltr"><p><img src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3021467152/original/BCHCTReqBCH.png?1471305651" class="inline-image fr-dii fr-draggable" data-id="3021467152" data-height="796" style="height: 796px;"></p>Use this form to request a CT Consultation for your patients at the Department of Diangostic Imaging, Brampton Civic Hospital.</div> 3000010747 455 3000056364 2018-11-21T14:38:30-08:00 3018168548 5 2 0 1 William Osler Health System CT Request for CT Consultation 2009 2018-11-21T14:52:54-08:00 3009777009 1 2018-03-08T11:18:21-08:00 0 0 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035055047/original/dORFb4JRmaZQ7LEn3oXbx0WQ_yWWiu4Nkg.png?1520536675" style="width: 875px; height: 1132.35px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035055047/original/dORFb4JRmaZQ7LEn3oXbx0WQ_yWWiu4Nkg.png?1520536675" data-fileid="3035055047" data-uniquekey="1520536671676"></p> 3000010747 116 3000075677 2018-03-08T11:18:21-08:00 3018168548 6 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035055047/original/dORFb4JRmaZQ7LEn3oXbx0WQ_yWWiu4Nkg.png?1520536675" style="width: 875px; height: 1132.35px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035055047/original/dORFb4JRmaZQ7LEn3oXbx0WQ_yWWiu4Nkg.png?1520536675" data-fileid="3035055047" data-uniquekey="1520536671676"></p> 2 0 0 William Osler Health System Diabetes Education Centre Referral Form 2018-11-21T14:52:54-08:00 3018168548 1 2018-03-22T13:34:53-07:00 1 3 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035360382/original/Ubn8C4ANoNEo2u_yuGc2Z9rDelFJ0sFpWw.png?1521750869" style="width: 995px; height: 1293.66px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035360382/original/Ubn8C4ANoNEo2u_yuGc2Z9rDelFJ0sFpWw.png?1521750869" data-fileid="3035360382" data-uniquekey="1521750859722"></p> 3000010747 866 3000076384 2018-03-22T13:34:53-07:00 3018168548 7 <p style=""><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035360382/original/Ubn8C4ANoNEo2u_yuGc2Z9rDelFJ0sFpWw.png?1521750869" style="width: 995px; height: 1293.66px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035360382/original/Ubn8C4ANoNEo2u_yuGc2Z9rDelFJ0sFpWw.png?1521750869" data-fileid="3035360382" data-uniquekey="1521750859722"></p> 2 1 3 William Osler Health System Early Pregnancy Clinic Referral Form Brampton Civic Hospital 2018-06-06T14:56:48-07:00 3018168548 1 2018-03-08T11:16:33-08:00 0 0 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035055011/original/eckWhbHFwJ7RC0YjDfZaIylyMzf2rf37pA.png?1520536563" style="width: 867px; height: 1122px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035055011/original/eckWhbHFwJ7RC0YjDfZaIylyMzf2rf37pA.png?1520536563" data-fileid="3035055011" data-uniquekey="1520536556936"></p> 3000010747 99 3000075676 2018-03-08T11:16:33-08:00 3018168548 8 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035055011/original/eckWhbHFwJ7RC0YjDfZaIylyMzf2rf37pA.png?1520536563" style="width: 867px; height: 1122px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035055011/original/eckWhbHFwJ7RC0YjDfZaIylyMzf2rf37pA.png?1520536563" data-fileid="3035055011" data-uniquekey="1520536556936"></p> 2 0 0 William Osler Health System Maternity Care Clinic Referral Form 2018-06-06T14:56:47-07:00 3018168548 1 2016-08-15T11:55:50-07:00 0 3 This Request for Magnetic Resonance Imaging (MRI) is for the Department of Diagnostic Imaging at the Etobicoke General Hospital. <div dir="ltr"><div dir="ltr"><p><img src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3021461779/original/mriwilliamosler.jpg?1471287201" class="inline-image fr-dii fr-draggable" data-id="3021461779" data-height="1041" style="height: 1041px;"></p><br><p>This Request for Magnetic Resonance Imaging (MRI) is for the Department of Diagnostic Imaging at the Etobicoke General Hospital.</p></div></div> 3000010747 650 3000056315 2018-11-21T14:43:59-08:00 3018168548 9 2 0 3 William Osler Health System MRI Request for Magnetic Resonance Imaging Etobicoke General Hospital 2018-06-06T14:56:47-07:00 3009777009 1 2018-05-25T10:02:56-07:00 0 1 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3036724426/original/whky_XRl_XwBiUv5N5z5_c1TqSPDC0wI2A.png?1527267750" style="width: 876px; height: 1133.65px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3036724426/original/whky_XRl_XwBiUv5N5z5_c1TqSPDC0wI2A.png?1527267750" data-fileid="3036724426" data-uniquekey="1527267723779"></p> 3000010747 106 3000078222 2018-11-21T14:48:38-08:00 3018168548 10 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3036724426/original/whky_XRl_XwBiUv5N5z5_c1TqSPDC0wI2A.png?1527267750" style="width: 876px; height: 1133.65px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3036724426/original/whky_XRl_XwBiUv5N5z5_c1TqSPDC0wI2A.png?1527267750" data-fileid="3036724426" data-uniquekey="1527267723779"></p> 2 0 1 William Osler Health System MRI Request for Magnetic Resonance Imaging Department of Diagnostic Imaging 2018-11-21T14:52:54-08:00 3018168548 1 2018-03-08T11:12:47-08:00 0 0 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035054970/original/AsumyBAm6wEsDkTkfkeUI18TZGjKoqGO2g.png?1520536328" style="width: 871px; height: 1127.18px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035054970/original/AsumyBAm6wEsDkTkfkeUI18TZGjKoqGO2g.png?1520536328" data-fileid="3035054970" data-uniquekey="1520536321692"></p> 3000010747 62 3000075674 2018-03-08T11:12:47-08:00 3018168548 11 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035054970/original/AsumyBAm6wEsDkTkfkeUI18TZGjKoqGO2g.png?1520536328" style="width: 871px; height: 1127.18px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035054970/original/AsumyBAm6wEsDkTkfkeUI18TZGjKoqGO2g.png?1520536328" data-fileid="3035054970" data-uniquekey="1520536321692"></p> 2 0 0 William Osler Health System NM Request for Nuclear Medicine / Molecular Imaging 2018-11-21T14:52:54-08:00 3018168548 1 2018-03-08T11:24:55-08:00 0 0 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3036781470/original/OpyvQrOxYHJGxs88EZgxeCH0lUGB_oVoXg.png?1527609162" style="width: 867px; height: 1122px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3036781470/original/OpyvQrOxYHJGxs88EZgxeCH0lUGB_oVoXg.png?1527609162" data-fileid="3036781470" data-uniquekey="1527609155737"></p> 3000010747 91 3000075681 2018-05-29T09:00:36-07:00 3018168548 12 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035055166/original/pqjJNN8sPeGUzRpQiCzX9AKdqiglOtmW8g.png?1520537065" style="width: 873px; height: 1129.76px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035055166/original/pqjJNN8sPeGUzRpQiCzX9AKdqiglOtmW8g.png?1520537065" data-fileid="3035055166" data-uniquekey="1520537059850"></p> 2 0 0 William Osler Health System Radiology Request 2018 2018-06-06T14:56:47-07:00 3018168548 1 2016-08-16T10:27:49-07:00 0 1 Request radiology examinations with the Department of Diagnostic Imaging of the William Osler Health System using this form. Mammography can also be ordered using this requisition form. <div dir="ltr"><p><img src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3021494439/original/BCHXrayMammoRequisition.png?1471368349" class="inline-image fr-dii fr-draggable" data-id="3021494439" data-height="737" style="height: 1115.84px; width: 869px;"></p>Request radiology examinations with the Department of Diagnostic Imaging of the William Osler Health System using this form. Mammography can also be ordered using this requisition form.</div> 3000010747 565 3000056410 2018-11-21T14:45:45-08:00 3018168548 13 2 0 1 William Osler Health System Radiology Request for Radiology 2012 2018-11-21T14:52:54-08:00 3009777009 1 2018-03-08T11:30:28-08:00 0 1 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035055293/original/mMi2PMhsdEJRf4IViwipP2C2YXphkGF9_Q.png?1520537406" style="width: 870px; height: 1125.88px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035055293/original/mMi2PMhsdEJRf4IViwipP2C2YXphkGF9_Q.png?1520537406" data-fileid="3035055293" data-uniquekey="1520537342918"></p> 3000010747 58 3000075683 2018-03-08T11:30:28-08:00 3018168548 14 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035055293/original/mMi2PMhsdEJRf4IViwipP2C2YXphkGF9_Q.png?1520537406" style="width: 870px; height: 1125.88px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035055293/original/mMi2PMhsdEJRf4IViwipP2C2YXphkGF9_Q.png?1520537406" data-fileid="3035055293" data-uniquekey="1520537342918"></p> 2 0 1 William Osler Health System Referral for Image Guided Biopsy 2018-11-21T14:52:54-08:00 3018168548 1 2018-03-08T11:22:33-08:00 0 0 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035055133/original/QHP_pxPMshWgacpZtt3PPXEaipSJr3REqw.png?1520536920" style="width: 876px; height: 1133.65px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035055133/original/QHP_pxPMshWgacpZtt3PPXEaipSJr3REqw.png?1520536920" data-fileid="3035055133" data-uniquekey="1520536916555"></p> 3000010747 162 3000075679 2018-11-21T14:49:43-08:00 3018168548 15 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035055133/original/QHP_pxPMshWgacpZtt3PPXEaipSJr3REqw.png?1520536920" style="width: 876px; height: 1133.65px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035055133/original/QHP_pxPMshWgacpZtt3PPXEaipSJr3REqw.png?1520536920" data-fileid="3035055133" data-uniquekey="1520536916555"></p> 2 0 0 William Osler Health System Ultrasound Request for Ultrasound 2017 2018-06-06T14:56:48-07:00 3018168548 1 2018-03-08T11:20:43-08:00 0 0 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035055092/original/NBBGFUvbWgOq022pLhFn0rWx450dxfa1Bg.png?1520536804" style="width: 870px; height: 1125.88px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035055092/original/NBBGFUvbWgOq022pLhFn0rWx450dxfa1Bg.png?1520536804" data-fileid="3035055092" data-uniquekey="1520536801371"></p> 3000010747 102 3000075678 2018-03-08T11:20:43-08:00 3018168548 16 <p><img class="fr-dib fr-draggable" src="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035055092/original/NBBGFUvbWgOq022pLhFn0rWx450dxfa1Bg.png?1520536804" style="width: 870px; height: 1125.88px;" data-filelink="https://s3.amazonaws.com/cdn.freshdesk.com/data/helpdesk/attachments/production/3035055092/original/NBBGFUvbWgOq022pLhFn0rWx450dxfa1Bg.png?1520536804" data-fileid="3035055092" data-uniquekey="1520536801371"></p> 2 0 0 William Osler Health System Vascular Lab Referral 2018-06-06T14:56:48-07:00 3018168548