William Osler Health System Consultation Referral Form Review/Comparison of Images

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

2018-03-22T13:13:13-07:00

3000010747

143 3000076382

2018-03-22T13:13:13-07:00

3018168548

William Osler Health System Consultation Referral Form Review/Comparison of Images

2018-06-06T14:56:48-07:00

3018168548

2018-03-08T11:27:23-08:00

3000010747

147 3000075682

2018-03-08T11:27:23-08:00

3018168548

William Osler Health System CT Early Detection of Lung Cancer Examination Low Dose Chest CT 2017

2018-06-06T14:56:47-07:00

3018168548

2016-08-16T10:15:21-07:00

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

William Osler Health System CT Early Detection of Lung Cancer Examination 2012

2018-11-21T14:52:54-08:00

3009777009

2018-03-08T11:10:09-08:00

3000010747

118 3000075673

2018-03-08T11:10:09-08:00

3018168548

William Osler Health System CT Outpatient Request 2017

2018-11-21T14:52:54-08:00

3018168548

2016-08-15T17:02:32-07:00

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

William Osler Health System CT Request for CT Consultation 2009

2018-11-21T14:52:54-08:00

3009777009

2018-03-08T11:18:21-08:00

3000010747

116 3000075677

2018-03-08T11:18:21-08:00

3018168548

William Osler Health System Diabetes Education Centre Referral Form

2018-11-21T14:52:54-08:00

3018168548

2018-03-22T13:34:53-07:00

3000010747

866 3000076384

2018-03-22T13:34:53-07:00

3018168548

William Osler Health System Early Pregnancy Clinic Referral Form Brampton Civic Hospital

2018-06-06T14:56:48-07:00

3018168548

2018-03-08T11:16:33-08:00

3000010747

99 3000075676

2018-03-08T11:16:33-08:00

3018168548

William Osler Health System Maternity Care Clinic Referral Form

2018-06-06T14:56:47-07:00

3018168548

2016-08-15T11:55:50-07:00

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

William Osler Health System MRI Request for Magnetic Resonance Imaging Etobicoke General Hospital

2018-06-06T14:56:47-07:00

3009777009

2018-05-25T10:02:56-07:00

3000010747

106 3000078222

2018-11-21T14:48:38-08:00

3018168548

William Osler Health System MRI Request for Magnetic Resonance Imaging Department of Diagnostic Imaging

2018-11-21T14:52:54-08:00

3018168548

2018-03-08T11:12:47-08:00

3000010747

62 3000075674

2018-03-08T11:12:47-08:00

3018168548

William Osler Health System NM Request for Nuclear Medicine / Molecular Imaging

2018-11-21T14:52:54-08:00

3018168548

2018-03-08T11:24:55-08:00

3000010747

91 3000075681

2018-05-29T09:00:36-07:00

3018168548

William Osler Health System Radiology Request 2018

2018-06-06T14:56:47-07:00

3018168548

2016-08-16T10:27:49-07:00

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

William Osler Health System Radiology Request for Radiology 2012

2018-11-21T14:52:54-08:00

3009777009

2018-03-08T11:30:28-08:00

3000010747

58 3000075683

2018-03-08T11:30:28-08:00

3018168548

William Osler Health System Referral for Image Guided Biopsy

2018-11-21T14:52:54-08:00

3018168548

2018-03-08T11:22:33-08:00

3000010747

162 3000075679

2018-11-21T14:49:43-08:00

3018168548

William Osler Health System Ultrasound Request for Ultrasound 2017

2018-06-06T14:56:48-07:00

3018168548

2018-03-08T11:20:43-08:00

3000010747

102 3000075678

2018-03-08T11:20:43-08:00

3018168548

William Osler Health System Vascular Lab Referral

2018-06-06T14:56:48-07:00

3018168548