Interior Health Authority

eForms for British Columbia users from the interior region.

Interior Health Home Oxygen Program - Subsidy Application
Use this form to apply for a subsidy for the Home Oxygen Program.
Thu, 18 Nov, 2021 at 2:40 AM
Interior Health Hospital Autopsy Consent Form
This is the latest version of the Hospital Autopsy Consent Form for IHA.
Thu, 18 Nov, 2021 at 2:41 AM
Interior Health Integrated Health Programs Penticton Health Centre Referral Form
This form allows you to refer patients to a wide variety of programs and clinics within IHA.
Thu, 18 Nov, 2021 at 2:41 AM
Interior Health Medical Orders for Scope of Treatment (MOST)
Thu, 18 Nov, 2021 at 2:42 AM
Interior Health Patient Consent Record Appreciable Risk Procedures
Use this form to get consent from your patients for surgery, blood transfusion, labour & delivery, or other procedures with Appreciable Risk of Har...
Thu, 18 Nov, 2021 at 3:13 AM
Interior Health Penticton Regional Hospital Department of Cardiology Chest Pain Clinic - Referral Requisition
This forms allows you to refer patients to the Chest Pain Clinic of the Department of Cardiology at Penticton Regional Hospital. The patient and referr...
Thu, 18 Nov, 2021 at 3:14 AM
Interior Health Penticton Regional Hospital Department of Cardiology HOLTER Monitor Requisition
This requisition allow you to refer patients to the Department of Cardiology of the Penticton Regional Hospital for a HOLTER Monitor exam. The patient ...
Thu, 18 Nov, 2021 at 3:15 AM
Interior Health Penticton Regional Hospital Department of Cardiology Rapid Access to Cardiac Evaluation (RACE)
Use this form to refer patients for cardiac evaluation at the Department of Cardiology of the Penticton Regional Hospital.
Thu, 18 Nov, 2021 at 3:16 AM
Interior Health Penticton Regional Hospital Electrodiagnostic Services - EEG Requisition
Use this form to refer patients to the Electrodiagnostic Services of the Penticton Regional Hospital for EEG exams. The patient and ordering physician ...
Thu, 18 Nov, 2021 at 3:16 AM
Interior Health Physician's Order
This form allows you to record the physician's orders for a patient.
Thu, 18 Nov, 2021 at 3:18 AM