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Bone Density Requisition by Shelter Lee — last modified 2008-04-29 00:08
Bone Density Requisition - Based on the BC standard outpatient bone density requisition
Breast Imaging - BC Standard by Shelter Lee — last modified 2008-04-29 00:20
This is the BC standard breast imaging requisition. You can draw a circle over the breast image to indicate the suspicious lump. This updated version lets you preview the size of the circle instantaneously as you drag out the radius. - the drawing function only works in Firefox, it does not work in Internet Explorer
Breast Imaging - FHA by Shelter Lee — last modified 2008-04-29 00:21
Based on the Fraser Health Breast Imaging Requisition. This updated version has allows you draw the a circle over the breast image and let you see the change in size "instantaneously". Just click at a point where you want to draw the circle and drag outwards. - the drawing function only works in Firefox, it does not work in Internet Explorer
CT scan - IV contrast related forms by Shelter Lee — last modified 2008-04-27 22:46
Some forms used to satisfy the radiology department's concerns about the use of IV contrast in patients with renal dysfunction.
Diagnostic Imaging Requisition - Hamilton, Ont by Shelter Lee — last modified 2008-05-12 15:35
 
Imaging Requisition by Shelter Lee — last modified 2008-04-24 00:26
Based on the Fraser Health Radiology Department Req. You'll need to upload both the html file and the image file.
MRI - FHA by Shelter Lee — last modified 2008-05-11 21:46
MRI Req based on the Fraser Health Authority Req
Nuclear Medicine - FHA by Shelter Lee — last modified 2008-05-11 21:49
 
PET Scan Requisition - UBC by Shelter Lee — last modified 2008-05-12 23:59
 
Valley Imaging Requisition by Shelter Lee — last modified 2008-04-27 22:03
Imaging requisition for the private x-ray clinic in the Fraser Valley. Has a shortcut menu on the side to quickly fill in the body part to be x-rayed and related clinical indication.