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KWEMA Forms

Audiology/ENG KWBC Referral Cardio Diagnostics - CPS Referral CCAC Home Care Form CCAC Parenteral Order Form Dermatology (AvantDerm TO) Referral Doctor's Note ED Referral EPAU Referral Heart Function Clinic Referral Patient Consent Plastic/reconstructive Referral Pregnancy and No Family MD Referral RAAM Referral Sports Med / Physio Referral Vestibular Ortho Rehab Referral

General Forms

Form 1 & 42 Medical Condition Report - MTO Ontario Lab Requisition WSIB Form 8

Clinic Information

Gastroenterology Clinic GIM/Heme Clinic General surgery Clinic Obstetrics Clinic Ophthalmology Clinic Orthopedics Clinic Otolaryngology/ENT Clinic Pediatrics Clinic Plastics Clinic Spine Clinic Urology Clinic

Peds Mental Health RRS Info Pregnancy Option Clinic Public Health Dental Clinic RAAM Clinic Suboxone pharmacy info Withdrawal management center info Walk-in / Student Clinics

Patient Handouts

Concussion - Return to school (Parachute) Concussion - Return to work (CAAT) Pediatric constipation info (CHEO) Pediatric fever info (CHEO) Handouts.ca

Quick Link / Referencess

Antimicrobial Stewardship Program - UHN Critical Care Quick Reference KWEMA Portal OHIPcodes.com OHIP EM Fee Codes Pediatric 90th %tile Vitals SMGH STEMI Algorithm SMGH Troponin Algorithm