Documents and Forms

Name Last Updated
2014/15 General Practitioner Collaborative Practice Incentive Component Information, Doctors NS May 13, 2015
Acquired Brain Injury Concussion or mTBI information brochure May 13, 2015
Action Item Template January 11, 2012
Addictions Program Coffee House-supporting family members November 5, 2013
Adult Pneumococcal Vaccination Guide November 5, 2013
Aligning Patients Survey - Summer 2010 June 15, 2011
Antimicrobial Handbook - 2012 August 19, 2014
April 2015 D & T Decisions May 1, 2015
ASNS First Link Referral Form November 5, 2013
August 2015 D & T Decisions August 30, 2016
Barium Enema Prep Form April 29, 2013
Bedford Waterfront Heatlh Clinic - Family Physician - DHW Approved June 23, 2016
Bone Marrow Transplants (BMT) immunization schedule November 5, 2013
Breast Imaging CME Flyer, May 22, 2015 May 13, 2015
Briefing Note Format January 11, 2012
By-laws of the Capital District Medical Staff Association January 22, 2013
Cancer Care Program Referral Form June 2, 2016
Cancer Site Team Case Conference Reviews August 8, 2012
Cancer Site Team Consult Request June 2, 2016
Care By Design Physicians - Halifax Area June 6, 2011
Change in Status Application - Medical and Dental November 7, 2014
Changes to release of automated differential blood count May 13, 2015
Changes to the testing of outpatient routine blood samples at Dartmouth General Hospital May 13, 2015
Chemistry Tube Change 2013 April 29, 2013
Chest X-Ray Guidelines August 6, 2013
Chest X-Ray Summary Reference August 6, 2013
Chlamydia Referral Form - Public Health Feb 2013 May 1, 2013
Choosing Wisely Canada - 5 things patients and physicians should question June 29, 2015
CIN Procedure Information November 4, 2013
Clinical Assistant Eating Disorder August 24, 2012
Coaching Relationship November 30, 2012
Community-based palliative care-Jan 2014 November 5, 2013
Community-Based Palliative Care-New Model Jan 2014 November 8, 2013
Completed Contrast Media Injection Questionnaire November 4, 2013
Continuing Care Information Package May 2013 August 1, 2013
CPATH Agenda at a Glance August 3, 2015
CPSNS Guidelines Referral & Consultation - Summer 2010 June 15, 2011
Dal Family Med Procedures Clinic Memo Feb 2014 March 6, 2014
Dal Family Medicine General Procedures Referral Form March 6, 2014
Dal Family Medicine IUD or Endometrial biopsy clinic referral form March 5, 2014
DCPNS Symposium 2015 April 2, 2015
DDFP Community Palliative Care Update January 31, 2014
DDFP Community Palliative Care Update January 31, 2014
December 2010 June 15, 2011
December 2013 D & T Decisions December 20, 2013
December 2016 D&T Decisions December 19, 2016
Department of Family Practice - Zone Medical Advisory Council Report June 29, 2015
Department of Family Practice Information Form December 16, 2015
DFP Spring Forum Invitation April 2, 2015
DGH Hospitalist Locum April 18, 2012
DMAC Meeting Schedule 2014-2015 February 28, 2014
Dr. Mary Sidhom - Locum Cover Required - Approved January 22, 2016
Drs. Leighton and Bowdridge - DHW Approved Position November 22, 2016
Early Pregnancy Complications Patient Instructions July 31, 2013
Early Pregnancy Referral Form July 31, 2013
Elmsdale April 2012 April 13, 2012
Emailing Confidential CDHA Personal Health Information or Business Information January 31, 2014
Epilepsy Assoc. Needs Assesment Feb 2014 March 5, 2014
Fairview, Halifax - DHW Approved Position October 13, 2016
Family Focus, Baker Drive, Dartmouth South - DHW Approved Position November 18, 2016
Family Physician Vacancy Winter 2012 - Woodlawn Medical Clinic, Dartmouth NS September 13, 2011
February 2012 - D&T Decisions February 1, 2012
February 2013 D&T Decisions February 13, 2013
Flu Vaccine Return to Public Health June 29, 2015
General Internist - Lacewood Medical Centre June 6, 2011
Geriatric Medicine Ambulatory Care Referral Form May 16, 2011
GP Hospitalist - Rehabilitation Program June 6, 2011
Group Medical Visit Learning Opportunities September 4, 2015
Guide to Enhance Referrals & Consults RCPSC - Summer 2010 June 15, 2011
Guidelines for Effective Meetings January 11, 2012
Home Care & Nursing Care Previsit Risk Form August 1, 2013
Hydrostone Medical Centre - DHW Approved Position November 22, 2016
Impact on laboratory services as a result of continued implementation of the automated track system May 13, 2015
Invitation 2015 May 22, 2015
IUD Clinic Information - IWK September 26, 2011
IUD Insertion Clinic Checklist April 29, 2013
IUD Insertion Clinic Checklist New Jan 2014 January 31, 2014
IUD Insertion Clinic Checklist Oct 2012 November 27, 2012
IWK Adolescent Abdominal Pain Recruitment Poster-Jan 2014 January 31, 2014
IWK Breast Health Clinic Guidelines June 15, 2011
IWK Breast Health Clinic Referral Form July 12, 2011
IWK Mindfulness for recurrent abdominal pain in adolescents study criteria January 31, 2014
IWK Reproductive Mental Health Services-new referral form(Nov 2013) November 5, 2013
July 2013 D & T Decisions July 26, 2013
June 2012 D&T Decisions July 6, 2012
Lab Corner Fecal Occult Test Feb 2014 March 5, 2014
Lab Pap updated guidelines-Nov. 2013 March 5, 2014
LAB-Cancellation Rules-Repeat Testing & Interval Guide January 31, 2014
LAB-Changes in (TTG) IgA screening for Celiac Disease March 5, 2014
LAB-Changes in CMV viral load testing & interpretation cutoffs January 31, 2014
LAB-Discontinuation of routine Vancomycin peak levels January 31, 2014
LAB-Hematology new cell counter & ref ranges January 31, 2014
LAB-Processing of Rapid Streptococcal Antigen Testing January 31, 2014
LAB-When to test for folic acid January 31, 2014
Language Line Reference Guide June 15, 2011
Leading a Meeting Guidelines January 11, 2012
LMS - Employee Learning Record Guidelines April 10, 2013
Locum Geriatrician (1 year term - Closing date: July 14, 2016) May 16, 2016
March 2012 D&T Decisions March 29, 2012
March 2016 D&T Decisions March 18, 2016
May 2013 D&T Decisions May 30, 2013
Medical Certificate of Death (Form 6-2) New Feb 2014 March 5, 2014
Medical Director - Community November 7, 2014
Medical Officer of Health Communicable Disease Bulletin: Increase in Mumps Cases May 13, 2015
Medicine in Motion Medical Centre - Family Physician - DHW Approved April 26, 2016
Meeting Evaluation Form January 11, 2012
Mental Health "Helping Trees" June 9, 2011
MMT Recruitment Poster September 4, 2015
MMT Research Protocol September 4, 2015
MMT Research Protocol September 4, 2015
MOH Bulletin September 4, 2015
Musquodoboit Harbour Medical Clinic Family Physician Vacancy June 6, 2011
Musquodoboit Valley - Family Practice - DHW Approved September 23, 2016
New Application Form - Medical and Dental (revised Jan 2015) January 13, 2015
New blood collection clinic at Woodlawn Family Practice and changes to Dartmouth General Blood Collection June 29, 2015
New Blood Collection Clinic at Woodlawn Family Practice Clinic and changes to Dartmouth General Hospital Blood Collection Hours June 29, 2015
NEW Community Health Teams May 13, 2015
New Laboratory Requisitions for Primary Care November 4, 2013
New Laboratory Requisitions for Primary Care November 4, 2013
Newborn Consultation Summary-Public Health November 5, 2013
November 2007 D&T Decision June 24, 2011
November 2012 D&T Decisions November 28, 2012
October 2012 D&T Decisions October 3, 2012
Orientation Brochure May 2, 2013
Outpatient Pulmonary Function Tests Request Form May 16, 2011
Patient Safety Event Report Form June 15, 2011
Penhorn Medical Clinic, Dartmouth - DHW Approved Position November 10, 2016
Personal Learning Record - LMS February 15, 2013
PHC Connection Survey June 15, 2011
PHC Research Day Call for Posters May 22, 2015
PHC Research Day Flyer May 22, 2015
Physician & Medical Advisor Posting-Rosecrest March 5, 2014
Physician Orientation Manual May 2, 2013
Point-of-Care Research Training Program for Health Professionals May 16, 2011
Porters Lake Medical Clinic - DHW Approved Position November 21, 2016
Prescribing Course - September 12 September 4, 2015
Prescribing Course Poster - Amherst September 4, 2015
prideHealth Discussion at Spring Forum 2015 May 13, 2015
prideHealth trans Guide-complete August 1, 2013
Project Charter Template September 6, 2012
Proposed Approach for Adult Leaning Modules September 4, 2015
Proposed Process for ED Referral April 2, 2015
Psychiatrist June 6, 2011
Public Health Immunization History - Summer 2010 June 15, 2011
Publicly Funded Immunization Program Update August 3, 2015
Re-Appointment Application - Part 2 (Existing Physicians) - Medical and Dental November 7, 2014
Referral Form - ICCS January 27, 2012
Referral to the ED Form-New Jan 2014 January 31, 2014
Registration Form PHC Research Day May 22, 2015
Registration of Death (Form 6-1) updated 2014 March 5, 2014
Rerferral to the ED - New Processes Jan 2014 January 31, 2014
Research Director - Halifax, NS July 18, 2013
Respirologist September 30, 2015
Revised Prenatal Form (Record 1) - Jan 2014 January 31, 2014
Revised Prenatal Form (Record 2) - Jan 2014 January 31, 2014
Revised Prenatal Form(Record 3)-Jan 2014 January 31, 2014
Rotavirus Survey Ballot July 31, 2013
Sample Agenda 1 January 11, 2012
Sample Agenda 2 January 11, 2012
Screening and Management of patients with suspected Middle East Respiratory Syndrome - Coronavirus June 29, 2015
Septemberr 2014 D & T Decisions September 17, 2014
Six Tips for More Effective Meetings January 11, 2012
Spring Forum Schedule 2015 May 13, 2015
Spring Forum Schedule 2015 May 22, 2015
Spryfield Family Medicine Clinic - Locum Cover - Dr. Margaret Rowicka - Approved January 22, 2016
Standard Referral Form to Emergency Department April 2, 2015
Surveillance guidelines-vaccine preventable diseases updated June 2013 November 5, 2013
Synoptic Rectal Report - Summer 2010 June 15, 2011
Ten Commandments of Meeting January 11, 2012
Terms of Reference January 11, 2012
The Burnside Family Practice - Family Physician - DHW Approved April 26, 2016
The Family Focus Medical Clinic (Sackville Drive) - Family Physician - DHW Approved April 26, 2016
Tips and Etiquette January 11, 2012
Trans Clinical Training -Apr 2014 March 5, 2014
Transitions Team discussion on quality and quantity of discharge summaries at Spring Forum May 26, 2015
TVN Recruitment Letter September 4, 2015
Types of Meetings January 11, 2012
vaccine eligibility high risk policy November 5, 2013
Vaccine eligibility-high risk policy final November 5, 2013
Various HRM Walk in Clinics December 2, 2014
Vital Stats-Medical Certificate of Death Memo March 5, 2014
WHI Study Brochure April 29, 2013
WHI Study Poster April 29, 2013
Woodlawn Medical Clinic Family Physician Vacancy June 6, 2011
Woodlawn Medical Clinic, Dartmouth - Family Physician - DHW Approved October 27, 2016
Your District Medical Staff Association May 16, 2011
Your Way to Wellness Spring Sessions May 13, 2015
YW2W Fall 2015 Session Poster September 4, 2015
Name Last Updated
Addictions Program Coffee House-supporting family members November 5, 2013
Adult Pneumococcal Vaccination Guide November 5, 2013
Aligning Patients Survey - Summer 2010 June 15, 2011
Antimicrobial Handbook - 2012 August 19, 2014
April 2015 D & T Decisions May 1, 2015
ASNS First Link Referral Form November 5, 2013
Bone Marrow Transplants (BMT) immunization schedule November 5, 2013
By-laws of the Capital District Medical Staff Association January 22, 2013
Cancer Site Team Case Conference Reviews August 8, 2012
Chemistry Tube Change 2013 April 29, 2013
Community-based palliative care-Jan 2014 November 5, 2013
Community-Based Palliative Care-New Model Jan 2014 November 8, 2013
Completed Contrast Media Injection Questionnaire November 4, 2013
Continuing Care Information Package May 2013 August 1, 2013
CPSNS Guidelines Referral & Consultation - Summer 2010 June 15, 2011
December 2010 June 15, 2011
December 2013 D & T Decisions December 20, 2013
DMAC Meeting Schedule 2014-2015 February 28, 2014
Guide to Enhance Referrals & Consults RCPSC - Summer 2010 June 15, 2011
IUD Clinic Information - IWK September 26, 2011
IWK Breast Health Clinic Guidelines June 15, 2011
IWK Reproductive Mental Health Services-new referral form(Nov 2013) November 5, 2013
June 2012 D&T Decisions July 6, 2012
Language Line Reference Guide June 15, 2011
May 2013 D&T Decisions May 30, 2013
Medical Director - Community November 7, 2014
Meeting Evaluation Form January 11, 2012
Mental Health "Helping Trees" June 9, 2011
Newborn Consultation Summary-Public Health November 5, 2013
November 2012 D&T Decisions November 28, 2012
Patient Safety Event Report Form June 15, 2011
Personal Learning Record - LMS February 15, 2013
PHC Connection Survey June 15, 2011
Point-of-Care Research Training Program for Health Professionals May 16, 2011
prideHealth trans Guide-complete August 1, 2013
Public Health Immunization History - Summer 2010 June 15, 2011
Research Director - Halifax, NS July 18, 2013
Septemberr 2014 D & T Decisions September 17, 2014
Surveillance guidelines-vaccine preventable diseases updated June 2013 November 5, 2013
Synoptic Rectal Report - Summer 2010 June 15, 2011
vaccine eligibility high risk policy November 5, 2013
Vaccine eligibility-high risk policy final November 5, 2013
WHI Study Brochure April 29, 2013
WHI Study Poster April 29, 2013
Your District Medical Staff Association May 16, 2011
Name Last Updated
February 2013 D&T Decisions February 13, 2013
March 2016 D&T Decisions March 18, 2016