Documents and Forms

Name Last Updated
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 April 10, 2019
April 2015 D & T Decisions May 1, 2015
ASNS First Link Referral Form November 5, 2013
August 2015 D & T Decisions August 30, 2016
August 2019 D&T Decisions August 1, 2019
Barium Enema Prep Form April 29, 2013
Bone Marrow Transplants (BMT) immunization schedule November 5, 2013
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 January 10, 2019
Care By Design Physicians - Halifax Area June 6, 2011
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
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
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
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 Information Form December 16, 2015
DGH Hospitalist Locum April 18, 2012
DMAC Meeting Schedule 2014-2015 February 28, 2014
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
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
February 2021 D&T Decisions February 2, 2021
General Internist - Lacewood Medical Centre June 6, 2011
Geriatric Medicine Ambulatory Care Referral Form May 16, 2011
GP Hospitalist - Rehabilitation Program June 6, 2011
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
In-Home Blood Collection Referral December 16, 2020
Instructions for Calling Limited English Speaking Patient At Home-NH March 16 2020 March 20, 2020
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
January 2022 D&T Decisions January 31, 2022
July 2013 D & T Decisions July 26, 2013
July 2020 D&T Decisions July 23, 2020
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
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
May 2019 D&T Decisions May 16, 2019
Medical Certificate of Death (Form 6-2) New Feb 2014 March 5, 2014
Medical Director - Community November 7, 2014
Meeting Evaluation Form January 11, 2012
Mental Health "Helping Trees" June 9, 2011
Musquodoboit Harbour Medical Clinic Family Physician Vacancy June 6, 2011
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
PHC Connection Survey June 15, 2011
Physician Orientation Manual May 2, 2013
Point-of-Care Research Training Program for Health Professionals May 16, 2011
prideHealth trans Guide-complete August 1, 2013
Project Charter Template September 6, 2012
Psychiatrist June 6, 2011
Public Health Immunization History - Summer 2010 June 15, 2011
Referral Form - ICCS January 27, 2012
Referral to the ED Form-New Jan 2014 January 31, 2014
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
September 2018 D&T Decisions September 19, 2018
Septemberr 2014 D & T Decisions September 17, 2014
Six Tips for More Effective Meetings January 11, 2012
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
Tips and Etiquette January 11, 2012
Trans Clinical Training -Apr 2014 March 5, 2014
Types of Meetings January 11, 2012
vaccine eligibility high risk policy November 5, 2013
Vaccine eligibility-high risk policy final November 5, 2013
VDI and RDP User Guides May 18, 2022
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
Your District Medical Staff Association May 16, 2011
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 April 10, 2019
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
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