Products tagged with 'medical services form'

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Medical Office Employee Pledge of Confidentiality

All information collected by a medical office is confidential. Have all of your staff sign this Employee Pledge of Confidentiality.

  • In order to comply with privacy laws, all personnel employed in health services positions must pledge in writing to keep all patient information confidential.
  • This form is downloadable, editable and easy to use.
  • Customize the form by adding your office's logo, and print off copies to use as a hand-out for new employees and practitioners to sign.
  • This free form is available in MS Word format.
$0.00

Referral Form from Chiropractor to Physician

Chiropractors can refer a patient to a doctor with this free Physician Referral Form.

  • The Referral Form would be used to refer a chiropractic patient to a new doctor in circumstances where the chiropractor discovers a medical condition that should be treated by a physician.
  • The form has sections for pertinent findings and recommendations.
  • This form can be filled in on the computer or device, or used as a pre-printed form to be filled in by hand.
  • Available in MS Word format.
$0.00

Ontario Do Not Resuscitate Confirmation Form

Carry a copy of a DNR (Do Not Resuscitate) Confirmation Form with you if you do not wish to have CPR administered by paramedics or firefighters.

  • The form must be signed by a physician, registered nurse, registered nurse in the extended class, or registered practical nurse.
  • In accordance with Ontario laws, the DNR form instructs paramedics and firefighters not to administer CPR (including use of breathing tubes and resuscitation drugs).
  • Palliative care (comfort care) will still be provided, including administration of oxygen, suctioning, and pain medication.
  • When completed, the form will be numbered with a unique serial number.
  • This form contains both English and French language versions.
  • The form is issued by the Ontario Ministry of Health and Long-Term Care and the Office of the Fire Marshal.
  • Available in PDF format.
  • Intended to be used only in the Province of Ontario, Canada.
$0.00

Keep Your Nurses and Health Care Professionals for Life

Keep Your Nurses and Health Care Professionals for Life is a downloadable 210-page book by Brian Lee, CSP, based on his popular seminars.

  • The book delves into the medical profession and gives tips on how to keep our healthcare professionals in Canada and give life back to the profession.
  • Discover the 4 imperatives of how to inspire, retain, motivate and empower patient focused nurses and health care professionals.
  • Learn more about significant issues such as staff retention, staff empowerment, continuing education and inter-office relationships.
  • Keep Your Nurses and Health Care Professionals for Life is a downloadable e-book which is available in PDF format.
$29.99