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
Northwest Territories Residency Statutory Declaration
If you have recently moved to the Northwest Territories, you can obtain health and social services by providing the Government with a Declaration of Residency.
- This statutory declaration form can be used by individuals who have recently moved to the NWT or who are planning to become residents but can't provide two documents that prove their residency status.
- Click the link to access the document directly from the Government of NWT website.
- For use only in the Northwest Territories, Canada.
$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
