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LIVE 5-2-1-0 Service Providers Toolkit

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1243

Health Authority: Fraser

Division: Chilliwack Division of Family Practice

Published Date: 2019-01-09

Link to File: http://www.divisionsbc.ca/sites/default/files/Divisions/Chilliwack/Our%20Impact/5210-Chilliwack-toolkit-web.pdf

Description: "This toolkit provides information and statistics about Live 5-2-1-0; ways to support clients in living 5-2-1-0; and practical, fun ideas and resources to live 5-2-1-0."

Health Authority: Fraser

Division: Chilliwack Division of Family Practice

Corporate Author: Chilliwack Division of Family Practice

Published Date: 2019-01-09

Topics: Community Engagement

Resource Type: Toolkit

File Type: Pdf

Link to File: http://www.divisionsbc.ca/sites/default/files/Divisions/Chilliwack/Our%20Impact/5210-Chilliwack-toolkit-web.pdf

Originating web page: http://www.divisionsbc.ca/chilliwack/our-impact/community-engagement

Description: This toolkit provides information and statistics about Live 5-2-1-0; ways to support clients in living 5-2-1-0; and practical, fun ideas and resources to live 5-2-1-0.

Request for Support application

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1264

Health Authority: Interior

Division: Central Okanagan Division of Family Practice

Published Date: 2019-02-22

Link to File: http://divisionsbc.ca/sites/default/files/Divisions/Central%20Okanagan/Request%20for%20Support.pdf

Description: "This is a form to request for support application"

Health Authority: Interior

Division: Central Okanagan Division of Family Practice

Corporate Author: Central Okanagan Division of Family Practice

Published Date: 2019-02-22

Resource Type: Form

File Type: Pdf

Link to File: http://divisionsbc.ca/sites/default/files/Divisions/Central%20Okanagan/Request%20for%20Support.pdf

Originating web page: http://www.divisionsbc.ca/central-okanagan/your-division/request-for-support

Description: This is a form to request for support application

Adverse Childhood Experiences

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1268

Health Authority: Interior

Division: Kootenay Boundary Division of Family Practice

Program: Shared Care

Published Date: 2019-02-25

Link to File: http://www.divisionsbc.ca/sites/default/files/Divisions/Kootenay%20Boundary/ACEs%20Booklet%20v5_Electronic.pdf

Description: "This toolkit Explains how to Incorporate ACEs Into Your Practice and it includes ACEs questionnaires for children, youth and adults"

Health Authority: Interior

Division: Kootenay Boundary Division of Family Practice

Program: Shared Care

Corporate Author: Kootenay Boundary Division of Family Practice

Published Date: 2019-02-25

Topics: Adverse Childhood Experiences

Resource Type: Toolkit

File Type: Pdf

Link to File: http://www.divisionsbc.ca/sites/default/files/Divisions/Kootenay%20Boundary/ACEs%20Booklet%20v5_Electronic.pdf

Originating web page: http://www.divisionsbc.ca/kootenay-boundary/your-division/member-resources

Description: This toolkit Explains how to Incorporate ACEs Into Your Practice and it includes ACEs questionnaires for children, youth and adults

Geriatric Prescribing in the Emergency Patient

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1286

Health Authority: Island; Vancouver Coastal; Fraser

Division: White Rock South Surrey Division of Family Practice; Oceanside Division of Family Practice

Program: Long Term Care Initiative

Published Date: 2015

Link to File: http://www.divisionsbc.ca/sites/default/files/Divisions/Oceanside/PDFS/GeriatricPrescribingTool.pdf

Description: "This toolkit gives informations about Geriatric Prescribing in the Emergency Patient"

Health Authority: Island; Vancouver Coastal; Fraser

Division: White Rock South Surrey Division of Family Practice; Oceanside Division of Family Practice

Program: Long Term Care Initiative

Corporate Author: Vancouver Coastal Health; Provincial Health Services Authority (PHSA); Fraser Health Authority

Published Date: 2015

Topics: Long Term Care

Resource Type: Toolkit

File Type: Pdf

Link to File: http://www.divisionsbc.ca/sites/default/files/Divisions/Oceanside/PDFS/GeriatricPrescribingTool.pdf

Originating web page: http://www.divisionsbc.ca/oceanside/our-impact/residential-care-initiative

Description: This toolkit gives informations about Geriatric Prescribing in the Emergency Patient

Looking for a Family Doctor in North shore

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1299

Health Authority: Vancouver Coastal

Division: North Shore Division of Family Practice

Program: A GP for Me

Published Date: 2019

Link to File: https://surveys.divisionsbc.ca/Survey.aspx?s=68e29ca0598547fd89e8ca15e37e0f5a

Description: "an online form to help find a doctor in North Shore"

Health Authority: Vancouver Coastal

Division: North Shore Division of Family Practice

Program: A GP for Me

Corporate Author: North Shore Division of Family Practice

Published Date: 2019

Resource Type: Form

File Type: Web page

Link to File: https://surveys.divisionsbc.ca/Survey.aspx?s=68e29ca0598547fd89e8ca15e37e0f5a

Originating web page: http://www.divisionsbc.ca/north-shore/our-initiatives/patient-focused/find-a-doctor

Description: an online form to help find a doctor in North Shore

Activity Record - Board of Directors

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1303

Health Authority: Vancouver Coastal

Division: North Shore Division of Family Practice

Published Date: 2019

Link to File: http://www.divisionsbc.ca/sites/default/files/traeburn/Activity%20Record.BoD_.2018.02.01.v1.pdf

Description: "This is the Board of directors activty record form"

Health Authority: Vancouver Coastal

Division: North Shore Division of Family Practice

Corporate Author: North Shore Division of Family Practice

Published Date: 2019

Resource Type: Form

File Type: Pdf

Link to File: http://www.divisionsbc.ca/sites/default/files/traeburn/Activity%20Record.BoD_.2018.02.01.v1.pdf

Originating web page: http://www.divisionsbc.ca/north-shore/resources/forms

Description: This is the Board of directors activty record form

Activity Record - Division Members

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1304

Health Authority: Vancouver Coastal

Division: North Shore Division of Family Practice

Published Date: 2019

Link to File: http://www.divisionsbc.ca/sites/default/files/traeburn/22.%20Activity%20Record.General.2018.01.19.pdf

Description: "This is the division members activity record form"

Health Authority: Vancouver Coastal

Division: North Shore Division of Family Practice

Corporate Author: North Shore Division of Family Practice

Published Date: 2019

Resource Type: Form

File Type: Pdf

Link to File: http://www.divisionsbc.ca/sites/default/files/traeburn/22.%20Activity%20Record.General.2018.01.19.pdf

Originating web page: http://www.divisionsbc.ca/north-shore/resources/forms

Description: This is the division members activity record form

Billing and Tax Information Form

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1305

Health Authority: Vancouver Coastal

Division: North Shore Division of Family Practice

Published Date: 2019

Link to File: http://divisionsbc.ca/sites/default/files/Divisions/North%20Shore/Billing%20and%20Tax%20Information%20Form.2017.v2.pdf

Description: "This is the billing and tax information form"

Health Authority: Vancouver Coastal

Division: North Shore Division of Family Practice

Corporate Author: North Shore Division of Family Practice

Published Date: 2019

Resource Type: Form

File Type: Pdf

Link to File: http://divisionsbc.ca/sites/default/files/Divisions/North%20Shore/Billing%20and%20Tax%20Information%20Form.2017.v2.pdf

Originating web page: http://www.divisionsbc.ca/north-shore/resources/forms

Description: This is the billing and tax information form

Direct Deposit Agreement Form

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1306

Health Authority: Vancouver Coastal

Division: North Shore Division of Family Practice

Published Date: 2019

Link to File: http://www.divisionsbc.ca/sites/default/files/traeburn/Direct%20Deposit%20Agreement%20Form.2017.v2.pdf

Description: "This is the direct deposit agreement form"

Health Authority: Vancouver Coastal

Division: North Shore Division of Family Practice

Corporate Author: North Shore Division of Family Practice

Published Date: 2019

Topics: Billing

Resource Type: Form

File Type: Pdf

Link to File: http://www.divisionsbc.ca/sites/default/files/traeburn/Direct%20Deposit%20Agreement%20Form.2017.v2.pdf

Originating web page: http://www.divisionsbc.ca/north-shore/resources/forms

Description: This is the direct deposit agreement form

Meeting Attendance Record

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1307

Health Authority: Vancouver Coastal

Division: North Shore Division of Family Practice

Published Date: 2019

Link to File: http://www.divisionsbc.ca/sites/default/files/traeburn/Meeting%20Attendance%20Record.General.2018.01.19.pdf

Description: "This is the meeting attendance record form"

Health Authority: Vancouver Coastal

Division: North Shore Division of Family Practice

Corporate Author: North Shore Division of Family Practice

Published Date: 2019

Resource Type: Form

File Type: Pdf

Link to File: http://www.divisionsbc.ca/sites/default/files/traeburn/Meeting%20Attendance%20Record.General.2018.01.19.pdf

Originating web page: http://www.divisionsbc.ca/north-shore/resources/forms

Description: This is the meeting attendance record form

Physician Sessional Form

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1308

Health Authority: Vancouver Coastal

Division: Richmond Division of Family Practice

Published Date: 2018-04

Link to File: http://www.divisionsbc.ca/sites/default/files/sajwang/FILLABLE%20-Physician%20Reimbursement%20Form%20-%20Apr%202018.pdf

Description: "This is the physician sessional form"

Health Authority: Vancouver Coastal

Division: Richmond Division of Family Practice

Corporate Author: Richmond Division of Family Practice

Published Date: 2018-04

Topics: Billing

Resource Type: Form

File Type: Pdf

Link to File: http://www.divisionsbc.ca/sites/default/files/sajwang/FILLABLE%20-Physician%20Reimbursement%20Form%20-%20Apr%202018.pdf

Originating web page: http://www.divisionsbc.ca/richmond/your-division/sessional-forms

Description: This is the physician sessional form

MOA Sessional Form

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1309

Health Authority: Vancouver Coastal

Division: Richmond Division of Family Practice

Published Date: 2018

Link to File: http://www.divisionsbc.ca/sites/default/files/sajwang/MOA%20Reimbursement%20Form.pdf

Description: "This is the MOA Sessional form"

Health Authority: Vancouver Coastal

Division: Richmond Division of Family Practice

Corporate Author: Richmond Division of Family Practice

Published Date: 2018

Topics: Billing

Resource Type: Form

File Type: Pdf

Link to File: http://www.divisionsbc.ca/sites/default/files/sajwang/MOA%20Reimbursement%20Form.pdf

Originating web page: http://www.divisionsbc.ca/richmond/your-division/sessional-forms

Description: This is the MOA Sessional form

New Patient Registration Form

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1310

Health Authority: Vancouver Coastal

Division: Sea to Sky Division of Family Practice

Program: A GP for Me

Published Date: 2019

Link to File: http://www.divisionsbc.ca/sites/default/files/Divisions/Sea%20to%20Sky/Patient%20Intake%20Form.pdf

Description: "This is the new patient registration form"

Health Authority: Vancouver Coastal

Division: Sea to Sky Division of Family Practice

Program: A GP for Me

Corporate Author: Sea to Sky Division of Family Practice

Published Date: 2019

Resource Type: Form

File Type: Pdf

Link to File: http://www.divisionsbc.ca/sites/default/files/Divisions/Sea%20to%20Sky/Patient%20Intake%20Form.pdf

Originating web page: http://www.divisionsbc.ca/sea-sky/for-residents/gp-directory

Description: This is the new patient registration form

CME Survey: What Are Your Needs and Wants?

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource367

Health Authority: Interior

Division: Kootenay Boundary Division of Family Practice

Program: Divisions of Family Practice

Published Date: 2012

Link to File: /media/divresources/CMESurvey2012RoundTable.pdf

Description: "This survey requests feedback on CME events from participants at the Kootenay Boundary Regional Round Table in 2012."

Health Authority: Interior

Division: Kootenay Boundary Division of Family Practice

Program: Divisions of Family Practice

Corporate Author: Kootenay Boundary Division of Family Practice

Published Date: 2012

Topics: Continuing Medical Education (CME); Surveys

Event: Kootenay Boundary Regional Roundtable

Resource Type: Form; Survey

File Type: Pdf

Link to File: /media/divresources/CMESurvey2012RoundTable.pdf

Description: This survey requests feedback on CME events from participants at the Kootenay Boundary Regional Round Table in 2012.

Evaluation Form

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource368

Health Authority: Fraser

Division: Langley Division of Family Practice

Program: Divisions of Family Practice

Published Date: 2012

Link to File: /media/divresources/CMEEvaluationForm.pdf

Description: "Langley Division event evaluation form."

Health Authority: Fraser

Division: Langley Division of Family Practice

Program: Divisions of Family Practice

Corporate Author: Langley Division of Family Practice

Published Date: 2012

Topics: Evaluation; Surveys

Resource Type: Survey; Form

File Type: Pdf

Link to File: /media/divresources/CMEEvaluationForm.pdf

Description: Langley Division event evaluation form.

MOA Referral Form

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource374

Health Authority: Interior

Division: Kootenay Boundary Division of Family Practice

Program: A GP for Me

Published Date: 2015

Link to File: /media/divresources/MOAblueform.pdf

Description: "This form, completed by the patient and MOA, is meant to provide information to the Kootenay Boundary Division on whether the patient was attached and whether they were referred to the clinic by the Kootenay Boundatry A GP for Me Hotline."

Health Authority: Interior

Division: Kootenay Boundary Division of Family Practice

Program: A GP for Me

Corporate Author: Kootenay Boundary Division of Family Practice

Published Date: 2015

Topics: Attachment

Resource Type: Form

File Type: Pdf

Link to File: /media/divresources/MOAblueform.pdf

Description: This form, completed by the patient and MOA, is meant to provide information to the Kootenay Boundary Division on whether the patient was attached and whether they were referred to the clinic by the Kootenay Boundatry A GP for Me Hotline.

Call PAM (Patient Attachment Mechanism) Business Card

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource379

Health Authority: Fraser

Division: Chilliwack Division of Family Practice

Program: A GP for Me

Published Date: 2015

Link to File: /media/divresources/PatientAttachmentMechanismBusinessCardChilliwack.pdf

Description: "This business card highlights the Chilliwack PAM (Patient Attachment Mechanism) and how patients can access."

Health Authority: Fraser

Division: Chilliwack Division of Family Practice

Program: A GP for Me

Corporate Author: Chilliwack Division of Family Practice

Published Date: 2015

Topics: Communications and Marketing; Attachment

Resource Type: Business / Wallet Card

File Type: Pdf

Link to File: /media/divresources/PatientAttachmentMechanismBusinessCardChilliwack.pdf

Description: This business card highlights the Chilliwack PAM (Patient Attachment Mechanism) and how patients can access.

Resource Navigator Candidates Short Criteria Score Sheet

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource384

Health Authority: Vancouver Coastal

Division: Powell River Division of Family Practice

Program: A GP for Me

Published Date: 2015

Link to File: /media/divresources/ResourceNavigatorShortlistCriteria.doc

Description: "Interview criteria for a resource navigator arranged in a score sheet."

Health Authority: Vancouver Coastal

Division: Powell River Division of Family Practice

Program: A GP for Me

Corporate Author: Powell River Division of Family Practice

Published Date: 2015

Topics: Human Resources; Community / Patient Navigation

Resource Type: Form

File Type: Word

Link to File: /media/divresources/ResourceNavigatorShortlistCriteria.doc

Description: Interview criteria for a resource navigator arranged in a score sheet.

Hope Partners in Health Care Community Forum Evaluation Questions

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource415

Health Authority: Fraser

Division: Chilliwack Division of Family Practice

Program: A GP for Me

Published Date: 2014-02-24

Link to File: /media/divresources/HopeHealthPromoCommunityForumEvaluation.pdf

Description: "A one-page event evaluation survey."

Health Authority: Fraser

Division: Chilliwack Division of Family Practice

Program: A GP for Me

Corporate Author: Chilliwack Division of Family Practice

Published Date: 2014-02-24

Topics: Evaluation; Health Promotion

Event: Hope Health Promo Community Forum

Resource Type: Form; Survey

File Type: Pdf

Link to File: /media/divresources/HopeHealthPromoCommunityForumEvaluation.pdf

Description: A one-page event evaluation survey.

FETCH Mission Business Card

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource418

Health Authority: Fraser

Division: Mission Division of Family Practice

Program: A GP for Me

Link to File: /media/divresources/FETCHBusinessCardMission.pdf

Description: "Business card to promote FETCH (For Everything That's Community Health) Mission."

Health Authority: Fraser

Division: Mission Division of Family Practice

Program: A GP for Me

Corporate Author: Mission Division of Family Practice

Topics: Communications and Marketing; Community / Patient Navigation; Community Resources

Resource Type: Resource List; Business / Wallet Card

File Type: Pdf

Link to File: /media/divresources/FETCHBusinessCardMission.pdf

Description: Business card to promote FETCH (For Everything That's Community Health) Mission.

24 public records – page 1 of 2.