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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

Board Skills / Experience Matrix

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource407

Program: Divisions of Family Practice

Link to File: /media/divresources/2015MayDivisionBoardMatrix.doc

Description: "Example matrix of board skills and experience which can be filled in."

Program: Divisions of Family Practice

Corporate Author: Vantage Point

Topics: Board of Directors

Resource Type: Form

File Type: Word

Link to File: /media/divresources/2015MayDivisionBoardMatrix.doc

Description: Example matrix of board skills and experience which can be filled in.

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.

Colonoscopy screening criteria for asymptomatic patients

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1284

Health Authority: Island

Division: Nanaimo Division of Family Practice

Published Date: 2019-02

Link to File: http://www.divisionsbc.ca/sites/default/files/Divisions/Nanaimo/Screening%20Colonoscopy%20Direct%20referral%20form%202013.pdf

Description: "This is the Colonoscopy screening criteria for asymptomatic patients form"

Health Authority: Island

Division: Nanaimo Division of Family Practice

Corporate Author: Nanaimo Division of Family Practice; Vancouver Island Health Authority

Published Date: 2019-02

Resource Type: Form

File Type: Pdf

Link to File: http://www.divisionsbc.ca/sites/default/files/Divisions/Nanaimo/Screening%20Colonoscopy%20Direct%20referral%20form%202013.pdf

Originating web page: http://www.divisionsbc.ca/nanaimo/resources/clinical-resources

Description: This is the Colonoscopy screening criteria for asymptomatic patients form

Colonoscopy Screening Referral form

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1283

Health Authority: Island

Division: Nanaimo Division of Family Practice

Published Date: 2019-02

Link to File: http://www.divisionsbc.ca/sites/default/files/Divisions/Nanaimo/referral%20form%20Hep%20C.pdf

Description: "Colonoscopy Screening Referral form"

Health Authority: Island

Division: Nanaimo Division of Family Practice

Corporate Author: Nanaimo Division of Family Practice

Published Date: 2019-02

Resource Type: Form

File Type: Pdf

Link to File: http://www.divisionsbc.ca/sites/default/files/Divisions/Nanaimo/referral%20form%20Hep%20C.pdf

Originating web page: http://www.divisionsbc.ca/nanaimo/resources/clinical-resources

Description: Colonoscopy Screening Referral form

Consent To Act As A Director Of The Division Of Family Practice

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource757

Program: Divisions of Family Practice

Published Date: 2016

Link to File: /media/divresources/DirectorConsenttoActandCertification.docx

Description: "A form for board of directors to fill out which confirms they are qualified and consent to be a director of the division (the "Society")."

Program: Divisions of Family Practice

Corporate Author: Bull Housser

Published Date: 2016

Topics: Board of Directors; Contracts and Agreements

Resource Type: Form

File Type: Word

Link to File: /media/divresources/DirectorConsenttoActandCertification.docx

Description: A form for board of directors to fill out which confirms they are qualified and consent to be a director of the division (the "Society").

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

Divisions Innovation Fund Submission Form

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource741

Program: Divisions of Family Practice

Published Date: 2019-02-07

Link to File: /media/divresources/TEMPLATE_Divisions_Innovation_Fund_Submission_Form_&_TOR.docx

Description: "This document outlines the criteria and processes of the divisions innovation fund, then provides a funding submission form."

Program: Divisions of Family Practice

Corporate Author: General Practice Services Committee

Published Date: 2019-02-07

Topics: Funding

Resource Type: Form; Guidelines

File Type: Word

Link to File: /media/divresources/TEMPLATE_Divisions_Innovation_Fund_Submission_Form_&_TOR.docx

Description: This document outlines the criteria and processes of the divisions innovation fund, then provides a funding submission form.

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.

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.

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

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

Minor Tenant Improvement (MTI) Funding Submission Form

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1550

Published Date: 2019-08

Link to File: /media/divresources/TEMPLATE-Minor-Tenant-Improvement-Funding-Submission-Form.docx

Description: "This template is to be used by Divisions when applying for MTI funding."

Corporate Author: General Practice Services Committee

Published Date: 2019-08

Topics: Patient Medical Home; Primary Care Network; Funding

Resource Type: Form

File Type: Word

Link to File: /media/divresources/TEMPLATE-Minor-Tenant-Improvement-Funding-Submission-Form.docx

Description: This template is to be used by Divisions when applying for MTI funding.

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.

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

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

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

25 public records – page 1 of 2.