Interior Health Authority (IHA)

eForms for British Columbia users from the interior region.

Bone Density Requisition
This Interior Health Authority (IHA) Bone Density Requisition form allows you to request bone mineral densitometry exams for your patients. The patient ...
Thu, 16 Feb, 2017 at 1:28 PM
Chest Pain Clinic - Referral Requisition
This forms allows you to refer patients to the Chest Pain Clinic of the Department of Cardiology at Penticton Regional Hospital. The patient and referri...
Thu, 16 Feb, 2017 at 1:33 PM
Community Intravenous Antimicrobial Program - South Okanagan services Area
This IHA form allows healthcare providers of the South Okanagan Services Area to refer patients to the Community Intravenous Antimicrobial Program. The ...
Thu, 16 Feb, 2017 at 1:45 PM
CT Requisition
Use this form to request CT exams for your patients. The patient and requesting physician information pre-fill.
Thu, 16 Feb, 2017 at 1:56 PM
Electrodiagnostic Services - EEG Requisition
Use this form to refer patients to the Electrodiagnostic Services of the Penticton Regional Hospital for EEG exams. The patient and ordering physician i...
Thu, 16 Feb, 2017 at 1:50 PM
HOLTER Monitor Requisition
This requisition allow you to refer patients to the Department of Cardiology of the Penticton Regional Hospital for a HOLTER Monitor exam. The patient a...
Thu, 16 Feb, 2017 at 2:01 PM
Home Oxygen Program - Subsidy Application
Use this form to apply for a subsidy for the Home Oxygen Program.
Thu, 16 Feb, 2017 at 2:04 PM
Hospital Autopsy Consent Form
This is the latest version of the Hospital Autopsy Consent Form for IHA.
Thu, 16 Feb, 2017 at 2:08 PM
Integrated Health Programs Referral Form
This form allows you to refer patients to a wide variety of programs and clinics within IHA.
Thu, 16 Feb, 2017 at 2:12 PM
Palliative Program Referral
Use this form to refer patients to the palliative program of the Community Integrated Health Services of IHA.
Thu, 16 Feb, 2017 at 4:26 PM