French - 014-4645-87f - Respiratory Syncytial...
Dataset description:
To provide healthcare practitioners a standard form to enroll their patients in this program based on listed clinical criteria.
Source: Respiratory Syncytial Virus (RSV) Prophylaxis for High Risk Infants Program Enrolment
Additional Information
| Last updated | September 19, 2023 |
|---|---|
| Created | December 11, 2021 |
| Format | application/pdf |
| Form Number | https://forms.mgcs.gov.on.ca/dataset/ff47557d-a79e-4337-907d-7d46616513f6/resource/6ae7510f-1ed1-40a8-860e-446818949d4a/download/4645-87f.pdf |
| Form File Identifier | 014-4645-87f |
| Name | French - 014-4645-87f - Respiratory Syncytial Virus (RSV) Prophylaxis for High Risk Infants Program Enrolment |
| Form File Status | Available |
| Description | |
| Language | French |
| Functionality | Fill and Print |
| Form File Content Type | Form |
| Remark | |
| Edition Date | 2023-09 |