Custom Forms for PS Suite

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Several of our primary care clinics use TELUS PS Suites (PSS). This effort to share existing PSS Custom Forms (.cfm files) is a collaboration of several  FLA Ontario Health Team health care partners and the Digital Technology Working Group.

  • Click on the zip folder below to download the desired cfm file(s), which can then be imported to PSS Custom Forms. If zip folder contains more than one cfm file, files are listed below folder name.

  • Click on view PDF to see PDF version on source website.

Do you have a PSS Custom Form (.cfm file) to share on this page?

Brockville General Hospital (Brockville GH)

Hotel Dieu Hospital (HDH)

Kingston Health Sciences Centre (KHSC) - view PDF's here or here

  • Gastroenterology zip folder includes:

    • KHSC Gastroenterology Direct to Procedure Upper Endoscopy - Dyspepsia May2022.cfm​

    • KHSC Gastroenterology Direct to Procedure Upper Endoscopy - GERD May2022.cfm

    • KHSC Gastroenterology Liver Clinic Referral NAFLD Feb2022.cfm

  • General Surgery Referral zip folder​

Kingston MRI

Limestone City Sleep Lab

Lennox & Addington County General Hospital (LACGH) - view PDFs here

  • Diagnostic Imaging zip folder includes:

    • Computed Tomography (CT)​

    • External Consultation

    • Bone Mineral Density/Mammography (BMD/MAMMO)

    • Interventional Radiology (IVR)

    • General Ultrasound

    • Obstetric Ultrasound

    • X-Ray

  • Cardiac zip folder includes:

    • Cardiac Diagnostic Services Requisition.cfm​

    • Cardiac Rehabilitation Centre Referral.cfm

    • Echocardiography.cfm

  • Outpatient Service zip folder includes:

    • COPD Ambulatory Program

    • Diabetes Education Program

    • Outpatient Physio Consult

    • Pulmonary Function Test (PFT)

    • Respiratory Rehabilitation

    • Transfusion/Infusion Program

  • Surgical Services zip folder includes:

    • Colorectal Screening - Colonoscopy Referral​

Limestone City Sleep Lab

Ministry of Health

  • Patient Enrolment and Consent to Release PHI 2006

Providence Care Hospital (PCH) 

South East Ontario Addictions & Mental Health Service (AMHS)