{"id":14742,"date":"2017-04-12T15:09:06","date_gmt":"2017-04-12T19:09:06","guid":{"rendered":"http:\/\/www.nbrhc.on.ca\/?page_id=14742\/"},"modified":"2025-01-24T11:08:35","modified_gmt":"2025-01-24T16:08:35","slug":"formulaires-clinique-externe","status":"publish","type":"page","link":"https:\/\/nbrhc.on.ca\/fr\/formulaires-pour-les-fournisseuses-et-fournisseurs-de-soins-de-sante\/formulaires-clinique-externe\/","title":{"rendered":"Formulaires de clinique externe et services m\u00e9dicaux"},"content":{"rendered":"<h2>Formulaires de r\u00e9f\u00e9rence<\/h2>\n<table id=\"jobtable\" style=\"width: 100%;\" border=\"2\" summary=\"Formulaires de r\u00e9f\u00e9rence de clinique externe et services m\u00e9dicaux\" cellspacing=\"4\" cellpadding=\"4\">\n<colgroup>\n<col style=\"width: 70%;\" \/>\n<col style=\"width: 12%;\" \/>\n<col style=\"width: 18%;\" \/> <\/colgroup>\n<thead>\n<tr>\n<th class=\"header headerSortDown\" scope=\"col\" valign=\"top\">\n<h3>Nom<\/h3>\n<\/th>\n<th class=\"header\" scope=\"col\" valign=\"top\">\n<h3>Num\u00e9ro<\/h3>\n<\/th>\n<th class=\"header\" scope=\"col\" valign=\"top\">\n<h3>Langue<\/h3>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><a href=\"\/wp-content\/uploads\/2017\/04\/RHC164-x2-_Rev-Nov-2012_.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Consent for Release of Personal Health Information<\/a><\/td>\n<td style=\"text-align: center;\">RHC 164<\/td>\n<td style=\"text-align: center;\">anglais<\/td>\n<\/tr>\n<tr>\n<td><a href=\"\/wp-content\/uploads\/2019\/01\/RHC790-Rev-July-2011.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Anticoagulation Clinic\u00a0Referral Form<\/a><\/td>\n<td style=\"text-align: center;\">RHC 790<\/td>\n<td style=\"text-align: center;\">anglais<\/td>\n<\/tr>\n<tr>\n<td><a href=\"\/wp-content\/uploads\/2025\/12\/RHC-1140-Pulmonary-Function-Testing-Referral-Form.pdf\" target=\"_blank\" rel=\"noopener\">Pulmonary Function Referral Form<\/a><\/td>\n<td style=\"text-align: center;\">RHC 1140<\/td>\n<td style=\"text-align: center;\">fran\u00e7ais<\/td>\n<\/tr>\n<tr>\n<td><a href=\"\/wp-content\/uploads\/2021\/04\/RHC1172-Rev-March-2021.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Therapeutic Diet Counselling Referral<\/a><\/td>\n<td style=\"text-align: center;\">RHC 1172<\/td>\n<td style=\"text-align: center;\">anglais<\/td>\n<\/tr>\n<tr>\n<td><a href=\"\/wp-content\/uploads\/2017\/04\/RHC-1579-EN-December-2017.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Pain Management Clinic Questionnaire<\/a><\/td>\n<td style=\"text-align: center;\">RHC 1579<\/td>\n<td style=\"text-align: center;\">anglais<\/td>\n<\/tr>\n<tr>\n<td><a href=\"\/wp-content\/uploads\/2017\/04\/RHC-1867-March-2017.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Pain Management Consultation Request<\/a><\/td>\n<td style=\"text-align: center;\">RHC 1867<\/td>\n<td style=\"text-align: center;\">anglais<\/td>\n<\/tr>\n<tr>\n<td><a href=\"\/wp-content\/uploads\/2024\/08\/RHC-2210.doc\" target=\"_blank\" rel=\"noopener\">Chronic Obstructive Pulmonary Disease (COPD) Referral<\/a><\/td>\n<td style=\"text-align: center;\">RHC 2210<\/td>\n<td style=\"text-align: center;\">anglais<\/td>\n<\/tr>\n<tr>\n<td><a href=\"\/wp-content\/uploads\/2021\/04\/Diabetes-Education-Centre-Referral-Form-April-2021.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Medical Referral for Adult Diabetes Education<\/a><\/td>\n<td style=\"text-align: center;\">RHC 2293<\/td>\n<td style=\"text-align: center;\">anglais<\/td>\n<\/tr>\n<tr>\n<td><a href=\"\/wp-content\/uploads\/2017\/04\/RHC-2675-January-2017.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Pain Management Clinic Consultation Checklist<\/a><\/td>\n<td style=\"text-align: center;\">RHC\u00a02675<\/td>\n<td style=\"text-align: center;\">anglais<\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/nbrhc.on.ca\/wp-content\/uploads\/2023\/10\/RHC-2697-Outpatient-Specialized-Geriatric-Services-Referral-Form-October-12-2023.docx\" target=\"_blank\" rel=\"noopener\">Outpatient Specialized Geriatric Services Referral Form<\/a><\/td>\n<td style=\"text-align: center;\">RHC 2697<\/td>\n<td style=\"text-align: center;\">anglais<\/td>\n<\/tr>\n<tr>\n<td><a href=\"\/wp-content\/uploads\/2021\/05\/RHC-3100-Referral-Form-2-Current-HSN.pdf\" target=\"_blank\" rel=\"noopener\">Stroke Prevention Clinic Referral Form<\/a><\/td>\n<td style=\"text-align: center;\">RHC 3100<\/td>\n<td style=\"text-align: center;\">anglais<\/td>\n<\/tr>\n<tr>\n<td><a href=\"\/wp-content\/uploads\/2023\/01\/RHC-3248-heartfailurereferralNBRHC.pdf\" target=\"_blank\" rel=\"noopener\">Heart Failure Clinic Referral Form<\/a><\/td>\n<td style=\"text-align: center;\">RHC 3248<\/td>\n<td style=\"text-align: center;\">anglais<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<h2>Formulaire d\u2019information des patients<\/h2>\n<table id=\"jobtable\" style=\"width: 100%;\" border=\"2\" summary=\"Formulaire d\u2019information des patients de clinique externe et services m\u00e9dicaux\" cellspacing=\"4\" cellpadding=\"4\">\n<colgroup>\n<col style=\"width: 70%;\" \/>\n<col style=\"width: 12%;\" \/>\n<col style=\"width: 18%;\" \/> <\/colgroup>\n<thead>\n<tr>\n<th class=\"header headerSortDown\" scope=\"col\" valign=\"top\">\n<h3>Nom<\/h3>\n<\/th>\n<th class=\"header\" scope=\"col\" valign=\"top\">\n<h3>Num\u00e9ro<\/h3>\n<\/th>\n<th class=\"header\" scope=\"col\" valign=\"top\">\n<h3>Langue<\/h3>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><a href=\"\/wp-content\/uploads\/2016\/03\/280-EN-July-2014.pdf\" target=\"_blank\" rel=\"noopener\">Orthopaedic Clinic Patient Information<\/a><\/td>\n<td style=\"text-align: center;\">RHC 280<\/td>\n<td style=\"text-align: center;\">anglais et fran\u00e7ais<\/td>\n<\/tr>\n<tr>\n<td><a href=\"\/wp-content\/uploads\/2016\/03\/756F-May-2011.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Total Knee Arthroplasty &#8211; Patient Plan of Care<\/a><\/td>\n<td style=\"text-align: center;\">RHC\u00a0756<\/td>\n<td style=\"text-align: center;\">fran\u00e7ais<\/td>\n<\/tr>\n<tr>\n<td><a href=\"\/wp-content\/uploads\/2021\/07\/RHC1886-English-17-MAY-2021.pdf\" target=\"_blank\" rel=\"noopener\">Iron Infusion Medication Information and Discharge Instructions<\/a><\/td>\n<td style=\"text-align: center;\">RHC 1886<\/td>\n<td style=\"text-align: center;\">anglais<\/td>\n<\/tr>\n<tr>\n<td><a href=\"\/wp-content\/uploads\/2017\/04\/RHC2109-FR-January-2017.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Pre-Op Hip Class<\/a><\/td>\n<td style=\"text-align: center;\">RHC 2109<\/td>\n<td style=\"text-align: center;\">anglais et fran\u00e7ais<\/td>\n<\/tr>\n<tr>\n<td><a href=\"\/wp-content\/uploads\/2017\/04\/RHC-2110-FR-January-2017.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Pre-Op Knee Class<\/a><\/td>\n<td style=\"text-align: center;\">RHC 2110<\/td>\n<td style=\"text-align: center;\">anglais et fran\u00e7ais<\/td>\n<\/tr>\n<tr>\n<td><a href=\"\/wp-content\/uploads\/2022\/12\/FR-Consent-Form-for-Data-Sharing-with-Cloud-Based-Insulin-Pump-RHC3175.pdf\" target=\"_blank\" rel=\"noopener\">Patient Consent for Data Sharing with Cloud Based Insulin Pump and Glucose Software Applications<\/a><\/td>\n<td style=\"text-align: center;\">RHC 3175<\/td>\n<td style=\"text-align: center;\">fran\u00e7ais<\/td>\n<\/tr>\n<tr>\n<td><a href=\"\/wp-content\/uploads\/2022\/02\/RHC-3186-Sotrovimab-Pt-Info-FINAL.pdf\" target=\"_blank\" rel=\"noopener\">Sotrovimab (Monoclonal Antibody) Infusion Patient Information<\/a><\/td>\n<td style=\"text-align: center;\">RHC 3186<\/td>\n<td style=\"text-align: center;\">anglais<\/td>\n<\/tr>\n<tr>\n<td><a href=\"\/wp-content\/uploads\/2017\/04\/Pain-clinic-patient-info.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Pain Management Patient Information<\/a><\/td>\n<td style=\"text-align: center;\">pas de #<\/td>\n<td style=\"text-align: center;\">anglais<\/td>\n<\/tr>\n<tr>\n<td><a href=\"\/wp-content\/uploads\/2017\/04\/Pain-Clinic-Map.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Pain Management Clinic Map\/Directions<\/a><\/td>\n<td style=\"text-align: center;\">pas de #<\/td>\n<td style=\"text-align: center;\">anglais<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<h2>Autres formulaires<\/h2>\n<table id=\"jobtable\" style=\"width: 100%;\" border=\"2\" summary=\"Autres formulaires de clinique externe et services m\u00e9dicaux\" cellspacing=\"4\" cellpadding=\"4\">\n<colgroup>\n<col style=\"width: 70%;\" \/>\n<col style=\"width: 12%;\" \/>\n<col style=\"width: 18%;\" \/> <\/colgroup>\n<thead>\n<tr>\n<th class=\"header headerSortDown\" scope=\"col\" valign=\"top\">\n<h3>Nom<\/h3>\n<\/th>\n<th class=\"header\" scope=\"col\" valign=\"top\">\n<h3>Num\u00e9ro<\/h3>\n<\/th>\n<th class=\"header\" scope=\"col\" valign=\"top\">\n<h3>Langue<\/h3>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><a href=\"\/wp-content\/uploads\/2021\/05\/RHC340-Rev-April-2012.pdf\" target=\"_blank\" rel=\"noopener\">History and Physical Exam<\/a><\/td>\n<td style=\"text-align: center;\">RHC\u00a0340<\/td>\n<td style=\"text-align: center;\">anglais<\/td>\n<\/tr>\n<tr>\n<td><a href=\"\/wp-content\/uploads\/2016\/04\/2367-August-2014.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Telemedicine Dermatology Consult<\/a><\/td>\n<td style=\"text-align: center;\">RHC 2367<\/td>\n<td style=\"text-align: center;\">anglais<\/td>\n<\/tr>\n<tr>\n<td><a href=\"\/wp-content\/uploads\/2018\/11\/HGNB-2268-FR-Patient-Form-RHC2835-Dr-Vijay-Follow-Up.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Ophthalmology Clinic Physician Appointment (Dr. Vijay)<\/a><\/td>\n<td style=\"text-align: center;\">RHC 2835<\/td>\n<td style=\"text-align: center;\">fran\u00e7ais<\/td>\n<\/tr>\n<tr>\n<td><a href=\"\/wp-content\/uploads\/2021\/06\/2nd-draft-Final-Consent-Waiver-NBRHC.pdf\" target=\"_blank\" rel=\"noopener\">Final MAID Consent Waiver<\/a><\/td>\n<td style=\"text-align: center;\">RHC 3109<\/td>\n<td style=\"text-align: center;\">anglais<\/td>\n<\/tr>\n<tr>\n<td><a href=\"\/wp-content\/uploads\/2021\/07\/IV-IRON-Rx-and-guideline-Draft-Final-17-MAY-2021.pdf\" target=\"_blank\" rel=\"noopener\">How to book &amp; obtain IV iron for the treatment of Anemia<\/a><\/td>\n<td style=\"text-align: center;\">RHC 3119<\/td>\n<td style=\"text-align: center;\">anglais<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"<p>Formulaire de r\u00e9f\u00e9rence et d\u2019information pour les cliniques d&rsquo;antigoagulation, chimioth\u00e9rapie, cystoscopie, endoscopie, soins r\u00e9naux, opthalmologie, orthop\u00e9die, stimulateurs cardiaques, traitement de la douleur, chirurgicale, sant\u00e9 des femmes, soins des plaies, services de t\u00e9l\u00e9m\u00e9decine et pr\u00e9vention des accidents vasculaires c\u00e9r\u00e9braux.<\/p>\n","protected":false},"author":17,"featured_media":0,"parent":5962,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":"","_links_to":"","_links_to_target":"","_wp_rev_ctl_limit":""},"tags":[],"class_list":["post-14742","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Formulaires de clinique externe et services m\u00e9dicaux - NBRHC<\/title>\n<meta name=\"description\" content=\"La page du formulaire de la clinique m\u00e9dicale et des programmes contient des formulaires \u00e0 remplir importants qui doivent \u00eatre remplis avant l&#039;admission\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/nbrhc.on.ca\/fr\/formulaires-pour-les-fournisseuses-et-fournisseurs-de-soins-de-sante\/formulaires-clinique-externe\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Formulaires de clinique externe et services m\u00e9dicaux - NBRHC\" \/>\n<meta property=\"og:description\" content=\"La page du formulaire de la clinique m\u00e9dicale et des programmes contient des formulaires \u00e0 remplir importants qui doivent \u00eatre remplis avant l&#039;admission\" \/>\n<meta property=\"og:url\" content=\"https:\/\/nbrhc.on.ca\/fr\/formulaires-pour-les-fournisseuses-et-fournisseurs-de-soins-de-sante\/formulaires-clinique-externe\/\" \/>\n<meta property=\"og:site_name\" content=\"NBRHC\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/nbrhc\" \/>\n<meta property=\"article:modified_time\" content=\"2025-01-24T16:08:35+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/nbrhc.on.ca\/wp-content\/uploads\/2015\/07\/icon_col.jpeg\" \/>\n\t<meta property=\"og:image:width\" content=\"619\" \/>\n\t<meta property=\"og:image:height\" content=\"619\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/nbrhc.on.ca\\\/fr\\\/formulaires-pour-les-fournisseuses-et-fournisseurs-de-soins-de-sante\\\/formulaires-clinique-externe\\\/\",\"url\":\"https:\\\/\\\/nbrhc.on.ca\\\/fr\\\/formulaires-pour-les-fournisseuses-et-fournisseurs-de-soins-de-sante\\\/formulaires-clinique-externe\\\/\",\"name\":\"Formulaires de clinique externe et services m\u00e9dicaux - NBRHC\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/nbrhc.on.ca\\\/#website\"},\"datePublished\":\"2017-04-12T19:09:06+00:00\",\"dateModified\":\"2025-01-24T16:08:35+00:00\",\"description\":\"La page du formulaire de la clinique m\u00e9dicale et des programmes contient des formulaires \u00e0 remplir importants qui doivent \u00eatre remplis avant l'admission\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/nbrhc.on.ca\\\/fr\\\/formulaires-pour-les-fournisseuses-et-fournisseurs-de-soins-de-sante\\\/formulaires-clinique-externe\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/nbrhc.on.ca\\\/fr\\\/formulaires-pour-les-fournisseuses-et-fournisseurs-de-soins-de-sante\\\/formulaires-clinique-externe\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/nbrhc.on.ca\\\/fr\\\/formulaires-pour-les-fournisseuses-et-fournisseurs-de-soins-de-sante\\\/formulaires-clinique-externe\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/nbrhc.on.ca\\\/fr\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Formulaires pour les fournisseuses et fournisseurs de soins de sant\u00e9\",\"item\":\"https:\\\/\\\/nbrhc.on.ca\\\/fr\\\/formulaires-pour-les-fournisseuses-et-fournisseurs-de-soins-de-sante\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Formulaires de clinique externe et services m\u00e9dicaux\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/nbrhc.on.ca\\\/#website\",\"url\":\"https:\\\/\\\/nbrhc.on.ca\\\/\",\"name\":\"NBRHC\",\"description\":\"North Bay Regional Health Centre\",\"publisher\":{\"@id\":\"https:\\\/\\\/nbrhc.on.ca\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/nbrhc.on.ca\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/nbrhc.on.ca\\\/#organization\",\"name\":\"North Bay Regional Health Centre\",\"url\":\"https:\\\/\\\/nbrhc.on.ca\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/nbrhc.on.ca\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/nbrhc.on.ca\\\/wp-content\\\/uploads\\\/2015\\\/07\\\/logo.jpg\",\"contentUrl\":\"https:\\\/\\\/nbrhc.on.ca\\\/wp-content\\\/uploads\\\/2015\\\/07\\\/logo.jpg\",\"width\":870,\"height\":128,\"caption\":\"North Bay Regional Health Centre\"},\"image\":{\"@id\":\"https:\\\/\\\/nbrhc.on.ca\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/nbrhc\",\"https:\\\/\\\/x.com\\\/NBRHC\",\"https:\\\/\\\/www.linkedin.com\\\/company\\\/north-bay-regional-health-centre-nbrhc\",\"https:\\\/\\\/www.pinterest.com\\\/nbrhc\",\"https:\\\/\\\/www.youtube.com\\\/TheNBRHC\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Formulaires de clinique externe et services m\u00e9dicaux - NBRHC","description":"La page du formulaire de la clinique m\u00e9dicale et des programmes contient des formulaires \u00e0 remplir importants qui doivent \u00eatre remplis avant l'admission","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/nbrhc.on.ca\/fr\/formulaires-pour-les-fournisseuses-et-fournisseurs-de-soins-de-sante\/formulaires-clinique-externe\/","og_locale":"fr_FR","og_type":"article","og_title":"Formulaires de clinique externe et services m\u00e9dicaux - NBRHC","og_description":"La page du formulaire de la clinique m\u00e9dicale et des programmes contient des formulaires \u00e0 remplir importants qui doivent \u00eatre remplis avant l'admission","og_url":"https:\/\/nbrhc.on.ca\/fr\/formulaires-pour-les-fournisseuses-et-fournisseurs-de-soins-de-sante\/formulaires-clinique-externe\/","og_site_name":"NBRHC","article_publisher":"https:\/\/www.facebook.com\/nbrhc","article_modified_time":"2025-01-24T16:08:35+00:00","og_image":[{"width":619,"height":619,"url":"https:\/\/nbrhc.on.ca\/wp-content\/uploads\/2015\/07\/icon_col.jpeg","type":"image\/jpeg"}],"twitter_misc":{"Dur\u00e9e de lecture estim\u00e9e":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/nbrhc.on.ca\/fr\/formulaires-pour-les-fournisseuses-et-fournisseurs-de-soins-de-sante\/formulaires-clinique-externe\/","url":"https:\/\/nbrhc.on.ca\/fr\/formulaires-pour-les-fournisseuses-et-fournisseurs-de-soins-de-sante\/formulaires-clinique-externe\/","name":"Formulaires de clinique externe et services m\u00e9dicaux - NBRHC","isPartOf":{"@id":"https:\/\/nbrhc.on.ca\/#website"},"datePublished":"2017-04-12T19:09:06+00:00","dateModified":"2025-01-24T16:08:35+00:00","description":"La page du formulaire de la clinique m\u00e9dicale et des programmes contient des formulaires \u00e0 remplir importants qui doivent \u00eatre remplis avant l'admission","breadcrumb":{"@id":"https:\/\/nbrhc.on.ca\/fr\/formulaires-pour-les-fournisseuses-et-fournisseurs-de-soins-de-sante\/formulaires-clinique-externe\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/nbrhc.on.ca\/fr\/formulaires-pour-les-fournisseuses-et-fournisseurs-de-soins-de-sante\/formulaires-clinique-externe\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/nbrhc.on.ca\/fr\/formulaires-pour-les-fournisseuses-et-fournisseurs-de-soins-de-sante\/formulaires-clinique-externe\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/nbrhc.on.ca\/fr\/"},{"@type":"ListItem","position":2,"name":"Formulaires pour les fournisseuses et fournisseurs de soins de sant\u00e9","item":"https:\/\/nbrhc.on.ca\/fr\/formulaires-pour-les-fournisseuses-et-fournisseurs-de-soins-de-sante\/"},{"@type":"ListItem","position":3,"name":"Formulaires de clinique externe et services m\u00e9dicaux"}]},{"@type":"WebSite","@id":"https:\/\/nbrhc.on.ca\/#website","url":"https:\/\/nbrhc.on.ca\/","name":"NBRHC","description":"North Bay Regional Health Centre","publisher":{"@id":"https:\/\/nbrhc.on.ca\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/nbrhc.on.ca\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/nbrhc.on.ca\/#organization","name":"North Bay Regional Health Centre","url":"https:\/\/nbrhc.on.ca\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/nbrhc.on.ca\/#\/schema\/logo\/image\/","url":"https:\/\/nbrhc.on.ca\/wp-content\/uploads\/2015\/07\/logo.jpg","contentUrl":"https:\/\/nbrhc.on.ca\/wp-content\/uploads\/2015\/07\/logo.jpg","width":870,"height":128,"caption":"North Bay Regional Health Centre"},"image":{"@id":"https:\/\/nbrhc.on.ca\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/nbrhc","https:\/\/x.com\/NBRHC","https:\/\/www.linkedin.com\/company\/north-bay-regional-health-centre-nbrhc","https:\/\/www.pinterest.com\/nbrhc","https:\/\/www.youtube.com\/TheNBRHC"]}]}},"_links":{"self":[{"href":"https:\/\/nbrhc.on.ca\/fr\/wp-json\/wp\/v2\/pages\/14742","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nbrhc.on.ca\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nbrhc.on.ca\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nbrhc.on.ca\/fr\/wp-json\/wp\/v2\/users\/17"}],"replies":[{"embeddable":true,"href":"https:\/\/nbrhc.on.ca\/fr\/wp-json\/wp\/v2\/comments?post=14742"}],"version-history":[{"count":6,"href":"https:\/\/nbrhc.on.ca\/fr\/wp-json\/wp\/v2\/pages\/14742\/revisions"}],"predecessor-version":[{"id":42912,"href":"https:\/\/nbrhc.on.ca\/fr\/wp-json\/wp\/v2\/pages\/14742\/revisions\/42912"}],"up":[{"embeddable":true,"href":"https:\/\/nbrhc.on.ca\/fr\/wp-json\/wp\/v2\/pages\/5962"}],"wp:attachment":[{"href":"https:\/\/nbrhc.on.ca\/fr\/wp-json\/wp\/v2\/media?parent=14742"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/nbrhc.on.ca\/fr\/wp-json\/wp\/v2\/tags?post=14742"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}