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===Clinics===
===Clinics===
# CHC Clinics  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/CHC.pdf
*CHC Clinics  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/CHC.pdf
# Dental Clinics  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Dental%20Clinics.pdf
*Dental Clinics  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Dental%20Clinics.pdf
# Women's (Gyn) Clinics  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Womens%20Clinics.pdf
*Women's (Gyn) Clinics  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Womens%20Clinics.pdf
# Pediatric Same-Day Clinic  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Pediatric%20Same%20Day%20Clinic%20at%20Harbor.pdf
*Pediatric Same-Day Clinic  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Pediatric%20Same%20Day%20Clinic%20at%20Harbor.pdf
# Adult Mental Health Resources  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Psych%20Referrals.pdf
*Adult Mental Health Resources  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Psych%20Referrals.pdf
# Pediatric Mental Health Resources  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Peds%20Psych%20Referrals.pdf
*Pediatric Mental Health Resources  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Peds%20Psych%20Referrals.pdf
# Shelter Resources for the Homeless  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Shelter%20Resources.pdf
*Shelter Resources for the Homeless  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Shelter%20Resources.pdf
# Substance Abuse Resources  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Substance%20Abuse%20Referral.pdf
*Substance Abuse Resources  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Substance%20Abuse%20Referral.pdf


===Clinical Forms===
===Clinical Forms===
# Heparin Infusion  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Heparin%20Infusion%20Adult.pdf
*Heparin Infusion  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Heparin%20Infusion%20Adult.pdf
# Peripheral Pressor Extravasation (pages 5-6)  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Extravasation%20Management.pdf
*Peripheral Pressor Extravasation (pages 5-6)  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Extravasation%20Management.pdf
# Pathology Tissue Report  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Path%20Form.pdf
*Pathology Tissue Report  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Path%20Form.pdf
# Pediatric Tylenol/Motrin Dosing  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Tylenol%20Motrin%20Peds%20Dosing.pdf
*Pediatric Tylenol/Motrin Dosing  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Tylenol%20Motrin%20Peds%20Dosing.pdf


===Legal Forms===
===Legal Forms===
# General Consent (English)  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/General%20Consent-English.pdf
*General Consent (English)  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/General%20Consent-English.pdf
# General Consent (Spanish)http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/General%20Consent-Spanish.pdf
*General Consent (Spanish)http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/General%20Consent-Spanish.pdf
# Telegram  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Telegram.pdf
*Telegram  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Telegram.pdf
# DMV Form  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/DMV%20LOC%20Form.pdf
*DMV Form  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/DMV%20LOC%20Form.pdf
# OK to Book  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/OK%20to%20Book.pdf
*OK to Book  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/OK%20to%20Book.pdf
# AMA (English)  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/AMA%20English.pdf
*AMA (English)  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/AMA%20English.pdf
# AMA (Spanish)  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/AMA%20Spanish.pdf
*AMA (Spanish)  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/AMA%20Spanish.pdf
# PHI Release  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/PHI%20Release.pdf  
*PHI Release  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/PHI%20Release.pdf  
# Imaging Request  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Imaging%20Request%20Form.pdf
*Imaging Request  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Imaging%20Request%20Form.pdf
# Photo Consent  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Photo%20Consent.pdf
*Photo Consent  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Photo%20Consent.pdf
# POLST (English)  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/POLST-English.pdf
*POLST (English)  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/POLST-English.pdf
# POLST (Spanish)  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/POLST-Spanish.pdf
*POLST (Spanish)  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/POLST-Spanish.pdf
# Dog Bite Reporting ([http://publichealth.lacounty.gov/vet/docs/Forms/BiteFormVet.pdf PDF] | [https://admin.publichealth.lacounty.gov/phcommon/public/bite/biteaddform.cfm?ou=ph&unit=vet&prog=dcp Online Form])
*Dog Bite Reporting ([http://publichealth.lacounty.gov/vet/docs/Forms/BiteFormVet.pdf PDF] | [https://admin.publichealth.lacounty.gov/phcommon/public/bite/biteaddform.cfm?ou=ph&unit=vet&prog=dcp Online Form])


===Resident Procedures Direct Observation Forms===
===Resident Procedures Direct Observation Forms===
# Central Line  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Direct%20Obs%20-%20Central%20Line.pdf
*Central Line  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Direct%20Obs%20-%20Central%20Line.pdf
# Chest Tube  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Direct%20Obs%20-%20Chest%20Tube.pdf
*Chest Tube  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Direct%20Obs%20-%20Chest%20Tube.pdf
# I&D  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Direct%20Obs%20-%20I+D.pdf
*I&D  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Direct%20Obs%20-%20I+D.pdf
# Intubation  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Direct%20Obs%20-%20Intubation.pdf
*Intubation  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Direct%20Obs%20-%20Intubation.pdf
# Laceration Repair  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Direct%20Obs%20-%20Lac%20Repair.pdf
*Laceration Repair  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Direct%20Obs%20-%20Lac%20Repair.pdf
# Lumbar Puncture  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Direct%20Obs%20-%20LP.pdf
*Lumbar Puncture  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Direct%20Obs%20-%20LP.pdf


==See Also==
==See Also==

Latest revision as of 03:59, 1 February 2019

Printable FORMS

Work Notes

Clinics

Clinical Forms

Legal Forms

Resident Procedures Direct Observation Forms

See Also