Custom Forms for PS Suite
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, if available.
Do you have a PSS Custom Form (.cfm file) to share or update?
Brockville General Hospital (Brockville GH)
Kingston Cardiology Associates
Kingston Health Sciences Centre (KHSC)
Hotel Dieu Hospital site (HDH)
Audiology Referral zip folder (view PDF)
Breast Imaging Requisition zip folder (View PDF)
Chronic Pain Clinic Referral zip folder (view PDF)
GI Function Testing Requisition (view PDF)
Kingston General Hospital site (KGH)
KHSC CT Requisition (view PDF)
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
KHSC General Internal Medicine Referral zip folder (view PDF)
Kingston MRI
Limestone City Sleep Lab
Lennox & Addington County General Hospital (LACGH)
Diagnostic Imaging zip folder includes:
- Bone Mineral Density/Mammography (BMD/MAMMO) (view PDF)
- Computed Tomography (CT) (view PDF)
- Echocardiography (view PDF)
- General Ultrasound (view PDF)
- Interventional Radiology (IVR) (view PDF)
- Obstetric Ultrasound (view PDF)
- X-ray (view PDF)
Cardiac Diagnostic Services Requisition zip folder (view PDF)
Perth & Smith Falls District Hospital
Diagnostic Imaging zip folder includes:
- Ultrasound Request
- X-ray Request
Providence Care Hospital (PCH)
Palliative Care Consult Team Referral zip folder (view PDF)
Physical Medicine and Rehabilitation Outpatient Clinic Referral zip folder (view PDF)