PS Suite Form Sharing:

• Click on the cfm file or 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, if available.

Do you have a PSS Custom Form (.cfm file) to share or update?

Brockville GH Diagnostic Imaging zip folder includes:

• Bone Density Requisition/Questionnaire  (view PDF)

• General Radiology-Fluoro Requisition  (view PDF)
• Mammography Requisition  (view PDF)
• Ultrasound-Echocardiography Requisition  (view PDF)

High Risk Ontario Breast Screening Program (OBSP) Requisition cfm file (view PDF)

Human Papillomavirus (HPV) and Cytology Tests Requisition cfm file (view PDF)

COPD Integrated Care Pathway Referral (CFM file) (view PDF)

AI Scribe Materials zip folder includes:

• AI Scribe Stamp (txt file)
• AI Scribe Email Consent Toolbar (cfm file) - adapted from the current Ocean Email Consent Toolbar
• AI Scribe reminder to trigger toolbar (srx file)
• ScribeBerry’s Notice of Privacy Practices (View pdf)
• Ocean eForm: ScribeBerry – Patient Informed Consent – RFLA Healthcare - search your eForms under View Shared Forms

Vascular Laboratory Referral zip folder

Hotel Dieu Hospital site (HDH)

Audiology Referral zip folder  (view PDF)


Breast Imaging Requisition zip folder (View PDF)

KHSC Cardiac Diagnostic Test Referral (View PDF)

Chronic Pain Clinic Referral CFM file  (view PDF)


Dysphagia Referral zip folder

Eating Disorders Programs Centralized Referral (view PDF)

GI Function Testing Requisition  (view PDF)

Kingston General Hospital site (KGH)

COPD Integrated Care Pathway Referral (CFM file) (view PDF)

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


General Internal Medicine Referral zip folder   (view PDF)

General Surgery Referral zip folder (view PDF)

South East Regional Cancer Program:

• Lung Diagnostic Assessment Program CFM file (view PDF)

Kingston MRI Requisition zip folder (view PDF)

Sleep Disorder Referral zip folder  (view PDF)

Diagnostic Imaging forms (August 2025 updates):

• Bone Mineral Density/Mammography (CFM file)  (view PDF)
• Computed Tomography (CFM file) (view PDF)
• Echocardiography (CFM file)  (view PDF)
• External consultation (CFM file)  (view PDF)
• General Ultrasound (CFM file)  (view PDF)
• Interventional Radiology (CFM file)   (view PDF)
• Magnetic Resonance Imaging (CFM file) (view PDF)
• Obstetric Ultrasound (CFM file)  (view PDF)
• X-ray (CFM file)  (view PDF)

Cardiac Diagnostic Services Requisition zip folder  (view PDF)

Diagnostic Imaging zip folder includes:

• Ultrasound Request 

• X-ray Request


Health Assessment - Local Health Integration Network (view PDF)

Palliative Care Consult Team Referral zip folder (view PDF)

Physical Medicine and Rehabilitation Outpatient Clinic Referral zip folder  (view PDF)

PHO - General Test Requisition zip folder (view PDF)

Diagnostic Imaging Requisitions zip folder includes:

• Bone Mineral Density (view PDF)
• Breast Imaging - Mammo ​(view PDF)
• Breast MRI (view PDF)
• CT (view PDF)
• Interventional Radiology (view PDF)
• Magnetic Resonance Imaging (view PDF)
• Radiology X-Ray (view PDF)
• Ultrasound (view PDF)

AMHS Access Form zip folder