I'm the site lead

Date of Attestation Tue, 11/08/2022 - 12:00 Withdrawn Off Address

Canada

Do you accept self referrals No Description

Example email reminder form from Queensway Carleton Hospital.

Milestone Post-Launch Audience I'm a surgeon/clinician I'm the site lead Document Category Patient Facing Materials Year Business Started 4.00 PROMs File upload Email reminder Queensway Carleton Hospital

Date of Attestation Tue, 11/08/2022 - 12:00 Withdrawn Off Address

Canada

Do you accept self referrals No Description

Example email reminder form from Health Sciences North.

Milestone Post-Launch Audience I'm a surgeon/clinician I'm the site lead Document Category Patient Facing Materials Year Business Started 4.00 PROMs File upload Email reminder Health Sciences North Sudbury

Date of Attestation Tue, 11/08/2022 - 12:00 Withdrawn Off Address

Canada

Do you accept self referrals No Description

Example email and/or photo consent form from Cambridge Memorial Hospital.

Milestone Post-Launch Audience I'm a surgeon/clinician I'm the site lead Document Category Consent forms Patient Facing Materials Year Business Started 4.00 PROMs File upload Email and photo consent form Cambridge Memorial Hospital

Date of Attestation Tue, 11/08/2022 - 12:00 Withdrawn Off Address

Canada

Do you accept self referrals No Description

Example email consent form from Queensway Carleton Hospital.

Audience I'm the site lead Document Category Consent forms Patient Facing Materials Year Business Started 4.00 PROMs File upload Email consent form Queensway Carleton Hospital

Date of Attestation Tue, 11/08/2022 - 12:00 Withdrawn Off Address

Canada

Do you accept self referrals No Description

Example poster for clinics from Kingston Health Sciences Centre.

Milestone Post-Launch Audience I'm a surgeon/clinician I'm the site lead Document Category Patient Facing Materials Year Business Started 4.00 PROMs File upload Clinic Poster Ortho PROMs Kingston Health Sciences Centre

Date of Attestation Tue, 11/08/2022 - 12:00 Withdrawn Off Address

Canada

Do you accept self referrals No Description

Example appointment card for patients from Markham Stouffville Hospital.

Milestone Post-Launch Audience I'm a surgeon/clinician I'm the site lead Document Category Patient Facing Materials Year Business Started 4.00 PROMs File upload Appointment card Markham Stouffville Hospital

Date of Attestation Tue, 11/08/2022 - 12:00 Withdrawn Off Address

Canada

Do you accept self referrals No Description

Example appointment card for patients from Kingston Health Sciences Centre.

Milestone Post-Launch Audience I'm a surgeon/clinician I'm the site lead Document Category Patient Facing Materials Year Business Started 4.00 PROMs File upload Appointment card Kingston Health Sciences Centre