DOCTORS PORTAL : BILL 105: BODY FLUID EXPOSURE
ADDITIONAL INFORMATION:
You may be asked to complete this form by a victim of crime or as
provider of emergency first aid or emergency health care (e.g. fire,
police or ambulance), who believes they were exposed to Hepatitis
B, Hepatitis C or HIV. The victim may ask the medical officer of
health to order that blood be taken from the individual believed to
be the source of the exposure (the respondent), even without
consent from that individual. Further information regarding
the details and obligations of the patient and physician can be found
here, or by going to the OMA website www.oma.org and searching
“Bill 105”.
The patient takes both completed forms to their local Medical Officer
of Health who issues a subpoena for mandatory testing of the source
patient.
You can bill a K031 for completing the physician form.
AREA OF CARE: DOCTORS PORTAL- BILL 105
CATEGORY:DOCTORS, PHYSICIAN
RESOURCE TYPE: FORM
UPDATED:
Additional Information: Physician to fill out: HPPA FORM 1
AREA OF CARE: DOCTORS PORTAL- BILL 105
CATEGORY:DOCTORS, PHYSICIAN
RESOURCE TYPE: FORM
UPDATED:
Additional Information: Patient to fill out: HPPA FORM 2