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        • March 7, 2024
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  • About SHA
    • Chief Executive Officer's Report
      • March 7, 2024
      • November 30, 2023
      • September 28, 2023
      • June 1 and 28, 2023
      • March 2, 2023
    • Showing We Care – Living Our Values
    • Belonging, Diversity, and Inclusion Resources
    • Brand
      • Brand Transition Guidelines
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    • News
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  • Careers
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    • Community Engagement & Communications
      Provide a diverse range of communication services to the SHA
      • SHA Foundation Forum
        • Foundation Forum 2025
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      • CEC Resources
        Support and self-help tools, news sources, corporate communications policy, and more.
        • CEC Support and Self-Serve
          Self-serve communication tools & resources, help with more complex issues, and a resource finder.
          • Brand Tools
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          • Publishing Tools
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        • Communications Toolkits​​​​​​​​​​​​​​​
          Administrative toolkit.
          • Administrative Toolkit
            Administrative tools (Templates, Writing, Photos, Videos, Visual Identity)
          • Immunization Campaign Communications Toolkit
        • ​​​​Corporate Communications Policy
          Communications policy and SHA media event/facility tour guidelines.
        • News and Information Sources
          SHA newsletters, SHA public website, and SHA social channels.
        • Tips for Improving Team Communications
        • Website Content Management
          Content Strategy and information on requesting web analytics.
          • Adding Website Content
            How to request new online content/webpages.
          • About Content Editors
            Information on adding and removing Content Editors.
          • Content Editor Resources
            Resources for Content Editors, including guides on how to add content to the website.
          • Decommissioning Area-Specific Intranets
            Next steps and Questions and Answers related to decommissioning of fRHA websites and intranets.
      • CEC Services
        List of CEC services and portfolio area descriptions.
      • Contact CEC
        Requests for support and a list of CEC leadership.
    • Finance
      • Capital Planning and Major Capital Projects
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        • In Year Request for Capital
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        • Regulatory Affairs & Corporate Record Management
          Learn more about the impacts of regulatory requirements and corporate record information management
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        • Contact Us
      • Signing Authority
        Execute an agreement or other binding legal instrument
    • Human Resources
      • Accommodation & Attendance Management
        Accommodations and Attendance Management is a department within Human Resources, under the Organizational Development Employee Wellness portfolio. AAM reports to a Provincial Director and Executive Director and is divided into four areas.
        • Accommodation
          The Saskatchewan Health Authority (SHA) Accommodation Program provides a formalized process to support SHA ill or injured employees who are temporarily or permanently unable to perform their full regular duties.
        • Attendance Management
          The purpose of the Attendance Support program is to assist employees to maintain regular attendance at work and to establish the process for consistent and reasonable administration of the program throughout the SHA.
        • Return to Work Plan
          Return to work (RTW) is an important aspect of recovery.
      • Labour & Employee Relations
        • Harassment Free Workplace
          Support and self-help tools.
      • MyConnection
      • SHA Learning & Onboarding
        • SHA Learning
          • Online Learning Progress Report
            Are you a supervisor looking to track employee online learning progress? Look here.
          • Resources for Learners
            Are you looking to take a learning module? Find support here.
          • Resources for Learning Developers
            Are you an educator looking to develop or update a learning module? Look here.
            • Join Our Community
              Here you’ll find resources to support our community of learning developers.
            • Learning Framework
              Learning at the SHA is guided by three primary frameworks. Learn more about them here.
            • Objectives and Outlines
              Here you'll find resources on completing a learner analysis, writing learning objectives and outlines.
            • Build Your Content
              Explore these tools and resources when developing your content.
            • Deliver Your Content
              Explore these resources when you're ready to upload and deliver your content on MyLearning.
            • Evaluation
              Here you'll learn more about assessing the effectiveness of the learning module.
        • SHA Onboarding
          • Resources for Hiring Managers
            • Provincial ID Badge and Access Card Request Forms
          • Resources for New Hires
      • Wellbeing
        • LEARN
          Watch. Listen. Read
        • GROW
          Do. Participate. Practice.
          • Online Cognitive Behavioural Therapy
          • Physical Health & Fitness
            • SHA Fitness Centres
          • Mental Health Assessments
        • Connect
          Tune in. Relate. Renew.
        • Reach Out - Get Help
      • Leadership Development
        • Coaching
        • Effective Teams
          • Building Effective Teams Program
        • LEADS in a Caring Environment
        • Leadership Development Opportunities
        • Leadership Essentials
        • Management Essentials
        • Performance Leadership
          Working together to create a workplace experience where people feel like they belong and are safe to learn, contribute and challenge.
          • APP
            • Planning Phase
              • APP Form and Who Needs to Fill it Out
              • How to Fill Out the APP & Goal Setting
              • APP Review Meeting
            • Continuous Feedback Phase
              • Asking for and Receiving Feedback
              • Leading Continuous Feedback Conversations
            • Job or Supervisor Changes, LOA, Retirement, More than One OOS Position, Return to Work (RTW)
            • Year-End Phase
              • Completing the APP
              • APP Year-End Review Meeting
              • Engaging in Difficult Conversations
              • Avoiding Error and Bias in the Performance Appraisal
              • Finalize & Submit APP (Supervisor)
              • APP Validation
              • Rating Results, Eligibility, Salary Increases
          • In-Scope Performance Review
        • Succession Planning
          • Phase 1: Identify Critical Roles
          • Phase 2: Assess Candidates
          • Phase 3: Create Succession Readiness Plan
          • Phase 4: Develop Candidates
          • Phase 5: Move Candidates
      • SHA CISM Support
      • SHA SCORE™ Survey
        • SHA SCORE™ Survey FAQs
        • Action Planning Resources
      • Staff Safety
        • Communicable Disease Exposures
        • Communications and Resources
          • Resources
            Resources available to support the SHA as we work towards our vision of a Safe Workplace, Healthy Workforce.
          • Staff Safety Strategy
          • Staff Safety Talks
            • 2023
            • 2024
          • WCB: G22 Statistics
        • Health-Care Workforce Screening and Return to Work Guidance
        • ICRA
          Individual Client Risk Assessment
          • Resource Library
        • Incident Reporting
        • Occupational Health Committee
          • Inspections
          • Resolving Safety Concerns
          • Work Refusals
        • Respiratory Protection Program
          • Fit Testing
            • Documents & Forms
            • Process Maps
            • Resources
            • Work Standards
          • Respirator Registry
            • FAQs
            • Respirator Registry
            • Training Instructions
            • Work Standards
          • Physicians/Practitioners with SHA Privileges
          • Communications
        • SAFE
          Safety Assurance and Foundations for Employees
          • SAFE - Tools and Resources
        • Violence Prevention & Mitigation
          • Prevention
            • Hierarchy of Controls
          • Reporting and Response
            • De-escalation
            • Emergency Response
          • Repair
          • Education & Resources
        • WHMIS
          Workplace Hazardous Materials Information System
          • Education & Training
          • Safety Data Sheets (SDSs)
          • Labels
          • Chemical Management Library
    • Integrated Health
      • Clinical Integration
        • Provincial Tiers of Service
          Find Tiers of Service definitions (for COVID Care, Medicine, Pediatrics, etc.) for use by health-care professionals, operational leaders and SFCC, supporting documents and communication tools.
          • Summary Documents
            Summary information for ALL SERVICE LINES with completed site assessments.
          • Supporting Information
            Information sheet(s), video(s) and other information on how to use the Tiers of Service.
          • Information by Service Line
            Definitions, tier assignments, maps & checklists for each service line (including not yet assessed).
            • COVID Care
              Tiers of Service documents for COVID Emergency, Inpatient and Pediatric Care
              • COVID Emergency Care
                Tiers of Service definition, map of sites by tier of service and tier-by-tier checklists for COVID Emergency Care
              • COVID Inpatient Care
                Tiers of Service definition, map of sites by tier of service and tier-by-tier checklists for COVID Inpatient Care
              • COVID Pediatric Care
                Tiers of Service definition, map of sites by tier of service and tier-by-tier checklists for Pediatric Care
            • MEDICINE Inpatient Care
              Tiers of Service definition, map of sites by tier of service and tier-by-tier checklists for Medicine Inpatient Care
            • Critical Care
              Tiers of Service definition, map of sites by tier of service and tier-by-tier checklists for Critical Care
            • Maternal & Newborn Care
              Individual site checklists describing the level of Maternal and/or Newborn care provided.
          • Information by Facility
            Service delivery profiles listing the tiers of service available at each facility.
            • INH - North West - Acute Care
              Facility-by-facility quick reference cards, posters, etc. describing the services offered at each facility
            • INH - North East - Acute Care
              Facility-by-facility quick reference cards, posters, etc. describing the services offered at each facility
            • IRH - South West - Acute Care
              Facility-by-facility quick reference cards, posters, etc. describing the services offered at each facility
            • IRH - South East - Acute Care
              Facility-by-facility quick reference cards, posters, etc. describing the services offered at each facility
      • Continuing Care
        • Long-Term Care
          • Special-Care Homes Standard Operating Procedures
          • Suicide Risk Assessment
            • Additional Resources
        • Medication Use and Safety Interdisciplinary Committee (CC MUSIC)
          • Resources
      • Health Networks
        Information and Health Network resources specifically for health-care providers.
        • Health Network Profiles
          • North East
          • North West
          • Regina
          • Saskatoon
          • South East
          • South West
      • Palliative Care
      • Primary Health Care
        • Home Care
        • MUSIC
        • Primary Care
          • Patient's Medical Home
            • PMH Resources
              Discovery Café Express
      • Provincial System Flow
        Designs and provides support for integrated workflow and information for patient workflow practices, sets provincial policies/practice guidelines standards for provincial patient flow.
        • System Flow Coordination Centre
        • Real Time Demand and Capacity/Discharge System
          • Provincial Unit Handouts
            Includes predictability and daily bed flow templates, SCM column, T-System, ALC and discharge definitions and guidance
          • Provincial Work Standards
            Work standards providing guidance on predictability sheets, huddles, daily bed flow, SCM, and RTDC Clinical Standard overview
          • Regina Local Documents
            • Regina Local Unit Handouts
            • Regina Local Work Standards
          • Saskatoon Local Documents
            • Saskatoon Local Unit Handouts
            • Saskatoon Local Work Standards
        • Continuing Care Bed Flow Standards
        • Provincial Overcapacity Management Standards
          • Integrated North
          • Integrated Rural
          • Saskatoon and Regina Overcapacity Protocols
      • Psychology Residency & Fellowship
      • Tertiary and Surgical Services
        • Breast Health Centre - Provider Information
    • Internal Audit
    • Provincial Cascading Huddles​
      Reliable, timely and consistent mechanism for escalation of issues, identification of opportunities for problem solving, and dissemination of information.
    • Provincial Clinical and Support Services
      • Building and Environmental Services
        • Building Services
        • Clinical Engineering, Environment and Standards
          • Clinical Engineering
          • Energy and Environmental Sustainability (EES)
          • Maintenance Programs and Standards
        • Environmental Services
          • Meet the Team
          • What We're Working On
          • Standardization
            • Acute Care Work Standards
            • EVS Product Information
            • Unit Support Work Standards
            • Long-Term Care Work Standards
            • Community Site Work Standards
            • 3sHealth Linen Work Standards
          • Quality & Safety Initiatives
            • Clean Audit Program
            • Foreign Objects in Linen (FOIL)
              • Archived 3sHealth Linen Safer Practice Alerts
              • Archived Linen Services Minutes
            • Long Term Care ABC Clean
          • Bulletins and Newsletters
          • Orientation Resources
      • Laboratory Medicine
        • Anatomic Pathology
        • Genetics and Genomics
        • Histocompatibility and Immunogenetics (HIL)/HLA
        • Laboratory Medicine Compendium
          • Prealbumin, Plasma – Saskatoon
          • West Nile Virus Serology (IgM), Serum - RRPL
        • Laboratory Resources
          • Laboratory Communications
            • Laboratory Leadership Staff Announcements
            • Memos/Bulletins/Events
        • Microbiology
        • Point of Care
          • Abbot iSTAT-1
          • Hemocue WBC
          • Roche Cobas h232
          • Urinalysis - Siemens Multistix 10 SG Reagent Strips
          • POCT Related Documents
        • Requisitions and Completion Aids
          • Anatomic Pathology
          • Histocompatibility and Immunogenetics (HIL)/HLA
          • Microbiology
          • RGH/Pasqua
          • RRPL
          • Saskatoon
            • Anatomic Pathology
            • Chemistry
            • Cytogenetics/Human Molecular Genetics
            • Cytology
            • General
            • Hematology
            • Microbiology
            • Transfusion Medicine
        • Screening Programs
        • Specimen Collection and Transport
          • RRPL
          • Saskatoon
            • Patient Collection Instructions
            • Specimen Collection Containers
        • Transfusion Medicine
          • Blood Components: Monographs & Resources
          • Blood Products: Monographs & Resources
          • Cellular Therapy: Monographs & Resources
          • Obtaining Blood Components and Products
          • Public Health Products & Resources
          • Tissue and Bone Bank Resources
        • Contact Us
          • RGH-Pasqua
          • RRPL
          • Saskatoon
      • Nutrition & Food Services
        • What We're Working On
          • Household Food Insecurity
      • Provincial Services - Community Care
        • Kidney Health (KH)
          • Five Year Work Plan
          • Health-Care Provider Information
            General information about kidney health for health-care providers.
          • Meet the Team
        • Protective Services & Health Emergency Management
          • Health Emergency Management
            • Emergency Response Codes and Supporting Documents
            • Evacuation Toolkit
            • ICS Toolkit
        • Medical Assistance in Dying (MAID)
          Contact information and forms for Medical Assistance in Dying.
          • Provider Resources
      • Pharmacy Services
        • Meet the Team
        • Pharmacy Standards
        • Drug Formulary
          • 2021 Newsletters
          • 2022 Newsletters
          • 2023 Newsletters
          • 2024 Newsletters
          • 2025 Newsletters
    • Quality, Safety and Information
      • Academics & Learning
        • Academic Health Sciences
          The Academic Health Sciences (AHS) portfolio supports and fosters learning through educational best practices resulting in safe and sustainable healthcare in the Saskatchewan Health Authority.
          • SHA Clinical Library
            Overview of Library Services with the Saskatchewan Health Authority.
          • SHA Learner Placement Unit
            Learner Placements Information
            • Allied Health-care Learners
            • Medical Learners
            • Nursing Learners
              Information for nursing placements.
            • Out-of-Province Learners
              Information for staff hosting learners from another country or province.
            • Preceptor Recognition
            • Preceptor Toolbox
            • Preceptor Workshops
          • SHA Simulation
            • Book a Session
            • Facilitation Resources
        • Ethics
          Ethicists and ethics facilitators support health care professionals with decision-making that improves quality of care and safety, and reduces moral distress.
          • What is Ethics?
            General Information About Ethics
          • Ethics Frameworks
            Information about SHA Frameworks
          • Ethics Consultation
            Information for an Ethics Consultation
          • Ethics Committees
            Information about the 3 Ethics Committees of the SHA
            • Local Ethics Committee (LEC)
              • Local Ethics Committee Chairs
          • Ethics Exchange/Education
            Recorded Ethics Education Sessions
          • Research Ethics
          • Ethics Resources
            Ethics Resources for LEC Members, Physicians and Staff
            • Ethics Orientation
            • Ethics Week
              Information about Ethics Week in November
            • W.F. Mitchell Bioethics Seminar
              Annual Education Session funded through the St. Paul’s Hospital Foundation
            • Ethics Books and Journals
        • Research
          The Research portfolio supports and leads high-quality collaborative research that enhances the health and health care experiences of Saskatchewan people.
      • Accreditation
      • Clinical Standards
        Clinical Standards set clear standards that advance alignment and value in the delivery of appropriate healthcare within the SHA,
        • Advance Care Planning Program
          • Who We Are / Services Provided
          • Community of Practice
          • Policies, Standards and Procedures
          • Staff Education/Huddle Talks
          • Saskatchewan Medical Order for Scope of Treatment (SMOST)
          • Clinical Forms
          • Green and Yellow Sleeves
          • Proxy / Substitute Decision Maker
          • Conversation Resources
          • Patient Resources
          • Pediatric Resources
          • Implementation
        • Clinical Excellence
          • Antimicrobial Stewardship Program - Provider Information
            Clinical resources including the viral prescription pad and Firstline mobile app.
          • Choosing Wisely Saskatchewan - Provider Information
            The provincial voice for reducing unnecessary tests and treatments in health care with an aim to improving patient safety and appropriateness of care for everyone in the province.
          • Clinical Appropriateness Program - Project Resources
            Resources to help guide research and quality improvement projects.
          • Opioid Stewardship Program - Practitioner Resources
            Opioid resources for practitioners.
            • Clinical Forms
              Including referral forms, consult forms, etc.
            • Continuing Education
              Including courses, conferences, educational resources, etc.
            • Clinical Tools
              For assessment, tapering, management and more.
            • Other Resources
              Including websites, guidelines, apps.
        • Clinical Resources
        • Clinical Document Development
          • Approval Committees
          • Broad Consultation
          • Clinical Standard/Procedure Development Overview
            • Document Development Toolkit
            • Multidisciplinary Clinical Practice Oversight Committee (MCPOC)
          • Environmental Scan and Research
          • General Clinical Documents
            Includes learning modules, work standards, algorithms, posters, etc.
            • General Clinical Document - Templates
            • General Clinical Document Approval
            • Archived – Monthly Updates
              • 2024 General Clinical Documents Archiv
          • Implementation
          • Intake and Project Overview
          • Owner and Sponsor
          • Scope of Project
          • Submission Form
          • Working Group and Stakeholders
          • Former Health Region Clinical Policy/Prodedure - Change Request
          • Guides and Checklists
          • Templates
            • Rebranding – Clinical Document Development - Clinical Resources
              Rebranding Former Health Region Documents
          • Resources
          • What is in Progress
          • Monthly Updates
            • 2025 Clinical Documents Archive
        • Professional Practice
          • Allied Health Practice
            Includes information related to Allied Health regulation, including links to Allied Health regulators in Saskatchewan
          • Community of Practice
            Includes information on what a Community of Practice is and links to SHA clinical Communities of Practice
          • Nurse Practitioner Practice
            Includes information related to nurse practitioner regulation, including links the regulatory body in Saskatchewan
          • Nursing Regulation
            Includes information related to nursing regulation, including links to the nursing regulators in Saskatchewan
          • Physician Assistant Practice
            Includes information related to Physician Assistant regulation, including a link to the regulator in Saskatchewan
          • Transition to Practice
            Includes guidance for new graduates of various clinical programs and internationally educated clinical team members new to the SHA
            • NCLEX Support Webinars
        • Meet the Leadership Team
      • Digital Health
        • Clinical Standardization Quality Improvement Program
        • Cybersecurity
          • 2022 Related News Stories
          • 2023 Related News Stories
          • 2024 Related News Stories
          • Training Resources
        • SHA Policies - Supporting Documentation
        • Patient Booking System Training Materials​
          • PBS - Ambulatory Care
            • Training Videos
            • Work Standards
          • PBS - Immunization (COVID-19/Influenza)
            • Onboarding Information
            • Training Materials
            • Training Videos
            • Work Standards
          • PBS - Lab Medicine
            • Training Materials
            • Training Videos
            • Work Standards
        • Sunrise Clinical Manager (SCM)
          • Provincial
          • Regina and Area
          • Saskatoon and Area
        • Virtual Care
          Telehealth, SK Virtual Visit & Home Health Monitoring
          • Telehealth
            Facility-based Clinical Video Conferencing
          • Virtual Care in Clinical Practice
            Clinical standards, registration and documentation principles for Virtual Care.
          • Remote Patient Monitoring
            Collect patient health data in real time
          • Saskatchewan Virtual Visit
            Home-based Clinical Video Conferencing
        • Digital Health Intake Work Standards
      • Infection Prevention & Control (IPAC)
        • Best Practice Recommendations
        • COVID-19
        • Construction
        • Contact Tracing
        • Contact Us
        • Guidelines and Toolkits
          AROs - VHF including Ebola Disease – Measles – Mpox
          • Antimicrobial Resistant Organisms (ARO)
          • Measles
          • Mpox
          • Viral Hemorrhagic Fever Including Ebola Disease (VHF/EBOD)
            • Tools Everyone Needs
              • PPE Donning and Doffing
            • VHF/EBOD Patient at YOUR Site
              • Non-Assessment Sites
                Sites other than RGH or SPH
              • Regina Assessment Site
                Regina General Hospital
              • Saskatoon Assessment Site
                i.e., St. Paul’s Hospital
        • Hand Hygiene
          • General Information
            SHA Hand Hygiene Policy - Hand Hygiene Posters - Steps to Performing Hand Hygiene Video - Hand Hygiene Corrective Action Plan
          • Clean Hands Auditor Training
            Training Videos - Auditor Guide - Hand Hygiene Scenarios
          • Clean Hands System
            Portal - Troubleshooting Guide - User Manual
          • Alternative Auditing Method
            Direct observation not possible
        • Outbreaks
        • Patient Information & Education Resources (PIER)
          Information Sheets
        • Posters and Videos
        • Routine Practices and Additional Precautions
        • Screening Tools
          • ARO Screening
          • Symptom-Based Screening
        • Staff Resources
          Prevention Bundle Education - Information Sheets
        • Surveillance and Reporting
          • Protocols & Tools
          • Reports
        • What We Are Working On
      • Patient & Client Experience
        • People-Centred Care
        • Measuring Patient Experience and Outcomes
          • Contacting Patients via Email: Frequently Asked Questions
          • Information for Patients and Families Sharing Feedback
        • Patient Family Leadership Council
        • Engaging in Patient Research
        • Translation Services
          Accessing SHA Translation Services program.
          • Available Languages
            A list of available languages/dialects.
          • How to Access Translation Services
            Direction on how to access Translation Services.
          • Questions and Answers
            Questions and Answers about Translation Services.
          • Active Offer of French Health Services
      • Population Health
        • Reports
        • Resources
      • Privacy & Health Information Management
        • Health Information Management
          Managing the Information Lifecycle of the health record, and registration and information services of the SHA
          • Access and Disclosure Reference Documents
          • Work Standards
        • Privacy & Access
          Working to protect the privacy of patients, clients, residents, employees, and SHA business information
          • Privacy Breach Management
          • Privacy Guidance Documents
          • Privacy Matters Bulletins
          • ​Privacy Training
            • Privacy Training Printable Modules
          • Privacy & Access - Contact Us
          • Access to Information - LAFOIP
          • Privacy Town Halls
          • Privacy & Research
      • Quality & Safety
        Advancing a culture of quality and safety
        • Learning Events & Opportunities
        • Safety Toolkit for Managers
          • Patient Safety
        • Patient Safety
          • Incident Reporting
          • Response
            • Immediate Response
            • Disclosure
        • Outbreak Prevention & Management
          • Outbreak Prevention
        • Client Concerns
        • Quality Improvement
          • 5S
          • Briefcase - Leader Standard Work
          • Briefcase – 5S
          • Briefcase – VSM
          • Briefcase – Visual Management
          • Leaders Standard Work
          • Value Stream Mapping/Process Mapping
          • Visual Management
          • QI Briefcases
          • Resources
        • Patient Safety Talks, Safety Alerts & Safer Practice Bulletins
          • Safer Practice Bulletins
          • Safety Alerts
          • Safety Talks
            • 2022
            • 2023
        • Vanessa's Law – Unsafe Drugs Act
    • SHA Management System
      • Innovation and New Knowledge
      • Leadership Behaviours and Practices
      • People Centred Care
      • Problem Solving Culture
      • Safety Management
      • Spreading Leading Practices
      • Strategy Deployment
      • Visual Management
    • Strategy and Innovation
      • Clinical Pathways
        Useful tools for clinicians to better understand the care options available for various health issues.
        • Acute Stroke Pathway - Provider Information
          Provider information on Saskatchewan's Acute Stroke Pathway.
        • Bariatric Surgery Pathway
          Information on Saskatchewan's Bariatric Surgery Pathway.
        • Cancer Treatment Pathway
          Information on Saskatchewan's Cancer Treatment Pathway.
        • Chronic Obstructive Pulmonary Disease (COPD) Pathway – Provider Information
          Provider information on Saskatchewan's Chronic Obstructive Pulmonary Disease (CODP) Pathway.
        • Chronic Pain Pathway - Provider Information
          Provider information on Saskatchewan's Chronic Pain Pathway.
        • Fertility Care Pathway - Provider Information
          Provider information on Saskatchewan's Fertility Care Pathway.
        • Hip and Knee Pathway - Provider Information
          Provider information on Saskatchewan's Hip and Knee Pathway.
        • Lower Extremity Wound Pathway - Provider Information
          Provider information on Saskatchewan's Lower Extremity Wound Pathway.
        • Multiple Sclerosis Pathway - Provider Information
          Provider information on Saskatchewan's Multiple Sclerosis Pathway.
          • Suspicion of MS
            Symptoms and signs of MS
          • Diagnosis of MS
            Diagnostic criteria and tests
          • Coordination of Care
            Towards multidisciplinary care in MS
          • MS Drugs
            Disease modifying therapies
          • Managing Relapse
            Identifying and treating relapses
          • MS Symptom Management
            Common MS symptoms and their management
        • Pelvic Floor Pathway - Provider Information
          Provider information on Saskatchewan's Pelvic Floor Pathway.
          • Assessment and Treatment Tools
            Resources for providers to use in the clinic
          • Services Outside the Pelvic Floor Pathway
            Options for men, women, and children
          • Frequently Asked Questions
            Answers to providers' frequently asked questions about the Pelvic Floor Pathway
        • Prostate Assessment Pathway - Provider Information
          Provider information on Saskatchewan's Prostate Assessment Pathway.
        • Spine Pathway - Provider Information
          Provider information on Saskatchewan's Spine Pathway.
          • Registration for SHA Employees and Affiliates
            Information on how to register for the Spine Pathway Online Course as an SHA employee.
          • Registration for Non-SHA Employees
            Information on how to register for the Spine Pathway Online Course as a non-SHA employee.
      • Corporate & Clinical Policy
        Guides SHA team members to develop policies that foster accountability, safety, and consistency.
        • Meet the Team
        • Policy FAQs
        • Policy Resources
      • Enterprise Risk Management
        Helps identify, assess, and manage risks across the organization to support informed decision making and achieve strategic goals.
      • Innovation Awards
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        Mobilize partners, facilitate process and create momentum for system transformation.
      • Provincial Clinical Networks
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        Using measurement for decision making and to evaluate impact.
      • SHA Innovates
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        Assisting in the facilitation, development, and implementation of the SHA’s annual and multi-year plans.
        • SHA Planning Toolkit
        • SHA Roadmap Resources
          • Goal: Our People
          • Goal: Responsive Mental Health and Addictions
          • Goal: Seamless Care
          • Goal: Finance, Information and Infrastructure
      • Contact S&I
    • Team Collaboration Sites
      SharePoint sites as a tool in support of team collaboration
      • Former Regional Collaboration Portals
        You can only access the portal for which you have been granted permissions (i.e. your former Region)
      • Saskatchewan Health Authority SharePoint Sites
        A list of department/project SharePoint sites.
  • Forms & Policies
    • Forms
      Standardized clinical and non-clinical forms will be an important aspect of the evolution of the new organization
      • Clinical Forms
        • Clinical Form - Templates
        • Clinical Forms Committee
        • Clinical Forms Catalogue
          Forms used in a clinical setting
        • Clinical Form Guidelines
          Guidelines for clinical forms that are not intuitive to complete
        • NISS
          Nursing Information System of Saskatchewan. Includes NISS forms catalogue and user manuals.
        • Archived – Monthly Updates
          Includes previous months list of new, revised and archived clinical forms
          • 2024 Clinical Forms Archive
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      • Policy & Clinical Standards Document Finder
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      • A-Z List - Clinical Resources
        • Anaphylaxis
          Includes Clinical Procedures, clinical forms, patient handout and other resources to guide staff.
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          • Early Warning Systems
        • COVID-19 Info for Healthcare Providers
          • General Information for All Health Care Providers
            Find general information, visitor restrictions, employee cohorting, travel and self-isolation directives for health care providers, transportation of dangerous goods, ground training and more.​
            • eHR Viewer – Your Source for Critical Patient Information
            • Family Presence and Visitor Restrictions at Health-Care Facilities
            • SHA Ideas – How to Get Involved
            • Safety Information
            • Travel and Self-Isolation Directives for Health-Care Providers
          • Blood Servi​​ces
            Find information about plasma and intravenous immune globulin for treatment of COVID-19, as well as green phase and blood shortage advisories.
          • Clini​cal Practice Re​​so​urces
            Find general clinical practice resources in a variety of health care areas including maternal/children's health, medicine/surgery, critical care, primary and continuing care, and more.
            • General
              Look here for clinical support guidelines and documents with broad applicability
              • COVID Status - SCM and Wincis
              • Code Blue
              • Death During COVID-19 Pandemic
              • Patient Resources / Handouts / Discharge Instructions
              • Proning
              • Respiratory
                Includes High Flow Oxygen, Non-Invasive Ventilation and Tracheostomy
              • Serious Illness Conversation Guides
              • Training - Essential Skills
              • Virtual Care
            • Allied Health
              Allied health documents related to COVID-19.
            • Continuing C​are
              Continuing Care documents related to COVID-19.
            • COVID-19 Pathway
              Clinical information and documents related to the COVID-19 pandemic.
            • Critical Care
              Clinical information, documents and order sets related to COVID-19.
            • Emergency Department
              Clinical information, documents and order sets related to COVID-19.
            • Field Hospitals
              Field hospital documents related to COVID-19.
            • Maternal/Children's Health
              Clinical documents related to the COVID-19 pandemic for maternal and children’s services in Saskatchewan.
            • Medicine/Surgery
              Clinical information, documents and order sets related to COVID-19.
            • Mental Health
              Mental Health information, documents and order sets related to COVID-19.
            • Primary Health Care
              Community clinical care documents related to COVID-19.
            • Professional Practice
              Professional Practice guidance related to a pandemic.​
          • C​OVID-19 Communications Toolkits
            COVID-19 communications tools for health-care professionals.
            • Family Presence: Families as Caregivers Toolkit
          • Facility Signage
            Links to downloadable and printable facility posters and signage.
          • Information for EMS Workers
            ​COVID-19 information specific for Emergency Medical Services (EMS) workers in Saskatchewan.​​COVID-19 information specific for Emergency Medical Services (EMS) workers in Saskatchewan.​
          • PPE/Infection Prevention and Control
            Personal protective equipment resources, infection prevention and control guidelines, cleaning information and more.
            • ​​Safety Bulletins
            • ​​Personal Protective Equipment
              PPE Bulletins, PPE Rapid Updates, appropriate use of PPE, donning and doffing videos, recommendations, posters and additional information
              • PPE Appropriate Use and Guidelines
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            • ​​Infection Prevention and Control
              • General
              • Outbreaks
              • Contact Tracing Documents
            • ​​Joint Statement Principles for Protecting Health and Safety
          • Testing, Screening, Treatment and Medical Directives
            Information is available on testing guidelines, specimen collection, screening, treatment and medical directives.
            • Testing
              • Abbott ID NOW
              • Abbott Panbio Antigen Test
              • COVID-19 Test Supply Ordering
              • eRequisition and Laboratory Information
              • GeneXpert®
              • Health-Care Worker Testing Toolkit
              • Specimen Collection
            • ​​Screening
            • ​​Treatment
            • ​​Medical Directives
            • Outbreaks
          • Vaccine Information for Healthcare Providers
            COVID-19 vaccine information and guidance documents for all clinical team members, including physicians and pharmacists.
            • Eligibility to Receive the COVID-19 Vaccine
              Includes information on primary series and booster doses
            • Training Information for Healthcare Providers​​
              Includes immunizer learning modules and Panorama Entry
              • Vaccine Hesitancy
                General Information
              • Panorama Entry Information/Training
                • Panorama Regular Entry
                  Policy and Regular Entry Training
                • Panorama Quick Entry
            • Information for Individuals Receiving Vaccine
              Includes information sheet and screening questions.
            • Consent
              Includes Contraindications and Precautions, guidelines for obtaining consent, forms and privacy block request information.
            • Vaccine Storage and Handling
              Includes ordering, receiving, repackaging, cold chain/temperature monitoring, wastage/supply problem, transportation, and vaccine distribution tracking system information.
            • Vaccine Preparation
              Includes preparation for use posters and vaccine vial verification cards.
              • Preparation for Use Posters
              • Product Verification Cards
            • Clinical Procedures
              Includes clinical procedures and medical directives.
            • Order Sets
              Includes current order sets available.
            • Vaccine Documentation
              Includes documentation guidance, forms and a link to Panorama training.
            • Adverse Events Following Immunization (AEFI)
            • Monographs
            • Vaccine Clinics​​
              Includes set up, screening posters, pop up vaccine clinics, post vaccination observation areas and Ministry of Health vaccine clinic links.
        • Cardiosciences Resources
        • Cleaning and Disinfecting - Products and Practices
        • Clinical Documentation & Communication
          Includes Clinical Documentation and Communication Standards, regulatory information, legislative information and education resources
          • Key Messages
            Includes multidisciplinary one-pager information sheets with CDCS to refer to and orientation module links
          • Orientation/Training Resources
            Includes online access instructions to orientation modules as well as PowerPoints for reference
        • Clinical Equipment and Products
          Information on clinical equipment and products. Includes backorders and product recalls.
          • Arterial Blood Gas Syringes
          • Chest Drains
          • Compression Products
            Includes Coban™ compression products.
          • Controlled Medication Waste Disposal Systems
            Includes Cactus Sink, Pharma Lock and Rx Destroyer Systems
          • ECMO
            Extracorporeal Membrane Oxygenation
          • Enteral Feeding
            Includes various enteral feeding products and pumps.
            • ENFit
              Feeding Tubes
            • Kangaroo Pumps
              Feeding pumps and bags.
          • Glucose Monitors
            Includes Continuous Glucose Monitors (CGM) for Acute Care, Long Term Care and Home Care Settings
          • Hemodialysis Machines
          • High Flow Oxygen Therapy Devices
            (AIRVO™ and Optiflow™​ ​​)
          • Intrauterine Suction Device
          • Nebulizers
          • Orthotics
            Includes guidance documents for orthotic appliances
          • Ostomy Products
          • Oxygen Supplies
          • Resuscitation Supplies
          • SecurAcath®
            PICC line securement device
          • Skin Preparation Products
            Includes products used to prepare skin for treatments and procedures.
            • ChloraPrep
              Patient pre-operative skin preparation product.
          • Solutions
            Includes IV and non-IV solutions
            • IV Solutions
            • Non IV Solutions
          • Supraglottic Airways
          • Surgical Clippers
            Includes conversion poster and vendor resources
          • Teladoc Robot
          • Urinary Catheters
            Includes indwelling, intermittent and suprapubic catheter information
            • Indwelling Catheter
            • Suprapubic Catheter
          • Vascular Access Devices
            Included PICCS, Ports, CVADS, etc.
            • Central Venous Access Device (CVAD) – Pediatric and Neonate
            • Peripherally Inserted Central Catheter (PICC)
              Includes clinical procedures and learning modules
            • Ports
              Vendor documents
        • Communication Health
          Includes early hearing patient and provider resources
          • Early Hearing
            Includes patient and provider resources
            • Patient Resources
            • Provider Resources
        • Delirium Resources
        • Diabetes Resources
        • Ear Irrigation Resources
        • Emergency Medical Services (EMS)
          Includes resources for paramedics, EMTs as well as information on Community Paramedicine
        • End of Life Resources
          • Expected Death at Home
        • Enteral Feeding
          • Implementation Resources
          • Clinical Standard and Procedures
          • Learning Modules / Training
          • Related Resources
          • Order Sets
          • Patient Resources
        • Fall Prevention & Injury Reduction
          • Long Term Care
            • Fall Prevention and Injury Reduction Board Posters
        • Foot Care
          Includes clinical procedure and resource documents for foot care and assessment
        • Harm Reduction
        • Immunization
          Includes clinical resources and guidance for immunization such as COVID-19, influenza and monkeypox.
          • Immunization Resources
        • Kidney Health Programs
          Includes health-care provider and patient resources as well as a link to the Kidney Health Program public website
          • Hemodialysis Program
            • Nikkiso Troubleshooting Videos
          • Kidney Health Clinics
          • Kidney Stone Prevention Clinic
          • Peritoneal Dialysis Program
          • Red Blood Cell Exchange Program
        • Learning/Education
          • Elsevier - Emergency Nursing Orientation
          • Learning Modules
          • Life Support Programs
          • Trauma Informed Practice
          • Webinars
            Internal/external learning opportunities
        • Maternal/Children's Health Resources
          Guidance documents on various topics and includes direct link to Mom & Kids Saskatchewan.
          • Acute Hepatitis in Children
            Includes learning package, case report form and parent handout.
          • Baby Friendly Initiative
            Includes procedures, assessment tools and patient resources
          • Eat Sleep Console
          • HIV - Maternal and Newborn
            Includes distribution memo, clinical forms and order sets.
          • High Flow Oxygen - Pediatric
            Includes clinical procedure and algorithm related to pediatric high flow oxygen
          • Intrapartum Care
          • Maternal Sepsis
            Includes distribution memo, learning package, algorithm and order set.
          • Pediatric Early Warning System (PEWS)
          • Pediatric Goals of Care
          • Pediatric Procedural Sedation
          • Postpartum Hemorrhage
          • Respiratory Syncytial Virus (RSV)
          • Syphilis
        • Medical Directives
        • Medical Imaging Resources
          • MRI
          • Modified Barium Swallow Resources
          • Radiology
        • Medication Resources
          Monographs, MedRec, Medication Safety, Stewardship programs and Ministry of Health information
          • Anticoagulation Management Services (AMS)
          • Controlled Medication Waste Disposal System
          • Controlled Substances
          • High Alert Medications
          • Medication Administration
            Includes documentation standards and MAR examples
          • Medication Reconciliation
            • Best Possible Medication History (BPMH)
            • MedRec Audits – Clinical Resources
            • MedRec on External Transfer
          • Medication Safety
          • Medication Toolkits
            Includes bundles of resources for medications such as education, forms, order sets, etc.
            • Acetylcysteine
            • Buprenorphine
              Sublocade
            • Buprenorphine/Naloxone
              Suboxone
            • Enoxaparin
            • Iron
            • Ketamine
            • Lidocaine
            • Magnesium Sulfate
            • Naloxone
              • SHA Care Environments
              • Take Home Naloxone
            • Tinzaparin
          • Opioid Stewardship
          • Pharmaceutical Waste
          • Pharmacy Services Department Page
          • Prescriptions
            Includes guidance and templates
          • Sask Parenteral Manual
            Includes the monograph user guide along with drug monographs for all ages
          • Take Home Naloxone
        • Mental Health & Addictions Resources
          Includes resources related to mental health and addictions.
          • Crystal Methamphetamine Information
            Educational resources, clinician practice guides and safety guidelines
          • Electronic Health Record Downtime Clinical Forms
            These forms may be used at any time, but have been developed for downtime events with electronic health records
          • Opioid Stewardship Program
          • Suicide Prevention
        • Midwifery
          Includes clinical forms and patient handouts
        • Neurosciences Resources
          • ALS/Motor Neuron Disease
          • Multiple Sclerosis Resources
          • Stroke Resources
        • Nutrition Resources
          Includes clinical forms
        • Oncology Resources
        • Order Sets
          Includes order sets, submission forms, and news & alerts.
          • Provincial Order Sets
          • Templates & Tools
          • Archived Monthly Update Newsletters
            • 2024 Order Sets Archive
            • 2023 Order Sets Archive
            • 2022 Order Sets Archive
          • Archived News & Alerts
        • Pain Management
          Includes clinical standards, clinical procedures, learning modules, clinical forms, patient handouts and general information on pain management.
          • Pain Management Huddles
            • General
            • Long Term Care
        • Patient Identification
        • Patient Info & Education Resources (PIER)
          Provincial patient information and education resources are available here.
          • PIER Templates
          • PIER Committee
          • Archived – Monthly Updates
            • 2024 PIER Archive
        • Private Care Provider Resources
        • Provincial Education Collaborative Committee (PECC)
          • 2023 PECC Meetings
            • January 11, 2023
            • March 1, 2023
            • April 5, 2023
            • May 3, 2023
            • June 7, 2023
            • September 6, 2023
            • October 4, 2023
            • November 1, 2023
            • December 6, 2023
          • 2024 PECC Meetings
            • January 10, 2024
            • February 7, 2024
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            • April 10, 2024
            • May 1, 2024
            • June 5, 2024
            • September 11, 2024
            • October 2, 2024
            • November 5, 2024
            • December 4, 2024
          • 2025 PECC Meetings
            • January 15, 2025
            • February 12, 2025
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            • April 9, 2025
            • May 7, 2025
            • June 4, 2025
            • September 10, 2025
            • October 8, 2025
            • November 5, 2025
        • Public Health
          Includes public health manuals, along with information and resources related to immunization and public health issues/diseases such as COVID and Monkeypox
          • Animal Exposures
            Includes reporting forms and letters
          • Blood and Body Fluid Exposure (BBFE)
            Includes investigation form, child bite documents, eHealth resources
          • COVID-19
            Includes resources specific to Public Health
          • HIV
            Includes resources specific to Public Health
          • Immunization - Public Health Nurse (PHN)
          • Measles
          • Mpox
            Includes links to Government of Saskatchewan information, along with clinical procedures, vaccine guidance and general resources
            • IMVAMUNE® - Information for Healthcare Providers
            • IMVAMUNE® - Information for Individuals Receiving the Vaccine
          • Syphilis
            Includes staging and management algorithm, checklist, practitioner letter and after care sheets
          • Viral Hemorrhagic Fever (VHF)
        • Recreation Therapy
        • Respiratory Resources
        • SMART Pump Program
          Monographs, Drug Libraries for various infusion pumps, training information, and change request forms.
          • Training
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        ​Information, tools and support physicians need to deliver care in Saskatchewan, whether by virtual visits whenever possible or in person when appropriate.​
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  1. Home
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  5. Clinical Forms
  6. Clinical Forms Catalogue

Clinical Forms Catalogue

CTRL + F - SEARCH TIP

Due to the large list of forms below, using the CTRL+F (Find) function will generate a search bar at the top right corner of the screen where you can begin typing key words. Where there are multiple documents with the same key word(s), use the arrows in the search box to view each document.

  • Provincial and Former Health Region Forms Catalogue

    • The above catalogue includes former health region forms as well as a link to this provincial catalogue. It does not include all of the former region forms, as they are still in the process of being gathered.
  • Document Finder Forms

    • The above link includes all forms in Document Finder (clinical and non-clinical).
  • Printing Services

    • Includes information to printing services across the province as well as links to forms catalogues.

A

Abdominal Pain Telephone Triage - Pediatric Outpatient (SHA 0290)
(PDF 507.29 KB)
Published July 7, 2023
Access to Information (ATI) - Provider Review Form (SHA 0418)
(PDF 628.67 KB)
Published May 9, 2024
Acetylcysteine Infusion Orders for Acetaminophen Overdose - ADULT - For use with CS-OS-9499 - Pre-Printed Medication Administration Record (MAR) (SHA 0245)
(PDF 578.3 KB)
Published January 31, 2023
Acetylcysteine Infusion Orders for Acetaminophen Overdose - PEDIATRIC - For use with CS-OS-9500 - Pre-Printed Medication Administration Record (MAR) (SHA 0246)
(PDF 580.74 KB)
Published January 31, 2023
Acetylcysteine SMART Pump Checklist - 100 kg and Over (SHA 0248)
(PDF 456.43 KB)
Published January 10, 2023
Acetylcysteine SMART Pump Checklist - Under 100 kg (SHA 0247)
(PDF 453.47 KB)
Published January 19, 2023
ACPP Yellow Sleeve Sticker (SHA 0664)
(PDF 111.93 KB)
Published November 19, 2025
Acquired Brain Injury Program - Health Information Consent to Release (SHA 0205)
(PDF 582.29 KB)
Published June 27, 2024
Acquired Brain Injury Program - Progress Notes (SHA 0204)
(PDF 190.73 KB)
Published May 9, 2022
Acquired Brain Injury Program - Progress Notes - FILLABLE (SHA 0204)
(PDF 185.17 KB)
Published May 9, 2022
Acquired Brain Injury Program Referral Form (SHA 0222)
(PDF 212.71 KB)
Published May 6, 2022
Acute Agitation Monitoring Record (SHA 0274)
(PDF 470.31 KB)
Published June 2, 2023
Acute Exacerbation COPD Bundle Audit Form (SHA 0597)
(PDF 157.45 KB)
Published June 18, 2025
Acute Hepatitis Severe of Unknown Origin in Children - Case Report Form (Public Health Agency of Canada)
(PDF 1.52 MB)
Published June 8, 2022
Adult Home Total Parenteral Nutrition Program Patient Agreement (SHA 0644)
(PDF 173.01 KB)
Published November 13, 2025
Adult Nasogastric Tube Insertion and Removal - Certification Skills Checklist (SHA 0521)
(PDF 151.45 KB)
Published March 6, 2025
Advance Care Planning Documentation Record (SHA 0325)
(PDF 444.26 KB)
Published August 30, 2023
Alcohol Withdrawal Assessment Flowsheet - Emergency Department (SHA 0327)
(PDF 498.51 KB)
Published January 8, 2024
ALS/MND Clinic - Spirometry Report (SHA 0500)
(PDF 123.05 KB)
Published November 19, 2024
Alternate Level of Care (ALC) Form - Provincial (SHA 0528)
(PDF 143.02 KB)
Published January 14, 2025
Ambulatory Care Flow Sheet - SASKATOON (SHA 0548)
(PDF 795.65 KB)
Published February 5, 2025
Ambulatory Care Procedure Note – REGINA (SHA 0544)
(PDF 115.32 KB)
Published January 30, 2025
Amyotrophic Lateral Sclerosis (ALS) Clinic Care Plan and Functional Rating Scale – Revised (ALSFRS-R) (SHA 0501)
(PDF 160.23 KB)
Published January 6, 2025
Amyotrophic Lateral Sclerosis (ALS)/ Motor Neuron Disease (MND) Clinic Nursing Assessment (SHA 0636)
(PDF 173.63 KB)
Published September 18, 2025
Anaphylaxis Treatment Worksheet (SHA 0232)
(PDF 495.08 KB)
Published September 12, 2022
Animal Exposure - LETTER - 10 Day Low Risk (SHA 0275)
(PDF 749.42 KB)
Published August 25, 2023
Animal Exposure - LETTER - Legislative Authority to Request Information (SHA 0278)
(PDF 773.77 KB)
Published August 25, 2023
Animal Exposure - LETTER - Owner Contact (SHA 0276)
(PDF 763.71 KB)
Published August 25, 2023
Animal Exposure - LETTER - Rabies Vaccination Post Exposure Declined (SHA 0279)
(PDF 761.47 KB)
Published August 25, 2023
Animal Exposure - LETTER - Victim as Owner (SHA 0277)
(PDF 741 KB)
Published August 25, 2023
Animal Exposure - LETTER - Victim Contact (SHA 0280)
(PDF 739.97 KB)
Published August 25, 2023
Animal Exposure - Rabies Post Exposure Prophylaxis (RPEP) Administration and Reporting Form - All Ages (SHA 0282)
(PDF 343.15 KB)
Published November 13, 2025
Animal Exposure - Report Form (SHA 0281)
(PDF 265.33 KB)
Published January 13, 2025
Antibiotic Resistant Organism (ARO) Risk Identification and Screening Tool - Acute Care Admissions (SHA 0392)
(PDF 775.7 KB)
Published May 1, 2024
Appointing a Proxy - Form - Advance Care Planning (SHA 0326)
(PDF 681.53 KB)
Published September 29, 2023
Appointing a Proxy - Wallet Card - Advanced Care Planning Program (SHA 0304)
(PDF 153.31 KB)
Published August 1, 2023
Authorization for the Release of Health Information - Child and Youth Maltreatment Assessment Program - (SHA 0357)
(PDF 443.71 KB)
Published November 7, 2023

B

Baby Friendly Initiative - Implementation Checklist (SHA 0385)
(DOCX 90.96 KB)
Published January 10, 2024
Balloon Gastrostomy Tube - Certification Skills Checklists (SHA 0518)
(PDF 160.71 KB)
Published March 6, 2025
Bariatric Surgical Program Initial Questionnaire (SHA 0156)
(PDF 363.71 KB)
Published June 17, 2025
Bariatric Surgical Program Patient Referral Form (SHA 0273)
(PDF 463.88 KB)
Published May 23, 2023
Bariatric Surgical Program Patient Referral Form - FILLABLE (SHA 0273)
(PDF 492.38 KB)
Published May 19, 2023
Behavioural Supports Ontario - Dementia Observation System Worksheet (BSO-DOS) (SHA 0436)
(PDF 183.11 KB)
Published July 25, 2024
Benzodiazepine Drug Checking Strips [AVERY Labels 5164] (SHA 0552)
(PDF 375.46 KB)
Published March 13, 2025
Blood and Body Fluid Exposure (BBFE) - Biting in Child Care Setting - Letter to Parent/Guardian (SHA 0310)
(PDF 746.2 KB)
Published August 25, 2023
Blood and Body Fluid Exposure (BBFE) - Biting in Child Care Setting - Notification to Public Health (SHA 0271) - FILLABLE or PRINT and complete
(PDF 569.19 KB)
Published April 3, 2024
Blood and Body Fluid Exposure (BBFE) - Biting in Child Care Setting Public Health Investigation Form (SHA 0272) - FILLABLE or PRINT and complete
(PDF 760.15 KB)
Published August 11, 2023
Blood and Body Fluid Exposure (BBFE) - Exposed Person Letter - No Testing Required (SHA 0308)
(PDF 752.55 KB)
Published August 25, 2023
Blood and Body Fluid Exposure (BBFE) - Line List - Public Health (SHA 0306)
(XLSX 90.26 KB)
Published April 3, 2024
Blood and Body Fluid Exposure (BBFE) Exposed Person Letter - Testing Required (SHA 0309)
(PDF 779.05 KB)
Published September 16, 2023
Blood and Body Fluid Exposure (BBFE) Investigation Form - Public Health Use Only (SHA 0240) - FILLABLE or print and complete
(PDF 1.06 MB)
Published September 16, 2023
Blood and Body Fluid Exposure (BBFE) Practitioner Notification Letter (SHA 0307)
(PDF 767.74 KB)
Published September 16, 2023
Breast Health Centre - High Risk Breast Cancer Screening Referral Intake Form (SHA 0507)
(PDF 242.06 KB)
Published August 12, 2025
Breast Health Centre Questionnaire (SHA 0560)
(PDF 207.15 KB)
Published April 4, 2025
Breast Health Centre Referral Form (SHA 0409)
(PDF 245.52 KB)
Published September 15, 2025
Breastfeeding/Chestfeeding Assessment Tool (SHA 0345)
(PDF 737.94 KB)
Published December 14, 2023

C

Cardiac Catheterization and Structural Heart Booking Form - REGINA (SHA 0504)
(PDF 113.42 KB)
Published November 22, 2024
Caregiver Pronouncement Plan - Expected Death at Home (SHA 0158)
(PDF 164.25 KB)
Published October 1, 2025
Cast Clinic Assessment Guide - Ambulatory Care (SHA 0598)
(PDF 153.38 KB)
Published June 12, 2025
CES-D (Child for Epidemiological Studies Depression Modified for Children) (SHA 0333)
(PDF 630.64 KB)
Published September 16, 2023
Children’s Development Services - Health Information Consent to Release (SHA 0465)
(PDF 594.59 KB)
Published October 9, 2024
CIWA-Ar Flowsheet – Clinical Institute Alcohol Withdrawal Assessment (SHA 0057)
(PDF 333.3 KB)
Published June 18, 2020
Clinical Nurse Specialist Notes - Stroke (SHA 0380)
(PDF 147.31 KB)
Published November 25, 2024
Clinical Summary - Kidney Stone Prevention Clinic (KSPC) (SHA 0443)
(PDF 119.49 KB)
Published October 17, 2024
Columbia - Suicide Severity Rating Scale (C-SSRS) Screener (SHA 0570)
(PDF 276.36 KB)
Published November 10, 2025
Communication - Certified Wound Clinician to Referring Practitioner (SHA 0159)
(PDF 470.3 KB)
Published December 6, 2023
Communication Guide for ED Management of Care of CTAS 5 Patients - Community/District Hospitals (SHA 0078)
(PDF 289.25 KB)
Published May 17, 2021
Confidential Health Matter Letter - Public Health (SHA 0314)
(PDF 739.49 KB)
Published January 8, 2024
Consent for Disclosure of Medical Images (SHA 0144)
(PDF 311.93 KB)
Published September 14, 2021
Consent for Disclosure of Personal Health Information for Clients (SHA 0249)
(PDF 707.28 KB)
Published October 23, 2024
Consent for Treatment or Procedure - Pediatric Hematology-Oncology (SHA 0242)
(PDF 459.46 KB)
Published November 23, 2022
COPD Close the Loop Letter - FILLABLE or PRINT and Handwrite (SHA 0599)
(PDF 184.63 KB)
Published August 20, 2025
COPD Home Health Monitoring (HHM) Referral Form (SHA 0435)
(PDF 170.79 KB)
Published October 6, 2025
Cough Assist Record of Care (SHA 0143)
(PDF 237.67 KB)
Published August 18, 2021
Cough Assist Transfer Checklist (SHA 0142)
(PDF 226.13 KB)
Published July 15, 2021
COWS – Clinical Opioid Withdrawal Scale (SHA 0058)
(PDF 562.96 KB)
Published August 23, 2023
Crisis Response Plan - Patient Version (SHA 0571)
(PDF 714.15 KB)
Published September 15, 2025

D

Death Determination by Circulatory Criteria for Potential Organ Donors Checklist (SHA 0331)
(PDF 645.15 KB)
Published October 3, 2023
Death Determination by Neurologic Criteria Checklist (SHA 0332)
(PDF 706.57 KB)
Published October 3, 2023
Diabetes Monitoring - Take Home Sheet - PEDIATRIC (SHA 0286)
(PDF 457.26 KB)
Published January 25, 2024
Diabetes Services Adult Client Assessment (SHA 0513)
(PDF 482.19 KB)
Published December 13, 2024
Dietitian Referral Form - Continuing Care (SHA 0206)
(PDF 210.03 KB)
Published March 7, 2022
Diluent and Vaccine Box Labels - 10 Doses (SHA 0580)
(PDF 159.45 KB)
Published May 15, 2025
Diluent and Vaccine Box Labels - 5 Doses (SHA 0581)
(PDF 206.65 KB)
Published May 15, 2025
Discharge Care Plan - Acute Exacerbation of Chronic Obstructive Pulmonary Disease (COPD) (SHA 0559)
(PDF 178.8 KB)
Published March 31, 2025
Discharge Care Plan - Stroke (SHA 0565)
(PDF 258.88 KB)
Published April 14, 2025
Discharge Instructions for Baby - HIV Prevention (SHA 0151)
(PDF 350.48 KB)
Published May 2, 2022
Discharge Summary - Rapid Heart Assessment Clinic (RHAC) (SHA 0564)
(PDF 193.94 KB)
Published April 11, 2025
Discharge Summary - Therapy Services - Psychology (SHA 0578)
(PDF 130.33 KB)
Published September 17, 2025
Discharge Summary Sheet - Kidney Health Clinic (SHA 0391)
(PDF 463.92 KB)
Published January 31, 2024
DOT Medication Record - TB (SHA 0370)
(PDF 517.76 KB)
Published November 27, 2024

E - F

Ear Irrigation - ADULT - Skills Checklist (SHA 0395)
(PDF 526.53 KB)
Published March 5, 2024
Early Pregnancy Assessment Clinic - Discharge Summary (SHA 0378)
(PDF 448.27 KB)
Published November 1, 2024
Early Warning Systems SBAR Worksheet - PILOT - YORKTON REGIONAL HOSPITAL USE ONLY (SHA 0394)
(PDF 446.91 KB)
Published March 1, 2024
Early Warning Systems Vital Signs Record - PILOT - YORKTON REGIONAL HOSPITAL USE ONLY (SHA 0324)
(PDF 667.14 KB)
Published February 29, 2024
Early Warning Systems Vital Signs Record - PILOT - YORKTON REGIONAL HOSPITAL USE ONLY (SHA 0324-COLOUR)
(PDF 674.87 KB)
Published February 29, 2024
Echocardiogram Requisition - PEDIATRIC Outpatient (SHA 0340)
(PDF 161.55 KB)
Published March 25, 2025
Electronic Communications Consent Form (SHA 0543)
(PDF 194.73 KB)
Published April 2, 2025
Employee Competency Assessment Review (SHA 0529)
(PDF 130.23 KB)
Published January 21, 2025
EMS and Community Paramedicine Referral Form (SHA 0203)
(PDF 426.67 KB)
Published February 18, 2022
Enteral Feeding Bundle - Implementation Checklist (SHA 0510)
(PDF 309.32 KB)
Published January 9, 2025
Enteral Feeding Unregulated Care Providers (UCP) - Certification Skills Checklist (SHA 0511)
(PDF 128.17 KB)
Published March 6, 2025
Enteral Tube Feed Flow Sheet (SHA 0530) - OPTIONAL TO USE
(PDF 180.6 KB)
Published March 27, 2025
Epidural Triage - Obstetrics - to Ensure Resource Allocation (SHA 0229)
(PDF 441.75 KB)
Published July 28, 2022
Established Suprapubic Catheter - Changing Skills Checklist (SHA 0620)
(PDF 142.99 KB)
Published August 22, 2025
Established Suprapubic Catheter - Discontinuation Skills Checklist (SHA 0621)
(PDF 130.88 KB)
Published August 22, 2025
Established Suprapubic Catheter - Irrigation Skills Checklist (SHA 0622)
(PDF 131.05 KB)
Published August 22, 2025
Fall Prevention and Injury Reduction Audit Tool Acute Care Inpatient (SHA 0663)
(XLSX 67.38 KB)
Published March 10, 2026
Fall Prevention and Injury Reduction Compliance Audit for Long Term Care (SHA 0645)
(XLSX 112.73 KB)
Published October 21, 2025
Falling Star Icon Stickers - Avery 22805 Labels (SHA 0367)
(PDF 79.91 KB)
Published November 29, 2023
Falls Tracking Tool - Long Term Care (SHA 0364)
(PDF 477.01 KB)
Published November 22, 2023
Falls Tracking Tool Acute Care Inpatient (SHA 0660)
(PDF 731.33 KB)
Published March 19, 2026
Fentanyl Drug Checking Strips [AVERY Labels 5164] (SHA 0553)
(PDF 376.15 KB)
Published March 13, 2025
First Nations and Métis Health Services Initial Assessment Form (SHA 0451)
(PDF 578.71 KB)
Published August 9, 2024
First Nations and Métis Health Services Referral Form (SHA 0450)
(PDF 477.21 KB)
Published August 9, 2024
First Nations and Métis Health Services Subsequent Contact Attempt Form (SHA 0452)
(PDF 547.29 KB)
Published August 9, 2024
Follow-Up Appointment Information Letter - Adult Congenital Heart Clinic (SHA 0413-REG)
(PDF 635.57 KB)
Published April 15, 2024
Forensic Consent Form - Sexual Assault, Strangulation, Interpersonal Violence, and Domestic Violence (SHA 0483)
(PDF 161.99 KB)
Published November 1, 2024
Forensic Evidence Record - SANE (SHA 0350)
(PDF 504.27 KB)
Published October 31, 2024
Frostbite Injury Monitoring - Practitioner (SHA 0238)
(PDF 549.14 KB)
Published November 8, 2022
Functional Neurosurgery for Pain Referral - REGINA (SHA 0478)
(PDF 481.45 KB)
Published October 28, 2024

G - H

General Anxiety Disorder - GAD-7 (SHA 0251)
(PDF 140.58 KB)
Published January 18, 2023
GI/Endoscopy Referral Form - External Referral to Regina Area (SHA 0221)
(PDF 243.64 KB)
Published May 6, 2022
Governing Law and Jurisdiction Agreement Form - Non-Saskatchewan Residents (SHA 0117)
(PDF 107.16 KB)
Published October 10, 2025
Green Sleeve Audit Tool (SHA 0639)
(XLSX 41.59 KB)
Published October 6, 2025
Green Sleeve Content Label - Border Communities - Advance Care Planning (SHA 0343)
(PDF 199.96 KB)
Published July 11, 2025
Green Sleeve Label - Expected Death at Home (SHA 0160)
(PDF 202.4 KB)
Published October 1, 2025
Guiding Conversations and Checklist for Healthcare Team Members - Expected Death at Home (SHA 0161)
(PDF 269.77 KB)
Published October 1, 2025
Handover Report - Hemodialysis - REGINA (SHA 0610)
(PDF 270.4 KB)
Published July 8, 2025
Handover Report - Hemodialysis - SASKATOON (SHA 0611)
(PDF 172.62 KB)
Published September 17, 2025
Handover Report - Inpatient Psychiatry to Acute Care (SHA 0505)
(PDF 183.15 KB)
Published November 21, 2024
Health Care Decision - Supplemental Consent - Advance Care Planning (SHA 0336)
(PDF 484.09 KB)
Published March 26, 2025
Health Information Consent to Release - Anticoagulation Management Service (AMS) - FILLABLE (SHA 0524)
(PDF 820.13 KB)
Published January 30, 2025
Hearing Health Services Speech-Language Pathology Referral - FILLABLE (SHA 0520)
(PDF 141.04 KB)
Published February 7, 2025
Hemodialysis Flow Record – Regina/South Dialysis Sites (SHA 0568)
(PDF 444.05 KB)
Published May 22, 2025
HIV PEP Kit Replacement Form (SHA 0315)
(PDF 714.56 KB)
Published February 1, 2024
HIV Self-Test Kit Application Form (SHA 0561)
(PDF 191.17 KB)
Published July 10, 2025
HIV Self-Test Kit Tracking Form (SHA 0563)
(PDF 189.67 KB)
Published April 14, 2025
HIV Self-Testing Kits INITIAL Order Form - Obtained from Your HIV Coordinator (SHA 0562)
(PDF 194.6 KB)
Published May 23, 2025
Home Adult Total Parenteral Nutrition Referral Form (SHA 0634)
(PDF 163.54 KB)
Published November 13, 2025
Honouring Resident Choice and Mitigating Risk - Long Term Care (SHA 0506)
(PDF 181.5 KB)
Published January 13, 2025
Human Factors Analysis for Patient Safety Incidents (SHA 0461)
(PDF 622.09 KB)
Published March 3, 2025
HYDROmorphone (Dilaudid) Patient Controlled Analgesia (PCA) - ADULTS - For use with CS-OS-8004 - Pre-Printed Medication Administration Record (MAR)(SHA 0476)
(PDF 485.64 KB)
Published October 28, 2024
Hyperbaric Oxygen Therapy Referral Form (SHA 0401)
(PDF 712.69 KB)
Published April 3, 2024

I

i-gel® - Supraglottic Airways Skills Checklist (SHA 0342)
(PDF 582.49 KB)
Published October 18, 2023
ICRA Health Record Visual Indicator (SHA 0665)
(PDF 113.09 KB)
Published November 19, 2025
Immunization Consent Without Capacity and with Substitute Decision Maker or Designated Treatment Providers (SHA 0643)
(PDF 174.47 KB)
Published October 28, 2025
Immunology Referral - PEDIATRIC - FILLABLE or Print and handwrite (SHA 0630)
(PDF 194.53 KB)
Published October 31, 2025
Impella CP Flowsheet - Coronary Care Unit (SHA 0471)
(PDF 310.72 KB)
Published June 26, 2025
Implementation Checklist - Eat Sleep Console (SHA 0397)
(PDF 688.41 KB)
Published March 11, 2024
Incomplete IV Iron Orders Fax Template - Iron Deficiency Anemia Program (SHA 0473)
(PDF 216.13 KB)
Published July 9, 2025
Indwelling Catheter Maintenance Record (SHA 0328)
(PDF 252.4 KB)
Published August 22, 2025
Infant Exam - Midwifery (SHA 0294)
(PDF 426.47 KB)
Published July 14, 2023
Influenza Vaccine Consent - Unaccompanied Child (SHA 0148)
(PDF 216.98 KB)
Published September 22, 2021
Influenza, Pneumococcal, Shingles, Tdap and Other Vaccines Administered - Long Term Care/Continuing Care (SHA 0152)
(PDF 226.72 KB)
Published September 19, 2025
Influenza/COVID-19 Immunization Program - Skills Checklist (SHA 0153)
(PDF 217.77 KB)
Published September 19, 2025
Influenza/COVID-19 Immunization Program Education Checklist (SHA 0226)
(PDF 179.02 KB)
Published October 8, 2025
Initial Appointment Information Letter - Adult Congenital Heart Clinic (SHA 0412-REG)
(PDF 631.42 KB)
Published April 15, 2024
Initial Competency Assessment - SANE (SHA 0393)
(PDF 492.98 KB)
Published February 26, 2024
Inlow's 60 Second Diabetic Foot Screening Tool (SHA 0258)
(PDF 582.58 KB)
Published April 19, 2024
Intake for Termination of Pregnancy - Self-Referral - Women's Health Centre (SHA 0485)
(PDF 158.57 KB)
Published November 1, 2024
Intake Report - Therapy Services - Psychology (SHA 0576)
(PDF 150.88 KB)
Published September 17, 2025
Intermittent Catheter Maintenance Record (SHA 0329)
(PDF 439.93 KB)
Published September 1, 2023
Invoice Authorization for Sexual Assault Forensic Examination - SANE (SHA 0353)
(PDF 678.18 KB)
Published November 8, 2023
IPAC Progress Note - Downtime (SHA 0283)
(PDF 447.75 KB)
Published June 8, 2023
Iron Deficiency Anemia Management Program Fax Template (SHA 0472)
(PDF 134.53 KB)
Published October 18, 2024
Small Bore Feeding Tube with Stylet Insertion - Certification Skills Checklist (SHA 0519)
(PDF 128.5 KB)
Published March 6, 2025

J - K - L

JADA® Evaluation Survey (SHA 0591)
(PDF 148.42 KB)
Published June 16, 2025
Joint Replacement Discharge Care Plan (SHA 0323)
(PDF 280.78 KB)
Published July 1, 2025
Joint Replacement Patient Care Plan (SHA 0319)
(PDF 228.51 KB)
Published July 1, 2025
Joint Replacement Patient Care Plan SUPPLEMENT (SHA 0320)
(PDF 152.58 KB)
Published July 1, 2025
Joint Replacement Therapies Assessment (SHA 0321)
(PDF 493.69 KB)
Published February 7, 2024
Joint Replacement Therapies Progress Note (SHA 0322)
(PDF 470.42 KB)
Published February 7, 2024
Kidney Health Clinic - South - Annual Lab Requisition - BLANK (SHA 0390)
(PDF 139.26 KB)
Published July 7, 2025
Kidney Health Clinic - South - Annual Lab Requisition - Every 2 Months (SHA 0386)
(PDF 162.87 KB)
Published July 7, 2025
Kidney Health Clinic - South - Annual Lab Requisition - Every 3 Months (SHA 0387)
(PDF 164.15 KB)
Published July 7, 2025
Kidney Health Clinic - South - Annual Lab Requisition - Monthly - Diabetic (SHA 0388)
(PDF 163.08 KB)
Published July 7, 2025
Kidney Health Clinic - South - Annual Lab Requisition - Monthly - Non-Diabetes Mellitus (SHA 0389)
(PDF 163.16 KB)
Published July 7, 2025
Kidney Health Clinic Referral (SHA 0360)
(PDF 448.71 KB)
Published November 13, 2023
Kidney Health Clinical Profile (SHA 0292)
(PDF 172.72 KB)
Published March 24, 2025
Kidney Stone Prevention Clinic Referral (SHA 0446)
(PDF 115.76 KB)
Published October 17, 2024
Kidney Stone Prevention Clinic – Blood and Urine Lab Requisition (SHA 0444)
(PDF 448.06 KB)
Published October 18, 2024
LAB - COVID-19 Pandemic Requisition (SHA 0055)
(PDF 300.55 KB)
Published March 4, 2022
Laryngeal Tube - Supraglottic Airways Skills Checklist (SHA 0341)
(PDF 569.2 KB)
Published March 5, 2024
Long Term Care (LTC) and Short-Stay Placement Application Checklist (SHA 0613)
(PDF 189.25 KB)
Published September 5, 2025
Long Term Care (LTC) and Short-Stay Placement Application/Consent Form (SHA 0612)
(PDF 278.82 KB)
Published September 5, 2025
Long Term Care Moving-In Agreement (SHA 0526)
(PDF 168.97 KB)
Published January 20, 2025
Long Term Care Request for Transfer or Move-In During Confirmed Gastrointestinal or Respiratory Outbreak (SHA 0197)
(PDF 274.96 KB)
Published October 15, 2024
Lower Limb Assessment Form - General and Advanced (SHA 0157)
(PDF 900.47 KB)
Published December 6, 2023

M

Magnesium Sulfate - Plum 360™ SMART Pump Programming Checklist - Obstetric Patients (SHA 0617)
(PDF 228.38 KB)
Published September 4, 2025
MAID - Assessor/Provider Profile (SHA 0604)
(PDF 163.96 KB)
Published July 5, 2025
MAID - Foreseeable Death Patient Checklist (SHA 0440)
(PDF 159.34 KB)
Published November 12, 2025
MAID - Non-Foreseeable Death Patient Checklist (SHA 0441)
(PDF 144.46 KB)
Published November 12, 2025
MAID - Practitioner Agreement (SHA 0605)
(PDF 161.3 KB)
Published July 5, 2025
Malnutrition Screening Record - Dietitian – Downtime (SHA 0264)
(PDF 459.66 KB)
Published November 1, 2024
Manager Roll Out Preparation Checklist - Foot Assessment and Care Clinical Procedure (SHA 0366)
(PDF 842.23 KB)
Published November 30, 2023
Maternal/Parent and Infant - HIV - Nursing Discharge Checklist (SHA 0219)
(PDF 220.47 KB)
Published May 2, 2022
MBSImP Bolus Specific Scoring Grid and Penetration - Aspiration Scale (PAS) (SHA 0455)
(PDF 459.07 KB)
Published October 3, 2024
Measles Contact Instructions - Unit Staff to Complete (SHA 0516)
(PDF 151.15 KB)
Published April 25, 2025
Metabolic Program - Intake Form (SHA 0289)
(PDF 559.29 KB)
Published August 23, 2023
MHAIS - Injectable Medication Visit (SHA 0252)
(PDF 426.32 KB)
Published May 9, 2023
Modified Barium Swallow (MBS) - Adult - Competency Checklist (SHA 0453)
(PDF 495.7 KB)
Published October 3, 2024
Modified Barium Swallow (MBS) Report - Adult (SHA 0454)
(PDF 463.97 KB)
Published October 3, 2024
Morphine Patient Controlled Analgesia (PCA) - ADULTS - For use with CS-OS-8006 - Pre-Printed Medication Administration Record (MAR) (SHA 0477)
(PDF 484.4 KB)
Published October 28, 2024
Motor Neuron Disease Clinic Care Plan and Spinal Muscular Atrophy Functional Rating Scale (SMAFRS) (SHA 0502)
(PDF 214.73 KB)
Published September 18, 2025
Motor Neuron Disease Clinic Care Plan and Spinal and Bulbar Muscular Atrophy Functional Rating Scale (SBMAFRS) (SHA 0503)
(PDF 141.91 KB)
Published January 7, 2025
Mpox Contact Investigation Worksheet (SHA 0227)
(PDF 495.61 KB)
Published July 6, 2022
MRI Safety Screening Questionnaire (SHA 0632)
(PDF 3.91 MB)
Published September 7, 2025
Multidisciplinary Pronouncement Form - Expected Death at Home (SHA 0291)
(PDF 138.44 KB)
Published October 1, 2025
My Safety Plan - Long Term Care (SHA 0339)
(PDF 439.54 KB)
Published September 10, 2024

N

Nasogastric (NG)/ Nasojejunal (NJ) Tube Feeding Caregiver Education Checklist (SHA 0512)
(PDF 156.62 KB)
Published January 9, 2025
Nasojejunal (NJ) Tube Insertion - Pediatric - Certification Skills Checklist (SHA 0555)
(PDF 140.11 KB)
Published March 6, 2025
Newborn Care Record - Midwifery (SHA 0295)
(PDF 159.28 KB)
Published April 23, 2025
Newborn Exam - Midwifery (SHA 0299)
(PDF 148.8 KB)
Published April 23, 2025
Newborn Hearing Screening Program - Disposable Supply Order Form (SHA 0313)
(PDF 545.68 KB)
Published August 18, 2023
Newborn Hearing Screening Requisition (SHA 0250)
(PDF 713 KB)
Published January 6, 2023
Nirsevimab Injection Record (SHA 0619)
(PDF 146.79 KB)
Published November 12, 2025
Northern Saskatchewan Kidney Health Services - Hemodialysis Program (SHA 0081)
(PDF 217.32 KB)
Nurse Practitioner Orientation Checklist - Continuing Care (SHA 0497)
(PDF 278.03 KB)
Published November 22, 2024
Nursing Assessment - Kidney Stone Prevention Clinic (SHA 0438)
(PDF 627.58 KB)
Published October 17, 2024
Nutrition - Home Nutrition Plan - NICU (SHA 0496)
(PDF 115.19 KB)
Published November 14, 2024
Nutrition Assessment - Pediatric Outpatient Initial (SHA 0495)
(PDF 146.48 KB)
Published November 14, 2024
Nutrition Assessment and Care Plan - Outpatient Adult (SHA 0494)
(PDF 477.51 KB)
Published November 14, 2024
Nutrition Assessment Record - LTC (SHA 0492)
(PDF 646.46 KB)
Published November 12, 2024
Nutrition Assessment – Initial - Adult - Dietitian – Downtime (SHA 0261)
(PDF 509.84 KB)
Published November 19, 2024
Nutrition Assessment – Initial - NICU - Dietitian – Downtime (SHA 0262)
(PDF 512.44 KB)
Published November 1, 2024
Nutrition Assessment – Initial - Pediatric and PICU - Dietitian – Downtime (SHA 0263)
(PDF 493.95 KB)
Published November 1, 2024
Nutrition Progress Note - Dietitian – Downtime (SHA 0265)
(PDF 119.54 KB)
Published November 1, 2024
Nutrition Progress Note – NICU - Dietitian – Downtime (SHA 0266)
(PDF 140.09 KB)
Published November 1, 2024
Nutrition Progress Note – Outpatient Pediatric (SHA 0493)
(PDF 482.59 KB)
Published November 14, 2024
Nutrition Progress Note – Pediatric - Dietitian – Downtime (SHA 0267)
(PDF 132.93 KB)
Published November 1, 2024
Nutrition Progress Note – PICU - Dietitian – Downtime (SHA 0268)
(PDF 134.68 KB)
Published November 1, 2024
Nutrition Support Flowsheet – ICU Adult - Dietitian – Downtime (SHA 0270)
(PDF 431.09 KB)
Published May 5, 2023
Nutrition Support Flowsheet – NICU Pediatric PICU - Dietitian – Downtime (SHA 0269)
(PDF 139.61 KB)
Published November 1, 2024
​Nasal High Air Flow Monitoring Record (SHA 0129)
(PDF 315.41 KB)
Published April 22, 2022

O

Ocular Donor Assessment Form (SHA 0427)
(PDF 605.72 KB)
Published July 11, 2024
OOH - Initial Newborn Care - Includes Transport Record - Midwifery (SHA 0297)
(PDF 142.75 KB)
Published April 23, 2025
OOH Initial Postpartum Care - Includes Transport Record - Midwifery (SHA 0300)
(PDF 133.72 KB)
Published April 23, 2025
OOH Labour Assessment - Midwifery (SHA 0296)
(PDF 136.56 KB)
Published April 23, 2025
OOH Labour/Birth Summary - Midwifery (SHA 0298)
(PDF 149.13 KB)
Published April 23, 2025
Opioid Agonist Therapy - Clinical Note (SHA 0254)
(PDF 487.45 KB)
Published January 18, 2023
Opioid Agonist Therapy - Initial Visit (SHA 0253)
(PDF 489.31 KB)
Published January 18, 2023
Opioid Review and Optimization - MORE Tool - Opioid Stewardship Program (SHA 0410)
(PDF 614.18 KB)
Published May 22, 2024
Oral Health Program Assessment Note (SHA 0549)
(PDF 124.8 KB)
Published January 31, 2025
Oral Healthcare Team Inpatient Referral Form (SHA 0642)
(PDF 136.83 KB)
Published October 23, 2025
Outpatient Fall Risk Screening Form Multiple Screening (SHA 0661)
(PDF 709.16 KB)
Published March 10, 2026
Outpatient Fall Risk Screening Form Single Screening (SHA 0662)
(PDF 755.39 KB)
Published March 10, 2026
Outpatient Feeding and Swallowing Referral Form - PEDIATRIC (SHA 0439)
(PDF 154.89 KB)
Published July 5, 2025
Outpatient Hand Therapy Referral - Occupational Therapy (SHA 0527)
(PDF 164.58 KB)
Published January 14, 2025

P

PACSLAC-II Multi-day Assessment and Documentation Form (SHA 0225)
(PDF 780.63 KB)
Published June 6, 2022
PACSLAC-II Single Assessment (SHA 0224)
(PDF 746.91 KB)
Published June 6, 2022
Pain Assessment Documentation - Long Term Care/Home Care (SHA 0365)
(PDF 825.11 KB)
Published November 24, 2023
Pain Inspiration Cough (PIC) Score and Pasero Opioid -Induced Sedation Scale (POSS) - For use with CS-OS-3253 Rib Fracture Treatment Order Set (SHA 0398)
(PDF 745.87 KB)
Published March 12, 2024
PAINAD - Pain Assessment IN Advanced Dementia (SHA 0231)
(PDF 696.78 KB)
Published August 24, 2022
Palliative Care Referral Form (SHA 0434)
(PDF 615.95 KB)
Published September 13, 2024
Palliative Home Adult Total Parenteral Nutrition Referral Form (SHA 0633)
(PDF 162.14 KB)
Published November 13, 2025
Palliative Performance Scale (SHA 0288)
(PDF 564.73 KB)
Published August 23, 2023
Patient Booking System - Intake Request (SHA 0396)
(PDF 589.12 KB)
Published March 6, 2024
Patient Face Sheet - Advanced Care Planning Program (SHA 0305)
(PDF 536.41 KB)
Published August 1, 2023
Patient Intake Form - Kidney Health (SHA 0293)
(PDF 436.79 KB)
Published July 7, 2023
Patient Kidney Stone History - Kidney Stone Prevention Clinic (SHA 0445)
(PDF 424.28 KB)
Published October 28, 2024
Patient Notification of Transfusion (SHA 0480)
(PDF 115.68 KB)
Published November 21, 2024
Patient Pyramid Plan (SHA 0667)
(PDF 105.06 KB)
Published November 19, 2025
Patient Safety Incident Report Form (SHA 0459)
(PDF 334.01 KB)
Published March 4, 2025
Patient Summary of Clinic Visit - Kidney Stone Prevention Clinic (SHA 0442)
(PDF 448.13 KB)
Published October 17, 2024
PAWSS – Prediction of Alcohol Withdrawal Severity Scale (SHA 0059)
(PDF 286.68 KB)
Published June 18, 2020
Pediatric Ambulatory Blood Pressure Monitor (ABPM) Requisition (SHA 0514)
(PDF 103.39 KB)
Published January 6, 2025
Pediatric Complex Care Community Referral (SHA 0515)
(PDF 129.78 KB)
Published December 18, 2024
Pediatric MD Admission Note (SHA 0651)
(PDF 157.99 KB)
Published November 14, 2025
Pediatric MD Discharge Summary (SHA 0653)
(PDF 176.23 KB)
Published November 14, 2025
Pediatric MD Transfer and/or Repatriation Note (SHA 0652)
(PDF 205.58 KB)
Published November 14, 2025
Pediatric Nasogastric Tube Insertion and Removal - Certification Skills Checklist (SHA 0522)
(PDF 155.37 KB)
Published March 6, 2025
Pediatric Procedural Sedation Checklist and Record (SHA 0646)
(PDF 412.83 KB)
Published November 12, 2025
Pediatric Procedural Sedation Operational Leader Implementation Checklist (SHA 0637)
(PDF 280.94 KB)
Published November 12, 2025
Pediatric Procedural Sedation Staff Implementation Package and Skills Checklist (SHA 0638)
(PDF 467.45 KB)
Published November 12, 2025
Pediatric Vital Signs Record (SHA 0647)
(PDF 342.15 KB)
Published November 12, 2025
Pediatrics Complex Care - Consult Note (SHA 0593)
(PDF 136.36 KB)
Published June 19, 2025
Pediatrics Complex Care - Discharge Plan (SHA 0594)
(PDF 148.2 KB)
Published June 19, 2025
Pediatrics Complex Care - Medical Care Plan (SHA 0596)
(PDF 122.08 KB)
Published June 19, 2025
Pediatrics Complex Care – Progress Note (SHA 0595)
(PDF 121.11 KB)
Published June 19, 2025
Pelvic Floor Pathway Clinic Referral (SHA 0260)
(PDF 549.45 KB)
Published May 9, 2023
Peripherally Inserted Central Catheter (PICC) Insertion - ECG Guided Record (SHA 0558)
(PDF 189.43 KB)
Published April 8, 2025
Pertussis Contact Instructions (SHA 0600)
(PDF 141.38 KB)
Published June 26, 2025
PEWS SBAR Tool (SHA 0648)
(PDF 286.46 KB)
Published November 12, 2025
Physician/Nurse Practitioner Communication Form - Expected Death at Home (SHA 0162)
(PDF 227.21 KB)
Published October 1, 2025
POISE/SUAP Program Consent for Release of Information (SHA 0626)
(PDF 131.12 KB)
Published October 22, 2025
Poison Centre Documentation Form (SHA 0411)
(PDF 511.37 KB)
Published April 30, 2024
Portable Magnetic Resonance Imaging (MRI) Safety Screening Questionnaire - Clinical Team Member and Family/Caregiver (SHA 0448)
(PDF 470.76 KB)
Published July 30, 2024
Portable Swoop® Low Field Strength Magnetic Resonance Imaging (MRI) Requisition (SHA 0447)
(PDF 505.31 KB)
Published July 30, 2024
Portable Swoop® MR Imaging System™ - MRI Preparation Checklist (SHA 0449)
(PDF 545.02 KB)
Published July 30, 2024
Post Fall Record (SHA 0362)
(PDF 261.51 KB)
Published November 19, 2025
Postpartum Care Record - Midwifery (SHA 0301)
(PDF 153.17 KB)
Published April 23, 2025
Postpartum Hemorrhage Equipment List (SHA 0428)
(PDF 548.3 KB)
Published August 27, 2024
Postpartum Hemorrhage Risk Assessment and Maximum Allowable Blood Loss Form (SHA 0400)
(PDF 710.29 KB)
Published June 4, 2024
Practitioner Admission Note - Downtime (SHA 0402)
(PDF 510.22 KB)
Published July 15, 2024
Practitioner Consultation Request Note - Downtime (SHA 0404)
(PDF 495.6 KB)
Published July 15, 2024
Practitioner Discharge Summary Note - Downtime (SHA 0403)
(PDF 538.42 KB)
Published July 15, 2024
Practitioner Procedure Note - Downtime (SHA 0408)
(PDF 488.59 KB)
Published July 15, 2024
Practitioner Progress Note - Daily - Downtime (SHA 0406)
(PDF 464.45 KB)
Published July 15, 2024
Practitioner Progress Note – Brief - Downtime (SHA 0407)
(PDF 461.08 KB)
Published July 15, 2024
Pre-Admission Medication List/ Prescriber Order Form - BLANK - PIP (eHealth)
(PDF 32.19 KB)
Published August 24, 2023
Private Care Provider Checklist (SHA 0457)
(PDF 464.41 KB)
Published October 1, 2024
Progress Note - Therapy Services - Psychology (SHA 0577)
(PDF 128.78 KB)
Published September 17, 2025
Provincial Prescription Form (SHA 0141)
(PDF 47.59 KB)
Published July 16, 2021
Public Health Nurse (PHN) Clinical Progression Assessment (SHA 0487)
(PDF 664.72 KB)
Published December 19, 2024
Public Health Nurse (PHN) Clinical Progression Guidelines (SHA 0486)
(PDF 480.68 KB)
Published December 19, 2024
Public Health Nurse (PHN) Immunization Competency - Additional Education Resources (SHA 0489)
(PDF 543.55 KB)
Published April 14, 2025
Public Health Nurse (PHN) Immunization Competency - Required Education Resources (SHA 0490)
(PDF 249.59 KB)
Published August 12, 2025
Public Health Nurse (PHN) Immunization Competency Checklist (SHA 0488)
(PDF 1.01 MB)
Published December 19, 2024
Public Health Nurse (PHN) Orientation Schedule Template (SHA 0491)
(XLSX 30.9 KB)
Published December 19, 2024

Q-R

Quality Review Request for Personal Health Information (SHA 0417)
(PDF 579.1 KB)
Published May 9, 2024
Quantitative Blood Loss Cumulative Total Record (SHA 0429)
(PDF 666.79 KB)
Published August 27, 2024
RAAM Suicide Risk Assessment (SHA 0060)
(PDF 209.58 KB)
Published June 18, 2020
RACE Outreach Code Blue Progress Note SASKATOON (SHA 0509)
(PDF 428.73 KB)
Published December 17, 2024
Rapid Access Single Seizure (RASS) Clinic Referral Form (SHA 0484)
(PDF 149.09 KB)
Published October 30, 2024
Rapid Access to Addictions Medicine (RAAM) - Clinic Referral (SHA 0001)
(PDF 479.52 KB)
Published August 19, 2024
Recommendations from Maternal/Paternal HIV Provider to Obstetrics and Pediatrics (SHA 0150)
(PDF 229.16 KB)
Published May 2, 2022
Reconstitute Before Use Labels (SHA 0582)
(PDF 398.05 KB)
Published May 15, 2025
Recreation Therapy Assessment (SHA 0587)
(PDF 1.45 MB)
Published July 3, 2025
Recreation Therapy Discharge Summary (SHA 0588)
(PDF 237.39 KB)
Published July 3, 2025
Recreation Therapy Progress Note (SHA 0589)
(PDF 1.03 MB)
Published July 3, 2025
Red Blood Cell Exchange (RBCx) and Therapeutic Plasma Exchange (TPE) - New Patient Checklist (SHA 0629)
(PDF 139.94 KB)
Published October 8, 2025
Red Blood Cell Exchange Run Sheet (SHA 0628)
(PDF 180.97 KB)
Published October 8, 2025
Renal Transplant Assessment Referral Form (SHA 0287)
(PDF 214.14 KB)
Published September 5, 2025
Request for Access for Medical Images on Behalf of a Patient (SHA 0146)
(PDF 311.65 KB)
Published September 14, 2021
Request for Access to Medical Images (SHA 0145)
(PDF 322.28 KB)
Published September 14, 2021
Request for Access to Personal Health Information Form (SHA 0347)
(PDF 1.2 MB)
Published September 7, 2025
Request for Access to Personal Health Information on Behalf of a Patient Form (SHA 0348)
(PDF 693.44 KB)
Published October 23, 2024
Request for Amendment to Personal Health Information Form (SHA 0419)
(PDF 777.56 KB)
Published May 9, 2024
Request for and Release of Wave Files - System Flow Coordination Center - FILLABLE OR PRINT AND HANDWRITE (SHA 0631)
(PDF 253.63 KB)
Published September 6, 2025
Request for Private Care Provider Form (SHA 0456)
(PDF 604.6 KB)
Published October 1, 2024
Request for Private Provider (SHA 0358)
(PDF 444.66 KB)
Published November 7, 2023
Resident Belongings Form - Long Term Care (SHA 0525)
(PDF 151.87 KB)
Published January 13, 2025
Resident Move-In Checklist - Long Term Care (SHA 0482)
(PDF 282.44 KB)
Published October 16, 2025
Respiratory Support Referral (SHA 0556)
(PDF 179.91 KB)
Published May 13, 2025
Respiratory Therapy Assessment Flow Sheet - Adult/Pediatric (SHA 0572)
(PDF 600.46 KB)
Published April 24, 2025
Respiratory Therapy Assessment Flow Sheet – Neonate (SHA 0573)
(PDF 579.68 KB)
Published April 24, 2025
Respiratory Therapy Assessment Note - Adult/Pediatric (SHA 0574)
(PDF 476.58 KB)
Published April 24, 2025
Respiratory Therapy Assessment Note – Neonate (SHA 0575)
(PDF 470.07 KB)
Published April 24, 2025
Respiratory Therapy Discharge Transfer Note (SHA 0531)
(PDF 124.44 KB)
Published April 24, 2025
Respiratory Therapy Procedure Note - Arterial Puncture/Cannulation (SHA 0542)
(PDF 123.66 KB)
Published April 24, 2025
Respiratory Therapy Procedure Note - Esophageal Balloon Insertion (SHA 0534)
(PDF 118.88 KB)
Published April 24, 2025
Respiratory Therapy Procedure Note - Lung Ultrasound (SHA 0535)
(PDF 121.65 KB)
Published April 24, 2025
Respiratory Therapy Procedure Note - Neonatal Oxygen Reduction Test (SHA 0536)
(PDF 161.53 KB)
Published April 24, 2025
Respiratory Therapy Procedure Note - Neonatal Surfactant Administration (SHA 0537)
(PDF 128.01 KB)
Published April 24, 2025
Respiratory Therapy Procedure Note - Neurally Adjusted Ventilatory Assist (NAVA) Catheter Insertion (SHA 0538)
(PDF 121.97 KB)
Published April 24, 2025
Respiratory Therapy Procedure Note - Tracheal Extubation Decannulation (SHA 0539)
(PDF 129.98 KB)
Published April 24, 2025
Respiratory Therapy Procedure Note - Tracheal Intubation (SHA 0540)
(PDF 154.63 KB)
Published April 24, 2025
Respiratory Therapy Procedure Note - Tracheostomy Change (SHA 0541)
(PDF 130.17 KB)
Published April 24, 2025
Respiratory Therapy Procedure Note- Bronchoscopy Assist (SHA 0532)
(PDF 127.2 KB)
Published April 24, 2025
Respiratory Therapy Progress Note (SHA 0579)
(PDF 126.13 KB)
Published April 24, 2025
RSV Program Referral Form - Increased Risk (SHA 0618)
(PDF 146.67 KB)
Published August 28, 2025

S

SAFE-T Protocol with C-SSRS - LTC Suicide Prevention (SHA 0338)
(PDF 790.05 KB)
Published September 10, 2024
SANE Forensic Examiner Program Referral (SHA 0624)
(PDF 123.25 KB)
Published August 22, 2025
Saskatchewan Bleeding Disorders Program (SBDP) Consultation Request (SHA 0547)
(PDF 148.54 KB)
Published January 31, 2025
Saskatchewan Transfusion Adverse Event Report (TAER) (SHA 0481)
(PDF 283.24 KB)
Published November 6, 2024
SaskKids Hematology Oncology Program CVAD Teaching Checklist (SHA 0217)
(PDF 308.31 KB)
Published April 20, 2022
Scott Fall Risk Screening Tool for Residential Care (SHA 0363)
(PDF 790.19 KB)
Published November 22, 2023
Severe Invasive Group A Streptococcus (iGAS) Contact Instructions (SHA 0601)
(PDF 149.01 KB)
Published June 26, 2025
Sexual Assault Examination Guide Record - SANE (SHA 0317)
(PDF 1.69 MB)
Published September 1, 2023
Sexual Assault Follow Up Letter - Practitioner (SHA 0316)
(PDF 618.9 KB)
Published June 18, 2024
Sexual Assault Health Provider Communication Tool - SANE (SHA 0349)
(PDF 514.22 KB)
Published October 31, 2023
SHA Donation Program - Progress Notes - SCM Downtime (SHA 0257)
(PDF 425.73 KB)
Published March 7, 2023
Short Stay Bed Request Form (SHA 0614)
(PDF 4.62 MB)
Published November 6, 2025
Shoulder Replacement Patient Care Plan - PILOT REGINA (SHA 0433)
(PDF 617.12 KB)
Published June 27, 2024
Skin and Wound Care Audit - Data Collection Sheet (SHA 0361)
(PDF 695.68 KB)
Published December 6, 2023
Skin Inspection and Bath Water Temperature Checks (SHA 0302)
(PDF 742.55 KB)
Published October 11, 2023
Strangulation, Interpersonal Violence and Domestic Violence Record (SHA 0351)
(PDF 707.4 KB)
Published November 13, 2023
Stroke Screen - Rural and Remote (SHA 0359)
(PDF 118.97 KB)
Published January 21, 2025
Suicide Prevention Program - Clinical Standard - Implementation Plan (SHA 0627)
(PDF 233.96 KB)
Published September 8, 2025
Suicide Risk Assessment - C-SSRS Severity and Intensity, Risk and Protective Factors (SHA 0569)
(PDF 299.81 KB)
Published November 10, 2025
Supplemental Notes - Sexual Assault Examination Guide Record - SANE (SHA 0318)
(PDF 463.5 KB)
Published September 1, 2023
Surgical Safety Checklist - Labour and Delivery (SHA 0584) [11x17"]
(PDF 184.45 KB)
Published June 9, 2025
Surgical Safety Checklist - Labour and Delivery (SHA 0584) [8.5x11"]
(PDF 182.46 KB)
Published June 9, 2025
Surgical Safety Checklist - Operating Room (SHA 0583) [11x17"]
(PDF 179.95 KB)
Published June 9, 2025
Surgical Safety Checklist - Operating Room (SHA 0583) [8.5x11"]
(PDF 176.41 KB)
Published June 9, 2025
Swallow Screen - 3 Ounce Water Challenge (SHA 0566)
(PDF 197.95 KB)
Published April 14, 2025
Symptom Assessment Acronym Tool - OPQRSTUV (SHA 0234)
(PDF 527.87 KB)
Published October 7, 2022
Symptom Based Screening Tool - Emergency Department and Triage Settings (SHA 0415)
(PDF 148.57 KB)
Published June 24, 2025
Symptoms Based Screening Tool - All Healthcare Settings (SHA 0414)
(PDF 170.81 KB)
Published June 24, 2025
Syphilis - Contact PCP Letter (SHA 0381)
(PDF 897.25 KB)
Published July 5, 2024
Syphilis - Final Notice Letter (SHA 0312)
(PDF 851.83 KB)
Published January 10, 2024
Syphilis Follow-Up - Pediatric Infectious Disease Consult (SHA 0285)
(PDF 599.81 KB)
Published June 28, 2023
Syphilis in Pregnancy - Treatment and Serology Summary (SHA 0382)
(PDF 892.88 KB)
Published December 22, 2023
Syphilis Reactive Serology - Practitioner Checklist (SHA 0239)
(PDF 617.43 KB)
Published April 8, 2024
Syphilis Reactive Serology - Practitioner Letter from Public Health (SHA 0241)
(PDF 766.63 KB)
Published July 29, 2024
Syphilis Screening - Pregnancy (SHA 0284)
(PDF 642.49 KB)
Published June 28, 2023

T - U

Take Home Naloxone - Clinician Form and Participant Checklist (SHA 0256)
(PDF 737.03 KB)
Published May 29, 2023
Temperature Log for Medication Refrigerators and Freezers (SHA 0523)
(PDF 475.52 KB)
Published January 9, 2025
Therapy Services - Physical Therapy 10-Metre Walk Test (10MWT) (SHA 0545)
(PDF 101.38 KB)
Published January 30, 2025
Therapy Services Progress Note (SHA 0356)
(PDF 445.43 KB)
Published October 31, 2023
Therapy Services – Physical Therapy Activities-Specific Balance Confidence (ABC) Scale (SHA 0546)
(PDF 458.68 KB)
Published January 30, 2025
Transfer Medication Reconciliation Order Form - Blank (SHA 0517)
(PDF 577.41 KB)
Published March 4, 2025
Transfusion Administration Record (TAR) (SHA 0479)
(PDF 249.73 KB)
Published November 8, 2024
Transfusion Administration Record (TAR) - Multi-Unit (SHA 0625)
(PDF 175.01 KB)
Published October 6, 2025
Transition of Care Form - PILOT - St. Joseph's Hospital - Estevan (SHA 0384)
(PDF 691.59 KB)
Published May 24, 2024
Transitional Care Unit (TCU) Recreation Therapy Referral (SHA 0603)
(PDF 127.19 KB)
Published June 27, 2025
Triage Assessment Record - ADULT (SHA 0079)
(PDF 242.58 KB)
Published May 13, 2022
Triage Assessment Record​​ - PEDIATRIC (SHA 0080)
(PDF 246.74 KB)
Published May 13, 2022
Urgent Care Centre - Discharge Summary (SHA 0432)
(PDF 660.29 KB)
Published June 28, 2024
Urgent Care Centre - Patient Care Record (SHA 0431)
(PDF 478.02 KB)
Published June 28, 2024
Urgent Care Centre - Primary Assessment (SHA 0430)
(PDF 513.42 KB)
Published June 28, 2024
Urinary Catheter Irrigation Record (SHA 0330)
(PDF 187.16 KB)
Published August 22, 2025

V - Y

Vaccine Consent WITHOUT Capacity or Substitute Decision Maker - LONG TERM CARE/CONTINUING CARE ONLY​​ (SHA 0132)
(PDF 241.16 KB)
Published October 28, 2025
Vaccine Consent​ WITH Substitute Decision Maker - LONG TERM CARE/CONTINUING CARE ONLY​​ (SHA 0096)
(PDF 651.57 KB)
Published November 19, 2024
Vancomycin Monitoring Form - Adult (SHA 0216)
(PDF 464.97 KB)
Published September 21, 2022
Virtual Care Appointment Record (SHA 0030)
(PDF 459.59 KB)
Published November 16, 2023
Virtual Group Sessions - Information and Consent​ (Fillable form or print and complete) (SHA 0074)
(PDF 482.48 KB)
Published October 18, 2024
Waiver of Liability in Respect to Non-SHA Private Service Providers (SHA 0458)
(PDF 576.98 KB)
Published October 1, 2024
Weekly Support Surface Checklist - Long Term Care (LTC) (SHA 0437)
(PDF 503.83 KB)
Published October 31, 2024
Women's Heart Health Clinic Referral Form - Saskatoon (SHA 0592)
(PDF 219.56 KB)
Published June 10, 2025
Xylazine Drug Checking Strips [AVERY Labels 5164] (SHA 0554)
(PDF 366 KB)
Published March 13, 2025
Yellow Sleeve Content Label - Border Communities - Advance Care Planning (SHA 0344)
(PDF 475.77 KB)
Published October 19, 2023

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