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{"status": "completed", "conte {"status": "completed", "content": "52 Castelfall way NEasdasdasd\ncalgary, asdsadsad, t3j1m7\nTel:1234567876 Fax:1234345676\n03 December 2025\n\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 A43819\n\u00a0\nDiv Kash\n52 Castlefall Way NE\n\u00a0\nRef: Change of Appointment Date and Time\n\u00a0\nDr. ____________ will not be in the office for the original appointment date of 01 December 2025 07:15 AM we\nhave rebooked the following appointment times:\n\u00a0\n01 December 2025 07:15 AM\n-\n-\n\u00a0\nat the Advanced Cardiology Clinic.\n\u00a0\nKindly call us back to confirm receipt of this letter.\n\u00a0\nIf you have any questions or concerns please call our office at 403-235-4109.\n\u00a0\nThank you.\n\u00a0\n\u00a0\nInformation contained in this communication may be confidential and is intended only for the use of\nthe recipient(s). If the reader of this message is not the intended recipient, you are hereby notified\nthat any dissemination, distribution, or copying of this communication or any of its contents is\nstrictly prohibited. If you received this communication in error, Please return it to the sender and\ncontact Advanced Cardiology 403-235-4109.\n\u00a0\nChart Number : A43819\nAamer, Nazish\nFax:\u00a0 \u00a0\n\u00a0\nRE:\u00a0Div Kash\nPHN:\u00a0666777888\nDOB:\u00a0\u00a02025-12-12\n\u00a0\u00a0\u00a0\nDear Aamer, Nazish,\nexm\u00a0\n\u00a0\u00a0\u00a0\n\u00a0\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025\nPage 1 of 5 Yours Sincerely,\n\u00a0\n\u00a0\nDictation\u00a0file:\u00a0Super Admin\u00a0\n\u00a0\nDICTATED\u00a0BUT\u00a0NOT\u00a0READ\u00a0TO\u00a0AVOID\u00a0DELAY\u00a0\n\u00a0\nInformation\u00a0contained\u00a0in\u00a0this\u00a0communication\u00a0may\u00a0be\u00a0confidential\u00a0and\u00a0is\u00a0intended\u00a0only\u00a0for\u00a0the\u00a0use\u00a0of\u00a0the\u00a0recipient(s).\u00a0If\u00a0the\u00a0reader\u00a0of\u00a0this\u00a0message\u00a0is\u00a0not\u00a0the\u00a0intended\u00a0recipient,\u00a0you\u00a0are\u00a0hereby\u00a0notified\u00a0that\u00a0any\u00a0dissemination,\u00a0distribution,\u00a0or\u00a0copying\u00a0of\u00a0this\u00a0communication\u00a0or\u00a0any\u00a0of\u00a0its\u00a0contents\u00a0is\u00a0strictly\u00a0prohibited.\u00a0If\u00a0you\u00a0received\u00a0this\u00a0communication\u00a0in\u00a0error,\u00a0Please\u00a0return\u00a0it\u00a0to\u00a0the\u00a0sender\u00a0and\u00a0contact\u00a0Advanced\u00a0Cardiology\u00a0403-\n235-4109.\u00a0\n2.\u00a0\nChart Number : A43819\nHawkins, Mark\nFax:\u00a0 \u00a04036786262\n\u00a0\nRE:\u00a0Div Kash\nPHN:\u00a0124356789\nDOB:\u00a0\u00a02025-12-12\n\u00a0\u00a0\u00a0\nDear Hawkins, Mark,\ntesty testy\n\u00a0\n\u00a0\n\u00a0\nYours Sincerely,\n2.\u00a0\nDate: 03 December 2025\n\u00a0\n\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 CONSENT TO OBTAIN PERSONAL INFORMATION\nDiv Kash\n\u00a0\nI,\u00a0 Div Kash Testauthorize\u00a0Advanced Cardiology and Constant\u00a0 to obtain my Medical Records including all Test\nresults and Consult Notes\n\u00a0\nI understand why I have been asked to disclose this information and I am aware of the risk or benefits of\nconsenting or refusing to consent, to disclose this information. I also understand that I may revoke this consent\nat any time.\u00a0\n\u00a0\nPatient Name: Div Kash\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0Pt Sign:________________________\n\u00a0\nDate: 03 December 2025\n\u00a0\nWitnessed by:______________________________\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Sign:_____________________\n\u00a0\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025\nPage 2 of 5 Date: 03 December 2025\n\u00a0\u00a0\n2.\u00a0\nChart Number : A43819\nHawkins, Mark\nFax:\u00a0 \u00a04036786262\n\u00a0\nRE:\u00a0Div Kash\nPHN:\u00a0124356789\nDOB:\u00a0\u00a02025-12-12\n\u00a0\u00a0\u00a0\nDear Hawkins, Mark,\ntesty testy\n\u00a0\n\u00a0\n\u00a0\nYours Sincerely,\n\u00a0\n\u00a0\nDictation\u00a0file:\u00a0Reception Role\u00a0\n\u00a0\nDICTATED\u00a0BUT\u00a0NOT\u00a0READ\u00a0TO\u00a0AVOID\u00a0DELAY\u00a0\n\u00a0\nInformation\u00a0contained\u00a0in\u00a0this\u00a0communication\u00a0may\u00a0be\u00a0confidential\u00a0and\u00a0is\u00a0intended\u00a0only\u00a0for\u00a0the\u00a0use\u00a0of\u00a0the\u00a0recipient(s).\u00a0If\u00a0the\u00a0reader\u00a0of\u00a0this\u00a0message\u00a0is\u00a0not\u00a0the\u00a0intended\u00a0recipient,\u00a0you\u00a0are\u00a0hereby\u00a0notified\u00a0that\u00a0any\u00a0dissemination,\u00a0distribution,\u00a0or\u00a0copying\u00a0of\u00a0this\u00a0communication\u00a0or\u00a0any\u00a0of\u00a0its\u00a0contents\u00a0is\u00a0strictly\u00a0prohibited.\u00a0If\u00a0you\u00a0received\u00a0this\u00a0communication\u00a0in\u00a0error,\u00a0Please\u00a0return\u00a0it\u00a0to\u00a0the\u00a0sender\u00a0and\u00a0contact\u00a0Advanced\u00a0Cardiology\u00a0403-\n235-4109.\n3.\u00a0\n250 8500 Blackfoot Trail SE Calgary, AB T2J 7E1\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0Tel 403-879-7911 Fax 403-879-7899\nDate: 03 December 2025\n\u00a0\nDear: David White\nFax: 4032354109\n\u00a0\nRef: -\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Chart: A43819\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0\nAddress: -\nTel: (587) 998-7876\n\u00a0\nThank you for your referral\nThe above patient has been booked for the following appointment:\n04 Dec,2025 02:45 PM\n\u00a0 \u00a0\n\u00a0 \u00a0\n\u00a0\nPlease arrive 15 min before your appointment.\n__________\u00a0Patient has been informed on Telephone No.: (587) 998-7876\n__________ Message has been left for the patient on Telephone No.:\u00a0 (587) 998-7876. Kindly assist in informing the\npatient.\u00a0\n\u00a0\nKind regards\n\u00a0\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025\nPage 3 of 5 Advanced Rheumatology\n\u00a0\n\u00a0\nInformation contained in this communication may be confidential and is intended only for the use of the\nrecipient(s). If the reader of this message is not the intended recipient, you are hereby notified that any\ndissemination, distribution, or copying of this communication or any of its contents is strictly prohibited. If you\nreceived this communication in error, Please return it to the sender and contact Advanced Cardiology 403-879-\n7911.\n4.\u00a0\nDate: 03 December 2025\n\u00a0\nTo whom it may concern\n\u00a0\nRef: Div Kash\n\u00a0\nThis is to confirm that the above mentioned person was in for a clinic visit:\nApril 03,2025 at 6:15 pm\n\u00a0\nRegards\n\u00a0\n\u00a0\nClinic Manager\u00a0\n\u00a0\n\u00a0\nInformation contained in this communication may be confidential and is intended only for the use of the\nrecipient(s). If the reader of this message is not the intended recipient, you are hereby notified that any\ndissemination, distribution, or copying of this communication or any of its contents is strictly prohibited. If you\nreceived this communication in error, Please return it to the sender and contact Advanced Cardiology 403-235-\n4109.\n5.\u00a0\n01 December 2025\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\n\u00a0\u00a0A43819\n\u00a0\nTo:\n\u00a0\nFax:\u00a0\n\u00a0\nRE:\u00a0 \u00a0 \u00a0 \u00a0Div Kash\nPHN:\u00a0 \u00a0 666777888\nDOB:\u00a0 \u00a0\u00a012 December 2025\nPhone:\u00a0(587) 998-7876\nE-mail:\u00a0\n\u00a0\n\u00a0\nReason For Referral:\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025\nPage 4 of 5 Dear Dr.\n\u00a0\n\u00a0\nThank you very much for allowing me to participate in Div's care.\n\u00a0\n\u00a0\nPast Medical history\n\u00a0\nMedication List\n\u00a0\nAllergies\n\u00a0\nSocial History\n\u00a0\nFamily History\n\u00a0\n\u00a0\nMany thanks for your consideration.\n\u00a0\nSincerely yours,\nAli Debek, MD FCCP\nInternal Medicine\nAD/\nDictation:\u00a0\nDICTATED BUT NOT READ TO AVOID DELAY\n\u00a0\nA43819\u00a0\u00a0\u00a0 Date: 03 December 2025\n\u00a0\nInformation contained in this communication may be confidential and is intended only for the use of the\nrecipient(s). If the reader of this message is not the intended recipient, you are hereby notified that any\ndissemination, distribution, or copying of this communication or any of its contents is strictly prohibited. If you\nreceived this communication in error, Please return it to the sender and contact Advanced Cardiology 403-235-\n4109.\n\u00a0\n\u00a0\nDictation\u00a0file:\u00a0Reception Role\u00a0\n\u00a0\nDICTATED\u00a0BUT\u00a0NOT\u00a0READ\u00a0TO\u00a0AVOID\u00a0DELAY\u00a0\n\u00a0\nInformation\u00a0contained\u00a0in\u00a0this\u00a0communication\u00a0may\u00a0be\u00a0confidential\u00a0and\u00a0is\u00a0intended\u00a0only\u00a0for\u00a0the\u00a0use\u00a0of\u00a0the\u00a0recipient(s).\u00a0If\u00a0the\u00a0reader\u00a0of\u00a0this\u00a0message\u00a0is\u00a0not\u00a0the\u00a0intended\u00a0recipient,\u00a0you\u00a0are\u00a0hereby\u00a0notified\u00a0that\u00a0any\u00a0dissemination,\u00a0distribution,\u00a0or\u00a0copying\u00a0of\u00a0this\u00a0communication\u00a0or\u00a0any\u00a0of\u00a0its\u00a0contents\u00a0is\u00a0strictly\u00a0prohibited.\u00a0If\u00a0you\u00a0received\u00a0this\u00a0communication\u00a0in\u00a0error,\u00a0Please\u00a0return\u00a0it\u00a0to\u00a0the\u00a0sender\u00a0and\u00a0contact\u00a0Advanced\u00a0Cardiology\u00a0403-\n235-4109.\nPage 5 of 5\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025"}...
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{"status": "completed", "conte {"status": "completed", "content": "52 Castelfall way NEasdasdasd\ncalgary, asdsadsad, t3j1m7\nTel:1234567876 Fax:1234345676\nChart Number : A43819\nDavid White\nSAIT\nFax: 4032354147\n\u00a0\nRE: Div Kash\nPHN: 666777888\nDOB: 1998-12-11\n\u00a0\nDear David White,\n'\nhwqxdbhuerb ehwbfh\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n\u00a0\nCatarct\u00a0\nInative\u00a0\nIdipathic\n\u00a0\nYours Sincerely,\n\u00a0\n\u00a0\nDictation file: Super Admin\n\u00a0\nDICTATED BUT NOT READ TO AVOID DELAY\n\u00a0\nInformation contained in this communication may be confidential and is intended only for the use of the recipient(s). If the\nreader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution, or\ncopying of this communication or any of its contents is strictly prohibited. If you received this communication in error,\nPlease return it to the sender and contact Advanced Cardiology 403-235-4109.\ntest\nPage 1 of 1\nName: Div Kash | PHN: 666777888 | DOB: 11 Dec, 1998"}...
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{"name": "dictations-2025_12_11_144139 {"name": "dictations-2025_12_11_144139.pdf", "content_type": "application/octet-stream", "size": 72557, "data": {"patient_id": "b3e7cc30-1ba8-11f0-b706-c183bb9a9165"}, "collection_name": "file-04865c9a-e5c2-418a-9c6f-a770905f0434"}...
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{"status": "completed", "conte {"status": "completed", "content": "8500 Blackfoot Trl SE #250\nCalgary, AB, T2J 7E1\nTel:4038797911 Fax:4038797899\nDate: 11 December 2025\n\u00a0\nDear: Aaron, Stephen\nFax: 5345435435345345435\n\u00a0\nRef: Div Kash\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Chart: A43819\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0\nPHN: 666777888\nTel: (587) 998-7876\n\u00a0\nThank you for your referral\nThe above patient has been booked for the following appointment:\n{{PATIENTAPPTDATE5DOCNAME}}\u00a0 \u00a0\n\u00a0 \u00a0\n\u00a0 \u00a0\n\u00a0 \u00a0\n\u00a0\n\u00a0\n\u00a0\nPlease arrive 15 min before your appointment.\n__________\u00a0Patient has been informed on Telephone No.: (587) 998-7876\n__________ Message has been left for the patient on Telephone No.:\u00a0 (587) 998-7876. Kindly assist in informing the\npatient.\u00a0\n\u00a0\nKind regards\nAdvanced Cardiology Consultants & Diagnostics Inc.\n#201-3151 27th St NE,\nCalgary AB,\u00a0T1Y 0B4\nTel: 403 235 4109\nFax: 403 235 4147\nInformation\u00a0contained\u00a0in\u00a0this\u00a0communication\u00a0may\u00a0be\u00a0confidential\u00a0and\u00a0is\u00a0intended\u00a0only\u00a0for\u00a0the\u00a0use\u00a0of\u00a0the\u00a0recipient(s).\u00a0If\u00a0the\u00a0reader\u00a0of\u00a0this\u00a0message\u00a0is\u00a0not\u00a0the\u00a0intended\u00a0recipient,\u00a0you\u00a0are\u00a0hereby\u00a0notified\u00a0that\u00a0any\u00a0dissemination,\u00a0distribution,\u00a0or\u00a0copying\u00a0of\u00a0this\u00a0communication\u00a0or\u00a0any\u00a0of\u00a0its\u00a0contents\u00a0is\u00a0strictly\u00a0prohibited.\u00a0If\u00a0you\u00a0received\u00a0this\u00a0communication\u00a0in\u00a0error,\u00a0Please\u00a0return\u00a0it\u00a0to\u00a0the\u00a0sender\u00a0and\u00a0contact\u00a0Advanced\u00a0Cardiology\u00a0403-\n235-4109.\nPage 1 of 1\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 1998"}...
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{"status": "completed", "conte {"status": "completed", "content": "ABATACEPT for Polyarticular Juvenile \nIdiopathic Arthritis \nSPECIAL AUTHORIZATION REQUEST FORM \nPlease complete all required sections to allow your request to be processed. Patients may or may not meet eligibility requirements as established \nby Alberta Government sponsored drug programs. \nPATIENT INFORMATION COVERAGE TYPE\nPATIENT LAST NAME FIRST NAME INITIAL\n Alberta Blue Cross \n Alberta Human Services \n Other\nDATE OF BIRTH: YYYY/MM/DD ALBERTA PERSONAL HEALTH NUMBER\nSTREET ADDRESS CITY PROV POSTAL CODE ID /CLIENT/COVERAGE N UMBER \nPRESCRIBER INFORMATION \nPRESCRIBER LAST NAME FIRST NAME INITIAL PRESCRIBER PROFESSIONAL ASSOCIATION REGISTRATION \n CPSA \n CARNA \n ACP \n ACO \n ADA+C \n Other \nREGISTRATION NUMBER \nSTREET ADDRESS \nPHONE FAX \nCITY, PROVINCE \nPOSTAL CODE FAX NUMBER MUST BE PROVIDED WITH EACH REQUEST SUBMITTED \nPlease provide the following information for ALL requests \nDiagnosis \n Polyarticular Juvenile Idiopathic Arthritis \n Other ( please specify) ______________________ \nCurrent weight (kg) Dosage \nDosing frequency \nPlease provide reason if a switch from a different biologic agent to abatacept is requested \nNote: Patients will not be permitted to switch back to a previously trialed biologic agent if they were deemed unresponsive to ther apy \nCurrent ACR Pedi 30 FLARE score (provide for ALL requests) \nACR Pedi 30 RESPONSE score at 16 to 20 weeks after first dose \nof previous abatacept treatment (provide for RETREATMENT \nrequests) \nDate of assessment___________________________ \n1. R\nheumatologist global 4. No. of joints\na\nssessment (0-10) ___________ w\nith LROM ___________ \n2. P\natient global 5. CHA\nQ (0-3) ___________\nassessment (0-10) ___________\n3. No\n. of active joints* ___________ 6. ESR (mm/hr) ____ ______\n or CRP ______________\n*joints with swelling not due to deformity or joints with limitation of motion with pain,\ntenderness or both\nDate of assessment___________________________ \n1. R\nheumatologist global 4. No. of joints\na\nssessment (0-10) ___________\nwith LROM ___________ \n2. P\natient global 5. CHA\nQ (0-3) ___________\nassessment (0-10) ___________\n3. N\no. of active joints* ___________ 6. ESR (mm/hr) _____ _____\n or CRP ______________\n*joints with swelling not due to deformity or joints with limitation of motion with pain,\ntenderness or both\nPlease provide the following information for ALL NEW requests \nPrevious medications utilized: Dose, duration and response is required \n DMARD(s) (please specify agents) \n Adalimumab\n Etanercept \n Tocilizumab \n Other (please specify agent) \nAdditional information relating to request (e.g. reasons why any of the above therapies were not tried) \nPRESCRIBER'S SIGNATURE DATE Please forward this request to \nAlberta Blue Cross, Clinical Drug Services \n10009 108 Street NW, Edmonton, Alberta T5J 3C5 \nFAX: 780 498-8384 in Edmonton \u2022 1-877-828-4106 toll free all other areas \nONCE YOUR REQUEST HAS SUCCESSFULLY TRANSMITTED, PLEASE DO NOT MAIL OR RE-FAX YOUR REQUEST \nThe information on this form is being collected and pursuant to sections 20, 21 and 22 of the Health Information Act, and sec tions 33 and 34 of the Freedom of Information and \nProtection of Privacy Act, for the purposes of determining or verifying eligibility to participate in a program or receive a benefit, product or health service. If you have any questions \nregarding the collection or use of this information, please contact an Alberta Blue Cross privacy matters representative toll -free at 1-855-498-7302 or write to Privacy Matters, \nAlberta Blue Cross, 10009 108 Street, Edmonton AB T5J 3C5. \n \u00ae*The Blue Cross symbol and name are registered marks of the Canadian Association of Blue Cross Plans, an association of independent Blue Cross plans. Licensed to ABC \nBenefits Corporation for use in operating the Alberta Blue Cross Plan. \u00ae\u2020 Blue Shield is a registered trade- mark of the Blue Cross Blue Shield Association. \nABC 60010 (2016/10) \nKash\nDiv\n1998-12-11\n578788878\nMequanent\n52 Castlefall Way NE\nCaglary\nT3J1M7\ncalgary\nT1Y6L4\n1\n4036481926\nChoose Province\nTed"}...
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labs-bc323552-5841-4966-b33c-1a8881a81874.pdf
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{"status": "completed", "conte {"status": "completed", "content": "ABATACEPT for Polyarticular Juvenile \nIdiopathic Arthritis \nSPECIAL AUTHORIZATION REQUEST FORM \nPlease complete all required sections to allow your request to be processed. Patients may or may not meet eligibility requirements as established \nby Alberta Government sponsored drug programs. \nPATIENT INFORMATION COVERAGE TYPE\nPATIENT LAST NAME FIRST NAME INITIAL\n Alberta Blue Cross \n Alberta Human Services \n Other\nDATE OF BIRTH: YYYY/MM/DD ALBERTA PERSONAL HEALTH NUMBER\nSTREET ADDRESS CITY PROV POSTAL CODE ID /CLIENT/COVERAGE N UMBER \nPRESCRIBER INFORMATION \nPRESCRIBER LAST NAME FIRST NAME INITIAL PRESCRIBER PROFESSIONAL ASSOCIATION REGISTRATION \n CPSA \n CARNA \n ACP \n ACO \n ADA+C \n Other \nREGISTRATION NUMBER \nSTREET ADDRESS \nPHONE FAX \nCITY, PROVINCE \nPOSTAL CODE FAX NUMBER MUST BE PROVIDED WITH EACH REQUEST SUBMITTED \nPlease provide the following information for ALL requests \nDiagnosis \n Polyarticular Juvenile Idiopathic Arthritis \n Other ( please specify) ______________________ \nCurrent weight (kg) Dosage \nDosing frequency \nPlease provide reason if a switch from a different biologic agent to abatacept is requested \nNote: Patients will not be permitted to switch back to a previously trialed biologic agent if they were deemed unresponsive to ther apy \nCurrent ACR Pedi 30 FLARE score (provide for ALL requests) \nACR Pedi 30 RESPONSE score at 16 to 20 weeks after first dose \nof previous abatacept treatment (provide for RETREATMENT \nrequests) \nDate of assessment___________________________ \n1. R\nheumatologist global 4. No. of joints\na\nssessment (0-10) ___________ w\nith LROM ___________ \n2. P\natient global 5. CHA\nQ (0-3) ___________\nassessment (0-10) ___________\n3. No\n. of active joints* ___________ 6. ESR (mm/hr) ____ ______\n or CRP ______________\n*joints with swelling not due to deformity or joints with limitation of motion with pain,\ntenderness or both\nDate of assessment___________________________ \n1. R\nheumatologist global 4. No. of joints\na\nssessment (0-10) ___________\nwith LROM ___________ \n2. P\natient global 5. CHA\nQ (0-3) ___________\nassessment (0-10) ___________\n3. N\no. of active joints* ___________ 6. ESR (mm/hr) _____ _____\n or CRP ______________\n*joints with swelling not due to deformity or joints with limitation of motion with pain,\ntenderness or both\nPlease provide the following information for ALL NEW requests \nPrevious medications utilized: Dose, duration and response is required \n DMARD(s) (please specify agents) \n Adalimumab\n Etanercept \n Tocilizumab \n Other (please specify agent) \nAdditional information relating to request (e.g. reasons why any of the above therapies were not tried) \nPRESCRIBER'S SIGNATURE DATE Please forward this request to \nAlberta Blue Cross, Clinical Drug Services \n10009 108 Street NW, Edmonton, Alberta T5J 3C5 \nFAX: 780 498-8384 in Edmonton \u2022 1-877-828-4106 toll free all other areas \nONCE YOUR REQUEST HAS SUCCESSFULLY TRANSMITTED, PLEASE DO NOT MAIL OR RE-FAX YOUR REQUEST \nThe information on this form is being collected and pursuant to sections 20, 21 and 22 of the Health Information Act, and sec tions 33 and 34 of the Freedom of Information and \nProtection of Privacy Act, for the purposes of determining or verifying eligibility to participate in a program or receive a benefit, product or health service. If you have any questions \nregarding the collection or use of this information, please contact an Alberta Blue Cross privacy matters representative toll -free at 1-855-498-7302 or write to Privacy Matters, \nAlberta Blue Cross, 10009 108 Street, Edmonton AB T5J 3C5. \n \u00ae*The Blue Cross symbol and name are registered marks of the Canadian Association of Blue Cross Plans, an association of independent Blue Cross plans. Licensed to ABC \nBenefits Corporation for use in operating the Alberta Blue Cross Plan. \u00ae\u2020 Blue Shield is a registered trade- mark of the Blue Cross Blue Shield Association. \nABC 60010 (2016/10) \nKash abc\nDiv\n1998-12-11\n578788878\nMequanent\n52 Castlefall Way NE\nCaglary\nT3J1M7\ncalgary\nT1Y6L4\n1\n4036481926\nChoose Province\nTed"}...
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{"status": "completed", "conte {"status": "completed", "content": "Logo\nAdvanced Cardiology Consultants & Diagnostic Inc\n#250 8500 Blackfoot Trail SE\nCalgary, AB, T2J7E1\nTel: 403-879-7911 | Fax 403-879-7899\nDictation Letter\nDate: 11/18/2025 Chart No: A43819\nPatient: Div Kash\nPhysician:\nSubject: Appointment confirmation\nInformation contained in this communication may be confidential and is intended only for the use of the recipient(s)..."}...
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{"name": "dictations-2025_12_17_094248 {"name": "dictations-2025_12_17_094248.pdf", "content_type": "application/octet-stream", "size": 72865, "data": {"patient_id": "b3e7cc30-1ba8-11f0-b706-c183bb9a9165"}, "collection_name": "file-0111cd74-c34f-400a-8b2f-67c3ca81bb48"}...
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{"status": "completed", "conte {"status": "completed", "content": "52 Castelfall way NEasdasdasd\ncalgary, asdsadsad, t3j1m7\nTel: 1234567876 | Fax: 1234345676\nChart Number : A43819\nAaron, Stephen\nFax: 5345435435345345435\n\u00a0\nRE: Div Kash\nPHN: 666777888\nDOB: 1998-12-12\n\u00a0\nDear Aaron, Stephen,\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n\u00a0\nsdsadsad\n\u00a0\n\u00a0\n\u00a0\nYours Sincerely,\n\u00a0\n\u00a0\nDictation file: Super Admin\n\u00a0\nDICTATED BUT NOT READ TO AVOID DELAY\n\u00a0\nInformation contained in this communication may be confidential and is intended only for the use of the recipient(s). If the\nreader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution, or\ncopying of this communication or any of its contents is strictly prohibited. If you received this communication in error,\nPlease return it to the sender and contact Advanced Cardiology 403-235-4109.\ntest\nPage 1 of 1 PHN / ULI: 666777888 Report Date: 12/17/2025"}...
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{"status": "completed", "conte {"status": "completed", "content": "ABATACEPT for Polyarticular Juvenile \nIdiopathic Arthritis \nSPECIAL AUTHORIZATION REQUEST FORM \nPlease complete all required sections to allow your request to be processed. Patients may or may not meet eligibility requirements as established \nby Alberta Government sponsored drug programs. \nPATIENT INFORMATION COVERAGE TYPE\nPATIENT LAST NAME FIRST NAME INITIAL\n Alberta Blue Cross \n Alberta Human Services \n Other\nDATE OF BIRTH: YYYY/MM/DD ALBERTA PERSONAL HEALTH NUMBER\nSTREET ADDRESS CITY PROV POSTAL CODE ID /CLIENT/COVERAGE N UMBER \nPRESCRIBER INFORMATION \nPRESCRIBER LAST NAME FIRST NAME INITIAL PRESCRIBER PROFESSIONAL ASSOCIATION REGISTRATION \n CPSA \n CARNA \n ACP \n ACO \n ADA+C \n Other \nREGISTRATION NUMBER \nSTREET ADDRESS \nPHONE FAX \nCITY, PROVINCE \nPOSTAL CODE FAX NUMBER MUST BE PROVIDED WITH EACH REQUEST SUBMITTED \nPlease provide the following information for ALL requests \nDiagnosis \n Polyarticular Juvenile Idiopathic Arthritis \n Other ( please specify) ______________________ \nCurrent weight (kg) Dosage \nDosing frequency \nPlease provide reason if a switch from a different biologic agent to abatacept is requested \nNote: Patients will not be permitted to switch back to a previously trialed biologic agent if they were deemed unresponsive to ther apy \nCurrent ACR Pedi 30 FLARE score (provide for ALL requests) \nACR Pedi 30 RESPONSE score at 16 to 20 weeks after first dose \nof previous abatacept treatment (provide for RETREATMENT \nrequests) \nDate of assessment___________________________ \n1. R\nheumatologist global 4. No. of joints\na\nssessment (0-10) ___________ w\nith LROM ___________ \n2. P\natient global 5. CHA\nQ (0-3) ___________\nassessment (0-10) ___________\n3. No\n. of active joints* ___________ 6. ESR (mm/hr) ____ ______\n or CRP ______________\n*joints with swelling not due to deformity or joints with limitation of motion with pain,\ntenderness or both\nDate of assessment___________________________ \n1. R\nheumatologist global 4. No. of joints\na\nssessment (0-10) ___________\nwith LROM ___________ \n2. P\natient global 5. CHA\nQ (0-3) ___________\nassessment (0-10) ___________\n3. N\no. of active joints* ___________ 6. ESR (mm/hr) _____ _____\n or CRP ______________\n*joints with swelling not due to deformity or joints with limitation of motion with pain,\ntenderness or both\nPlease provide the following information for ALL NEW requests \nPrevious medications utilized: Dose, duration and response is required \n DMARD(s) (please specify agents) \n Adalimumab\n Etanercept \n Tocilizumab \n Other (please specify agent) \nAdditional information relating to request (e.g. reasons why any of the above therapies were not tried) \nPRESCRIBER'S SIGNATURE DATE Please forward this request to \nAlberta Blue Cross, Clinical Drug Services \n10009 108 Street NW, Edmonton, Alberta T5J 3C5 \nFAX: 780 498-8384 in Edmonton \u2022 1-877-828-4106 toll free all other areas \nONCE YOUR REQUEST HAS SUCCESSFULLY TRANSMITTED, PLEASE DO NOT MAIL OR RE-FAX YOUR REQUEST \nThe information on this form is being collected and pursuant to sections 20, 21 and 22 of the Health Information Act, and sec tions 33 and 34 of the Freedom of Information and \nProtection of Privacy Act, for the purposes of determining or verifying eligibility to participate in a program or receive a benefit, product or health service. If you have any questions \nregarding the collection or use of this information, please contact an Alberta Blue Cross privacy matters representative toll -free at 1-855-498-7302 or write to Privacy Matters, \nAlberta Blue Cross, 10009 108 Street, Edmonton AB T5J 3C5. \n \u00ae*The Blue Cross symbol and name are registered marks of the Canadian Association of Blue Cross Plans, an association of independent Blue Cross plans. Licensed to ABC \nBenefits Corporation for use in operating the Alberta Blue Cross Plan. \u00ae\u2020 Blue Shield is a registered trade- mark of the Blue Cross Blue Shield Association. \nABC 60010 (2016/10) \nKash\nDiv\n11-12-1998\n578788878\nDoe\n52 Castlefall Way NE\nCaglary\nT3J1M7\n52 Castelfall way NEasdasdasd\ncalgary\nt3j1m7\n(123) 456-7876\n123-434-5676\nChoose Province\nDr John"}...
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{"status": "completed", "conte {"status": "completed", "content": "20897(Rev2024-03) Page 1 of 4\nScanning Label or Accession # (lab only)\nProvider(s) Patient\nCollection\nPHN\nExpiry: ________\nDate of Birth (dd-Mon-yyyy)\nLegal Last Name Legal First Name Middle Name\n$OWHUQDWH,GHQWL\u00bfHU Preferred Name \u2020 Male \u2020 Female\n\u2020 Non-binary \u2020 Prefer not to disclose\nPhone\nAddress City/Town Prov Postal Code\nAuthorizing Provider Name ODVW\u00bfUVWPLGGOH\f Copy to Name ODVW\u00bfUVWPLGGOH\f Copy to Name ODVW\u00bfUVWPLGGOH\f\nAddress Phone Address Address\nCC Provider ID CC Submitter ID Legacy ID Phone Phone\nClinic Name Clinic Name Clinic Name\nDate (dd-Mon-yyyy) Time KU\f Location Collector ID\nMolecular Genetics Laboratory\nCancer and Endocrine NGS Requisition\nFor detailed testing information, refer to APL Genetics & Genomics Webpage \nhttp://ahsweb.ca/lab/if-lab-genetics-and-genomics and APL Test Directory \nhttp://ahsweb.ca/lab/apl-td-lab-test-directory\nGenetic Counsellor/Clinic Contact Name (last, fi rst) Phone\nSpecimen\n\uf06f Whole Blood in EDTA tube \uf06f Extracted DNA \uf06f Fluid, amniotic*\n\uf06f Tissue, chorionic villi* \uf06f Cord blood* \uf06f Other (specify) ____________\n*If specimen type is prenatal or cord blood, maternal specimen must be collected for maternal cell contamination studies\nHealth Care Provider Important Information \n1. All sections of the requisition must be completed.\n2. By providing this requisition to the patient/family, the health care provider confi rms that they have reviewed the\npre-test counselling information (available on the Genetics & Genomics website) with the patient/family, and the\npatient/family consents to testing.\n3. Direct patient to take requisition to a local blood collection location to have blood specimen drawn.\nBilling Information: Must be completed if the patient does not have a valid \nAlberta Personal Heath Number\nGenetic testing is not covered by inter-provincial billing agreements. Alberta Precision Laboratories (APL) will bill a \nprovincial medical services plan provided there is a letter of pre-approval received with the requisition or Institutional \nBilling information provided below. By completing the Institutional Billing section, the health care provider confi rms \nthey have obtained any necessary pre-approval. For patient pay, contact the testing laboratory.\nInstitutional Billing Information (if pre-approval letter not attached)\nAddress\nContact Name (last, fi rst)\nPhone Fax\nMGL Use Only\nPatient Number Family Number Received Quantity\n1998-12-11\n52 Castlefall Way NE\nCaglary\nChoose Province\nT3J1M7\nDavid\nWhite\nKash\nDiv\n578788878 20897(Rev2024-03) Page 2 of 4\nMolecular Genetics Laboratory\nCancer and Endocrine NGS Requisition\nSection I - Reason for Testing (Select one only)\n\uf06f Confi rmation of Diagnosis \n Patient has signs or symptoms of the disease / disorder.\n\uf06f Presymptomatic or Predictive Testing \n \nPatient does not presently have symptoms; positive family history\n\uf06f Carrier Testing. \n No symptoms; at risk of being a carrier of a recessive disorder\n\uf06f Required for Family Study \n\uf06f Prenatal Testing \n\uf06f Other _____________________________________\nSection II - Family History of Indicated Disease\n\uf06f Unknown family history\n\uf06f No known family history \n\uf06f Possible family history\nDocumented family history\n\uf06f Clinical Diagnosis ONLY\n\uf06f Molecular Diagnosis \n(provide a copy of the familial variant \n report and complete information in Section V)\nIs RUSH testing needed? \uf06f Yes (provide details below)\n\uf06f Results will alter the immediate management and/or treatment of this patient (specify) _______________________\n\uf06f Results will impact an ongoing pregnancy (provide EDD, and procedure date if applicable) _____________________________\nIf RUSH testing is required, please provide a target date (dd-Mon-yyyy) (required) ________________________________\nNote: TAT is a minimum of 4 weeks. \nSection III - Patient Clinical Information \nSex at birth \uf06f Female \uf06f Male \uf06f Unknown\nDate of last chemotherapy (if applicable) \uf067\uf020 \uf020Date (dd-Mon-yyyy) ______________________\nHas this patient received a blood product in the preceding three months? \n\uf020\uf020\uf020\uf020\uf020\uf020\uf020\uf020\uf020\uf020\uf020\uf020\uf020\uf020\uf020\uf020\uf020\uf020\uf020 \uf06f Yes indicate blood product _____________________________\nHas the patient had a bone marrow transplant? \uf06f Yes \n (Blood is an incompatible specimen type)\nPlease provide any relevant information regarding your patient's clinical presentation (ex. tumour site, age at diagnosis, multiple \nprimary tumour, pathology, hormone receptors)\nIf applicable, IHC result (required for Lynch testing) ________________________________________________________________ \nHas the patient had BRCA 1/2 testing of tumour tissue? _________________________________________________________\nSection IV - Pedigree (Provide any relevant family history details, with family member names, ages, and diagnoses included as applicable. If more space \nis required, attach a separate sheet.)\nPatient Ethnicity/Ancestry ____________________________________\nLast Name (Legal) First Name (Legal)\nPHN\nKash\nDiv\n578788878 20897(Rev2024-03) Page 3 of 4\nSection V - Specifi c Variant Testing\nComplete this section only if you are requesting testing for a variant previously identifi ed in the family. \nSpecifi c variant testing is available for all genes available on the panels listed below.\n\uf06f\uf020Inherited Cancer and Endocrine Gene Panels, Specifi c Variant\nGene Mutation/Variant\nRelationship to index patient _______________________________________________\nWhat is the phenotype/presentation in the index patient? _______________________________________________\nOther family members previously tested in MGL \uf06f No \uf06f Yes \u25bc\nINDEX patient name MGL Reference Number\nWhich laboratory performed the proband testing? \uf06f Calgary \uf06f Edmonton \uf06f Other (specify) _____________\nTesting a positive control is recommended if the proband testing was performed at another lab.\nA clear copy of the test report on a family member is required if the testing was performed at another laboratory\nSection VI - Cancer and Endocrine NGS Panel Requests\nBreast, Ovarian and Prostate Cancers\n\uf06f Breast/Ovarian/Prostate Cancer Panel \nEndocrine Disorders\n\uf06f Endocrine Neoplasia Panel\n\uf06f Paraganglioma/Pheochromocytoma Predisposition Panel \n\uf06f Renal Cancer Panel\nGastrointestinal Cancers\n\uf06f Gastrointestinal/Polyposis Panel \n\uf06f Gastrointestinal Stromal Tumor Panel\n\uf06f Lynch Syndrome Panel \n\uf06f Pancreatic Cancer Panel \nHematological Cancers\n\uf06f Familial Acute Myeloid Leukemia Panel\n\uf06f Fanconi Anemia and DNA Repair Disorders Panel\nOvergrowth Disorders\n\uf06f Hereditary Multiple Osteochondromatosis Panel \n\uf06f Overgrowth Panel\nPediatric Cancers\n\uf06f Pediatric Cancer Panel \n\uf06f Schwannomatosis Panel \n\uf06f Tuberous Sclerosis \nSkin Cancers\n\uf06f Skin Cancer Panel \n\uf06f Xeroderma Pigmentosum Panel\nMolecular Genetics Laboratory\nCancer and Endocrine NGS Requisition\nLast Name (Legal) First Name (Legal)\nPHN\nKash\nDiv\n578788878 20897(Rev2024-03) Page 4 of 4\nSection VII - Single Gene Test Request\n\uf06f CASR-Related Disorder\n\uf06f Inherited Cancer and Endocrine Single Gene (complete only if panel is not appropriate for patient)\nRequesting test for ___________________________ (indicate the gene) and the presenting phenotype _____________\nRequesting test for ___________________________ (indicate the gene) and the presenting phenotype _____________\nSection IX - Additional Comments\n\uf06f Neurofi bromaosis Type 1 Please indicate if your patient has the following\n\uf020\uf06f Greater than 6 caf\u00e9-au-lait macules greater than 5 mm, postpubertal greater than 15 mm\n\uf020\uf06f Greater than 2 neurofi bromas or 1 plexiform neurofi broma\n\uf020\uf06f Axillary or inguinal freckling \n\uf020\uf06f Optic glioma\n\uf020\uf06f Greater than 2 Lisch nodules\n\uf020\uf06f A distinctive osseous lesion \n\uf020\uf06f A fi rst degree relative with NF1 per the above critera\nIf the patient does not fulfi ll NIH diagnostic criteria for NF1, please provide reason for testing as a comment\n____________________________________________________________________________________________\nSection VIII - Variant Reinterpretation\nComplete this section only if you are requesting reinterpretation of a variant previously identifi ed in the family\nGene Mutation/Variant\nWhat is the clinical phenotype/presentation in the family?\nA clear copy of the test report is required if the testing was preformed at another laboratory\nMolecular Genetics Laboratory\nCancer and Endocrine NGS Requisition\nLast Name (Legal) First Name (Legal)\nPHN\nKash\nDiv\n578788878"}...
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