Current Patients, Families & Caregivers and Health Service Providers: If you encounter any challenges with medical supplies or equipment, please contact the appropriate care coordinator directly or call 310-2222 (no area code required). If you continue to have unresolved concerns with medical supplies or equipment, the MESmodernization@ontariohealthathome.ca email remains available. Dismiss

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Medical Assistance in Dying (MAiD) – Referral and Attestation

The submission of this completed form for nursing and supplies facilitates the delivery of the MAiD kit (i.e., supplies only and no medications) to the location you identify below, where the MAID procedure will take place.

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File Type: pdf
Categories: Forms
Tags: Champlain
Downloads: 5

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