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Long-Term Care Home Short-Stay Respite Choice List

Please select up to five long-term care homes (LTCHs) for short-stay respite, including any out-of-Champlain choices and rank them in order of your preference. The applicant’s name will be added to the wait lists for the chosen homes if eligible and if the chosen LTCHs can provide the required care. Ontario Health atHome will confirm with you the availability of the requested dates.

File Type: pdf
Categories: Forms
Tags: Champlain
Downloads: 75

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