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Symptom Management Kit Prescription/Order Form
Mississauga Halton Symptom Relief Kit Prescription/Order Form.
After signing for one opiate & signing RX, fax this form to Ontario Health atHome Mississauga Office 905-855-8989. Supplies are enough for short-term use (12-24 hours) ONLY. Please write a prescription with ongoing orders for ANY medication expired or needing refills.
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