Search Results

[…] of 3 PATIENT INFORMATION Name: (Individubl’s Lbst Nbme, First Nbme) Home Address: (Street No., Street Nbme, Building) (Apt/Suite#) (Entry Code) City: Postal Code: Lives Albne Ybung Children in the Hbme Smbking in the Hbme Pet(s) in the Hbme (Specify): Hu.n sbuwn /R.-ng’ evyngw,yn /R.-ng’ Date of Birth: Gender: Male Faith/Religion: (dd -mmm -yyyy) Female […]

Version 3 (26/06/2024) Page 1 of 1 Submit your request to the a ddress or fax number above. Note: Legislation permits a 30-day response time. Patient whose information is being requested Last Name: Health Card Number: First N a me: Date o f Birth (DD/MM /YYYY): Information about the person making the request Patient Substitute […]

[…] Placement bursing butritional Services Occupational Therapy Personal Support (e.g. bathing, dressing) Physiotherapy Social Work Speech Lanuage Pathology Community Linking (e.g. housekeeping, shopping, transportation) Has the patient been in the ER/hospital within the last 14 days? Unknown bo Yes Does the patient have a current cancer diagnosis? Unknown bo Yes Has the patient had any […]

Community Clinic Eligibility Criteria 18 June 2021 Page 1 of 1 Community Clinic vs. In-Home Nursing Eligibility Information to guide patient-focused decisions Clinic Eligibility With extended evening and weekend hours, and seven convenient locations to choose from, for most patients Ontario Health atHome community clinics are the best options to ensure high-quality, specialized nursing […]

Ontario Health atHome (Referral_Updates – Initial_Ref) 096 Updated: June 28, 2024 Palliative Nurse Practitioner Referral Form Patient Name: Address: City: Postal Code: Telephone: D.O.B ___/___/___ HCN: VC: DD/MM/YY Patient has consented to Palliative Nurse Practitioner (NP) referral Patient meets Palliative NP Program referral criteria (see page 2 for eligibility guideline) Alternative Contact Name: Relationship: POA/SDM […]

Ontario Health atHome (Referral_Updates – Initial_Ref) 096 Updated: June 28, 2024 Palliative Nurse Practitioner Referral Form Patient Name: Address: City: Postal Code: Telephone: D.O.B ___/___/___ HCN: VC: DD/MM/YY Patient has consented to Palliative Nurse Practitioner (NP) referral Patient meets Palliative NP Program referral criteria (see page 2 for eligibility guideline) Alternative Contact Name: Relationship: POA/SDM […]

[…] Care Homes 5 2. Visit the homes you would like to consider  Visiting homes or learning more  about your top    choices by visiting    Ontario.ca/LongTermCare   will help answer some of your  questions. By taking a tour,  you can get a better feel for the  surroundings and the people who work and live  in the home.   When you visit a long-term care home, you may  want to ask:    z for an information package on the home    z for copies of recent inspection reports – the  province conducts regular inspections, as  required under the Fixing Long-Term Care  Act, 2021. You can also fnd the reports  online  at  publicreporting.ltchomes.net     z to speak to a member of the home’s  Residents’ Council    z to speak to a member of the home’s Family  Council, if available  Before touring the long-term care homes you are  considering, list the features that are important  to you and pre-book the visit so that you will be  able to get an informative tour. Some things to  consider for your list:     z Location:  Is the home close enough for  family and friends to visit?    z Cultural/language/religious preferences:  Do these factors need to be considered?    […]

[…] Care Homes 5 2. Visit the homes you would like to consider  Visiting homes or learning more  about your top    choices by visiting    Ontario.ca/LongTermCare   will help answer some of your  questions. By taking a tour,  you can get a better feel for the  surroundings and the people who work and live  in the home.   When you visit a long-term care home, you may  want to ask:    z for an information package on the home    z for copies of recent inspection reports – the  province conducts regular inspections, as  required under the Fixing Long-Term Care  Act, 2021. You can also fnd the reports  online  at  publicreporting.ltchomes.net     z to speak to a member of the home’s  Residents’ Council    z to speak to a member of the home’s Family  Council, if available  Before touring the long-term care homes you are  considering, list the features that are important  to you and pre-book the visit so that you will be  able to get an informative tour. Some things to  consider for your list:     z Location:  Is the home close enough for  family and friends to visit?    z Cultural/language/religious preferences:  Do these factors need to be considered?    […]