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Diabetes Type 1 Request Treatment Form

Diabetes Type 1 Request Treatment Form

Long Term Care Home Short Stay Interim Choice List – Francais

Long Term Care Home Short Stay Interim Choice List – Francais

Long Term Care Home Short Stay Interim Choice List – English

[…] Patient Name: (Last Name, First Name) Health Card No. Version Code Please select up to five long-term care homes (LTCHs) for short stay interim, 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 […]

SE-CADD-Solis-PCA-Order-Form-EN

[…] : Health Card Number: DOB : Address: CONTINUOUS AMBULATORY DELIVERY DEVICE PATIENT CONTROLLED ANALGESIA (CADD SOLIS – PCA) PRESCRIPTION / ORDER DIAGNOSIS: ALLERGIES: No Yes Please list: In the event of anaphylaxis, community nursing service provider will follow their specific agency policy. PRESCRIPTION/ORDERS CADD Solis PCA Prescription/Orders Route: (Check one) Subcutaneous (S.C) Port-a-cath (PAC) […]

SE CADD Solis PCA Order Form – English

[…] : Health Card Number: DOB : Address: CONTINUOUS AMBULATORY DELIVERY DEVICE PATIENT CONTROLLED ANALGESIA (CADD SOLIS – PCA) PRESCRIPTION / ORDER DIAGNOSIS: ALLERGIES: No Yes Please list: In the event of anaphylaxis, community nursing service provider will follow their specific agency policy. PRESCRIPTION/ORDERS CADD Solis PCA Prescription/Orders Route: (Check one) Subcutaneous (S.C) Port-a-cath (PAC) […]

SE Referral Form IV Remdesivir

Referral form for administering COVID-19 antivirals in South East community nursing clinics.

nsm-medical-referral-form-child

[…] other delivery, distribut ion, copying or disclosure is strictly prohibited and is not a waiver of privilege or c onfidentiality. If you have received this t elecommunication in error, please notify the sender immediately by telephone at 721 -8010 or 1 -888-721-2222 so that arrangements can be made for its destruction or return. Medical […]

nsm-common-palliative-referral-guidelines-pcp

[…] Type(s) of Services Requested Community Palliative Care Providers Services Check if appropriate and select appropriate referral Community Hospice Services Check if appropriate and enter details Medical Assistance in Dying (MAiD) Check if appropriate and select appropriate option Home and Community Care Support Services NSM Check if appropriate and select all appropriate services Pain and […]

nsm-common-palliative-referral-guidelines-pcp

[…] Type(s) of Services Requested Community Palliative Care Providers Services Check if appropriate and select appropriate referral Community Hospice Services Check if appropriate and enter details Medical Assistance in Dying (MAiD) Check if appropriate and select appropriate option Ontario Health atHome Check if appropriate and select all appropriate services Pain and Symptom Manageme nt Check […]

nsm-transitioning-patients-fact

[…] to Home and Community Care Support Services: ■ Speak with our Hospital Care Coordinators ■ Call us at 310-2222 (no area code required), or ■ Complete our online medical referral form or request an assessment form SE Health 11 Lakeside Terrace, Suite 101 Barrie , ON L4M 0H9 Phone: 705-737-5055 Bayshore Home Care Solutions […]

nsm-transitioning-patients-fact

[…] to Home and Community Care Support Services: ■ Speak with our Hospital Care Coordinators ■ Call us at 310-2222 (no area code required), or ■ Complete our online medical referral form or request an assessment form SE Health 11 Lakeside Terrace, Suite 101 Barrie , ON L4M 0H9 Phone: 705-737-5055 Bayshore Home Care Solutions […]

Strategic Priorities 2023-2024 EN

[…] and streamline the discharge process from hospital to home. • Develop a streamlined intake process across the province to support consistent pa�ent experiences. • Develop and implement online applica�on for long-term care placement. • Implement a provincial Medical Equipment and Supplies structure. • Support the Ministry of Health and partners to implement indirect care […]

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