[…] an end- of-life home care designation to (service recipient code 95) and a prognosis of less than six (6) months. ⢠The person needs to receive services in a residential setting, because: oThe person requires a period of time in which to stabilize an exacerbation of life-limiting illnesses that puts her/him at risk of […]
MEDICAL ASSISTANCE IN DYING (MAID ) PRESCRIPTION FORM HCCSS CENTRAL EAST 233 Alden Road Markham, ON L3R 3W6 T: 1 – 888 – 313 – 6988 F: 1 – 888 – 287 – 8577 Page 1 of 2 Patient Name: _________________________________________________ DOB: _____ __ /____ /_______ Health card : ______ _________________ __ Phone: __________ […]
MEDICAL ASSISTANCE IN DYING (MAID ) PRESCRIPTION FORM HCCSS CENTRAL EAST 233 Alden Road Markham, ON L3R 3W6 T: 1 – 888 – 313 – 6988 F: 1 – 888 – 287 – 8577 Page 1 of 2 Patient Name: _________________________________________________ DOB: _____ __ /____ /_______ Health card : ______ _________________ __ Phone: __________ […]
SE-LTCH-Choice-Form-Fillable-FR
[…] Code _________ __ Mother Father Guardian Name _________ ___________________________ Home # ____________________________________ Cell # ______________________________________ Bus # ______________________________________ Address _____________________________________ City __________________ Postal Code ___________ Languages Spoken in Home English French Other Specify Interpreter Required No Yes Specify Conse nt Information I give permiss ion to the MHAN to notify m y s chool […]
[…] OF DIRECTORS TUESDAY, JULY 18, 2017 Commencing at 5:00 p.m. Central West LHIN Head Office 199 County Court Boulevard – ‘Brampton/Caledon Room’ Brampton, Ontario Board Members Present: In-Person: Carmine Domanico (Board Chair), J eff Payne (Member), Adrian Bita (Member), Peter Harris (Member) Via Teleconference: Neil Davis (Member), Moyra Vande Vooren (Member) , Ashish Kemkar […]
[…] OF DIRECTORS TUESDAY, JULY 18, 2017 Commencing at 5:00 p.m. Central West LHIN Head Office 199 County Court Boulevard – ‘Brampton/Caledon Room’ Brampton, Ontario Board Members Present: In-Person: Carmine Domanico (Board Chair), J eff Payne (Member), Adrian Bita (Member), Peter Harris (Member) Via Teleconference: Neil Davis (Member), Moyra Vande Vooren (Member) , Ashish Kemkar […]
