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cen-covid19-remote-self-monitor-referral-form-en

[…] for COVID-19 Patient has access to smartphone or other device that can r un apps COVID-19 Positive How would the patient like to receive notification to participate in the program? (Choose one) By Email By Secure Text Patient to self-isolate at home Patient to self-isolate via cohorting space Patient does not own a smart […]

HNHB-Request-for-services-EN

Hamilton Niagara Haldimand Brant area

Request for services – EN

Hamilton Niagara Haldimand Brant area, Request for services

Referral Assessment Request – English

[…] Patient Aware of Prognosis  Yes  No Allergies Form Instructions Please return this form to Ontario Health atHome via fax. London: 519-472 -4045 ( patients living in London/Middlesex and Elgin) Stratford : 519-273 -2847 or toll free: 1 -855 -223 -2847 ( patients living in Grey/Bruce, Huron, Oxford, Perth) Equipment Orders Height (cm/ […]

Community Palliative Care Nurse Practitioner (CPCNP) Program – English

[…] within a network of palliative care providers, the CPCNPs enhance continuity of clinical care across primary care, community supports, acute and specialty care sectors to support patients in living and dying in their place of choice. The CPCNP’s, who have an expanded scope of nursing practice, enhance the quality of palliative care by providing: […]

Home and Community Care Waitlist Information – French

Central East Home and Community Care Waitlist Information

SE-Hip-and-Knee-Information-Sheet

[…] days per week for roughly six to eight weeks after surgery. If you are unable to attend hospital -based outpatient physiotherapy, or if it is not available in your area, Home and Community Care Support Se rvices South East will assist you and make arrangements for your physiotherapy at home. Please discuss your options […]

SW-wound-virtual-consult-request-form-EN

[…] (HCN) Version Code Date of Birth (YYYY-Month-DD) Gender Identity Male Female Undiferentiated Unknown Pronouns He/Him She/Her They/Them Virtual consultation is available for all wound types and patients, in any c are setting that meets the eligibility criteria. At times, further investigations may be requested by the South West R egional Wound Care Program (SWRWCP) […]

Wound Consult Request – Virtual- English

[…] (HCN) Version Code Date of Birth (YYYY-Month-DD) Gender Identity Male Female Undiferentiated Unknown Pronouns He/Him She/Her They/Them Virtual consultation is available for all wound types and patients, in any care setting that meets the eligibility criteria. At times, further investigations may be requested by the South West Regional Wound Care Program (SWRWCP) to support […]

BPSAA Attestation – Q2 2022 – French

Erie St. Clair Broader Public Sector Accountability Act (BPSAA) Attestation | 2021-2022 – Q2

BPSAA Attestation – Q2 2023 – French

Waterloo Wellington Broader Public Sector Accountability Act (BPSAA) Attestation | 2022-2023 – Q2

BPSAA Attestation – Q2 2023 – French

North East Broader Public Sector Accountability Act (BPSAA) Attestation | 2022-2023 – Q2

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