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REQUEST AND TREATMENT ORDER FORM DIAGNOSIS : Type 1 Diabetes Pl anned Start Date : REASON FOR REFERRAL TO LHIN: Child/teen requires school support over the lunch hour with: in su lin administration blood glucose monitoring Tim ing: _______________________________________________________________________ Chil d/teen and family to return to Children’s Hospital for ongoing diabetes education and support. If […]

Temporary Remote Work Policy Policy Level Approval : Senior Executive Team Policy Category : Human Resources Policy Number : Cross Reference to Othe r policies/legislations/regulations/directives : Occupational Health and Safety Policy Original Date of Approval : November 17 th, 2020 Next Scheduled Year Review: November 17 th, 2021 Policy Applies to: [Tick off all appropriate […]

Temporary Remote Work Policy Policy Level Approval : Senior Executive Team Policy Category : Human Resources Policy Number : Cross Reference to Othe r policies/legislations/regulations/directives : Occupational Health and Safety Policy Original Date of Approval : November 17 th, 2020 Next Scheduled Year Review: November 17 th, 2021 Policy Applies to: [Tick off all appropriate […]

Haldimand Norfolk Home & Community Care Palliative Care Outreach Team Referral Form Fax: 519-426 -4384 Patient Name ________________________________ ______ HCN ____________________ VC ______ DOB _______________ Address _______________________________________ City __________________ Province ____ _ Postal Code ___________ Patient Phone # ____________________ Contact Name ____________________________ Contact Phone ________________ Preferred Language _______ __________________Gender ____________________ Preferred Pronoun ___________________ Supports Requested […]

Residence Bed ☐ Day Program ☐ Outreach Team ☐ Visiting Volunteer ☐ Bereavement ☐ Psychosocial Spiritual Hospice Referral Form ☐      Hospice Emmanuel House Carpenter House Hospice Niagara McNally House Bob Kemp Stedman Margaret’s Place Fax # 905-308-8 116 905-631-7 107 905-646-3 860 905-309-6 656 905-318-8 411 519-751-7 527 905-627-6577 Patient […]

Ministry of Health Office of the Deputy Premier and Minister of Health 777 Bay Street, 5 th Floor Toronto ON M7A 1N3 Telephone: 416 327-4300 Facsimile: 416 326-1571 www.ontario.ca/healthLetter from the Ministry of Health 181-2021-238 July 1, 2021 Mr. Kenneth Joseph (“Joe”) Parker Board Chair Home and Community Care Support Services via email Dear Mr. […]

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