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[…] Home Address: CLINICAL INFORMATION Diagnosis: MAID PROGRESS ( please check all that apply) ☐ The patient has received high level information about MAID (what is MAID, steps in process etc.) ☐The patient has received a Form A Patient Request Form and instructions on how to fill it out ☐ The patient has completed a […]

[…] Support Services (HCCSS) organizations , as may be applicable to my role, I may have access to confidential information required for my job , which may be in hard copy, electronic or verbal format. 2. I acknowledge that this agreement encompasses, but is not limited to, the following:  Personal Health Information as defined […]

[…] Support Services (HCCSS) organizations , as may be applicable to my role, I may have access to confidential information required for my job , which may be in hard copy, electronic or verbal format. 2. I acknowledge that this agreement encompasses, but is not limited to, the following:  Personal Health Information as defined […]

[…] Support Services (HCCSS) organizations , as may be applicable to my role, I may have access to confidential information required for my job , which may be in hard copy, electronic or verbal format. 2. I acknowledge that this agreement encompasses, but is not limited to, the following:  Personal Health Information as defined […]

[…] of data work and data sharing with the ministry, as appropriate. 6. Digital Delivery and Customer Service • Exploring and implementing digitization or digital modernization strategies for online service delivery and continuing to meet and exceed customer service standards through transition; and • Adopting digital approaches, such as user research, agile development, and product […]

[…] of data work and data sharing with the ministry, as appropriate. 6. Digital Delivery and Customer Service • Exploring and implementing digitization or digital modernization strategies for online service delivery and continuing to meet and exceed customer service standards through transition; and • Adopting digital approaches, such as user research, agile development, and product […]

[…] First Nations Status Yes No Home Address ___ City _____ Postal Code: ____ HCN ___________________________ VC ________ DOB ____________ Family Physician ________________ Psychiatrist ______ _____ Student is in the Care of Children’s Aid Society (Child’s Aid Society is student’s legal guardian) Languages Spoken in Home English French Other Specify Parent/Guardian Contact Information Mother Father […]

[…] 8569 Referral for: ☐ R emote Monitoring COPD ☐ Rem ote Monitoring Heart Failure ☐ Rem ote Monitoring COVID – 19 ☐ Remote Monitoring Diabetes ☐ Enhanced In – Home Remote Monitoring COPD Pilot with Hôpital Montfort ☐ Enhanced In – Home Remote Monitoring Heart Failure Pilot with Hôpital Montfort ☐ Enhanced In – […]

[…] Support Services (HCCSS) organizations , as may be applicable to my role, I may have access to confidential information required for my job , which may be in hard copy, electronic or verbal format. 2. I acknowledge that this agreement encompasses, but is not limited to, the following:  Personal Health Information as defined […]

[…] Residential Program (Waterloo-Wellington) 519 -576 -7431 • 8 6 6 -797-7431 TorchLight Distress Line 519-821-3760 • 888-821-3760 Where to get support & resources togetherall.com/en-ca is a safe, online community where people support each other anonymously to improve mental health and wellbeing. bouncebackontario.ca 866 -345- 0224 Free skill-building program to manage symptoms of depression and […]

Plan d’affaires annuel des services de soutien à domicile et en milieu communautaire pour l’exercice financier 2022-2023.