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WW-573A-mental-health-and-addictions-nurse-referral-form

[…] 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 […]

ESC-Brochure-About Us

[…] work closely with family physicians and primary care practitioners to bring you care closer to home. You can register for Health Care Connect by calling 1-800-445-1822, or online at www.health.gov.on.ca. Primary health care providers Specially-trained nurses provide care in our community clinics for patients requiring services such as: • Intravenous therapy (IV) • Wound […]

NSM-2022MAY-Team-Assistant-Casual

[…] and service providers, the Team Assistant frequently interacts with various stakeholders by telephone and other communication methods, whether answering incoming questions or providing healthcare system n avigation. In addition, this role provides timely follow up on patient issues, ensures accurate documentation in our patient databases in the processing of a high volume of patient […]

Team Assistant_casual May 2022

[…] and service providers, the Team Assistant frequently interacts with various stakeholders by telephone and other communication methods, whether answering incoming questions or providing healthcare system n avigation. In addition, this role provides timely follow up on patient issues, ensures accurate documentation in our patient databases in the processing of a high volume of patient […]

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-PPSMC-Referral-Form-EN

[…] Services Request/Referral for Consultation Palliativ e Pain and Sympto m Management Co nsu ltants (PPSMCs) pro v ide su ppo rt to serv ice pro v iders in ho me care agencies, lo ng -term care homes, community support services, and primary care. T hey pro v ide co nsu ltatio n, edu catio […]

NSM-2022MAY-Team-Assistant-Casual

[…] and service providers, the Team Assistant frequently interacts with various stakeholders by telephone and other communication methods, whether answering incoming questions or providing healthcare system n avigation. In addition, this role provides timely follow up on patient issues, ensures accurate documentation in our patient databases in the processing of a high volume of patient […]

Team Assistant_casual May 2022

[…] and service providers, the Team Assistant frequently interacts with various stakeholders by telephone and other communication methods, whether answering incoming questions or providing healthcare system n avigation. In addition, this role provides timely follow up on patient issues, ensures accurate documentation in our patient databases in the processing of a high volume of patient […]

SE-PPSMC-Referral-Form-EN

[…] Services Request/Referral for Consultation Palliativ e Pain and Sympto m Management Co nsu ltants (PPSMCs) pro v ide su ppo rt to serv ice pro v iders in ho me care agencies, lo ng -term care homes, community support services, and primary care. T hey pro v ide co nsu ltatio n, edu catio […]

SE-PPSMC-Referral-Form-EN

[…] Services Request/Referral for Consultation Palliativ e Pain and Sympto m Management Co nsu ltants (PPSMCs) pro v ide su ppo rt to serv ice pro v iders in ho me care agencies, lo ng -term care homes, community support services, and primary care. T hey pro v ide co nsu ltatio n, edu catio […]

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) […]

NE-Expected-Death-in-the-Home-EDITH-Checklist

EXPECTED DEATH IN THE HOME CHECKLIST Version 2 (28/06/2024 ) Page 1 of 1 Do Not Resuscitate (DNR) Type: DNR – Doctor’s /Nurse Practitioner’s (NP) order DNR – Pat ient’s wish DNRC # _____________________ Agencies notified: Nursing Agency : Therapies : PSW Agency : Other: Date of notific ation : Contact Person: Name: _____________________________ […]

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