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SW-Request-School-Health-Support-Services

Page 1 of 1 PATIENT INFORMATION SurnameFirst Name Health Card Number (HCN) Version CodeDate of Birth (YYYY-Month-DD) Gender FAMILY INFORMATION Primary Parent/Guardian Name Secondary Parent/Guardian Name Primary Parent/Guardian Business/Mobile Telephone Number Secondary Parent/Guardian Business/Mobile Telephone Number Permission to Contact at Work Informed Consent ReceivedPermission to Contact at WorkInformed Consent Received No Ye s No Ye […]

Request for School Health Support Services

Page 1 of 1 SW2023JUN19. V004 PATIENT INFORMATION Surname First Name Health Card Number (HCN) Version Code Date of Birth (YYYY-Month-DD) Gender FAMILY INFORMATION Primary Parent/Guardian Name Secondary Parent/Guardian Name Primary Parent/Guardian Business/Mobile Telephone Number Secondary Parent/Guardian Business/Mobile Telephone Number Permission to Contact at Work Informed Consent Received Permission to Contact at Work Informed Consent Received No Ye s No Ye s No Ye s No Ye s Mailing Address City Postal Code Telephone Number Children’s Aid Society (CAS)/Homeshare/Other Contact Date Referral Initiated (YYYY-Month-DD) Referral Initiated by Relationship to Patient Telephone Number Family Physician Specialist Known Diagnosis SCHOOL INFORMATION School Telephone Number Attendance Grade AM […]

Medical Equipment and Supplies – English

Ontario Health atHome | 310 -2222 | ontariohealthathome.ca Medical Equipment and Supplies Why the Changes? Ontario Health atHome is working with partners on an initiative to moderniz e medical equipment and supplies for home and community care patients . This will enable better patient care across the province. You , or those you care for […]

ABC Recognition Recipient – Jennifer Irwin – Caring and Sharing – English

• . ABOVE &. ~ BEYOND 11 • Jennifer Irwin (in memoriam), Lucknow South West Category: Caring and Sharing Submitted by care coordinator Michelle Fear from our South W est geography, who felt Jennifer’s story and her inspiring dedication as a caregiver deserved to be memorialized through the Above and Beyond Caregiver Recognition Program. Jennifer’s […]

ABC Recognition Recipient – Alissa Porumbel – Young Caregiver – English

• . ABOVE &. ~ BEYOND 11 • Alissa Porumbel, Central – TC, Toronto Category: Young Caregiver Submitted by Palliative Care Coordinator Anne Healey from ou r Toronto Central geography Alessia was an outstanding caregiver for her mother, Nela, who passed away from cancer in May 2023. During her mother’s illness, Alessia made it a […]

TC-Transitioning Patients-Fact Sheet-EN

IMPORTANT UPDATE: DISCHARGE & TRANSITIONS SUPPORT Transitioning Patients to Community Care: Community Nursing Clinics Home and Community Care Support Services (HCCSS) applies a ” Clinic First ” approach to optimize patient experience and system capacity for all HCCSS-eligible patients. DISCHARGING PATIENTS: When informing patients about home and community care services, it is important to advise […]

SE-Hip-and-Knee-FR

Patients devant subir une arthroplastie non urgente de la hanche ou du genou Les renseignements suivants vous aideront à comprendre ce à quoi vous pouvez vous attendre avant votre opération et à votre retour à la maison . Équipement et a ménagement d u domicile Vous devrez aménager votre domicile en fonction de vos besoins […]

SE-CADD-Solis-PCA-Order-Form-EN

Name : 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) […]

CHLHIN-BoD-Mins-Mar22-2017

1900 City Park Drive, Suite 204 Ottawa, ON K1J 1A3 Tel 613 .747 .6784 • Fax 613 .747 .6519 Toll Free 1 .866 .902 .5446 www.champlainlhin.on.ca 1900, promenade City Park, bureau 204 Ottawa, ON K1J 1A3 Téléphone : 613 747 -6784 • Télécopieur : 613 747 -6519 Sans frais : 1 866 902 -5446 www.rlisschamplain.on.ca […]

CHLHIN-BoD-Mins-Mar22-2017

1900 City Park Drive, Suite 204 Ottawa, ON K1J 1A3 Tel 613 .747 .6784 • Fax 613 .747 .6519 Toll Free 1 .866 .902 .5446 www.champlainlhin.on.ca 1900, promenade City Park, bureau 204 Ottawa, ON K1J 1A3 Téléphone : 613 747 -6784 • Télécopieur : 613 747 -6519 Sans frais : 1 866 902 -5446 www.rlisschamplain.on.ca […]

Community Nursing Clinics

Where we provide care is shifting! Community Nursing Clinics ensure that care in the community is provided in a safe manner, while managing the availability of community nurses responsibly. To provide reliable, high-quality care, we take a ‘clinic-first’ approach. We provide clinic-based care to patients who can be appropriately supported in our numerous clinic locations […]

Confidentiality-Agreement_PROV

Effective Date : November 2022 Page 1 of 1 Confidentiality Agreement 1. I acknowledge that during my employment or association (e.g. student, consultant, or volunteer) with any and all Home and Community Care Support Services (HCCSS) organizations , as may be applicable to my role, I may have access to confidential information required for my […]

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