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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 […]

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 […]

esc-brochure-about-us

Your privacy is important to us. The ESC LHIN is subject to the requirements of the Personal Health Information Protection Act, 2004 (PHIPA), which mandates that we must protect the privacy of your personal health information. We are committed to the principles set out in PHIPA. As part of our commitment, we believe that our […]

esc-brochure-about-us

Your privacy is important to us. The ESC LHIN is subject to the requirements of the Personal Health Information Protection Act, 2004 (PHIPA), which mandates that we must protect the privacy of your personal health information. We are committed to the principles set out in PHIPA. As part of our commitment, we believe that our […]

WW-CBA-Admission-Criteria

Admission Criteria Page 1 of 1 Any individual meeting the following criteria will be assessed for eligibility to Lisaard and Innisfree Hospice Residential Program:  Has a cancer diagnosis or life limiting illness for which they are no longer receiving or requesting curative treatment  Has a prognosis from a palliative physician of 3 months […]

LTCH-ALC-Field-Guidance-Admissions-SEP14

Admissions to Long-Term Care Homes for Alternate Level of Care Patients from Public Hospitals Field Guidance to Home and Community Care Support Services Placement Co-ordinators Revised: April 11, 2023 2 Table of Contents Definitions ……………………………………………………………………………………………………….. 3 Summary of Revisions ………………………………………………………………………………………. 4 1.0 Introduction ………………………………………………………………………………………………… 4 1.1 Consent ……………………………………………………………………………………………….. 4 2.0 Initial Discussions with Hospital ALC […]

mh-ads-fact-sheet

Adult Day Programs provide fun, engaging activities in the community for people with physical or cognitive challenges, as well as those with Alzheimer’s disease and related dementias. There are 10 Adult Day Programs at 17 locations in the Home and Community Care Support Services Mississauga Halton region. Check out our brochure to see a map […]

mh-ads-fact-sheet

Adult Day Programs provide fun, engaging activities in the community for people with physical or cognitive challenges, as well as those with Alzheimer’s disease and related dementias. There are 10 Adult Day Programs at 17 locations in the Home and Community Care Support Services Mississauga Halton region. Check out our brochure to see a map […]

Enteral Feeding Form, Jan 2020

Last Updated: 2022-0 9-23 Page 1 Enteral Feed Order Form Section 1: Patient Demographics Name: Address: City: Postal Code: Date: BRN: Phone: Section 2: Tube Details Type of Tube: □Nasogastric □ Percutaneous Endoscopic Gastrostomy (PEG) □ Percutaneous Endoscopic Gastrojejunostomy (PEG-J) ☐ Jejunostomy Date of Insertion: Physician who inserted the Tube: Plan for Tube Replacement: Section […]

Diabetes Type 1 Request Treatment_Form

REQUEST AND TREATMENT ORDER FORM DIAGNOSIS : Type 1 Diabetes Plan ned Start Date : REASON FOR REFERRAL: Child/teen requires school support over the lunch hour with: in sulin administration blood glucose monitoring Timi ng: _______________________________________________________________________ Child /teen and family to return to Children’s Hospital for ongoing diabetes education and support. If ques tions or […]

Palliative patient status update form

Last Updated: 2022/09/23 Page 1 of 1 Palliative Patient Status UpdateNAME: ADDRESS: CASELOAD: HCN/BRN: DATE d/m/ y : ATTENTION: PPS %:_ Pain scale : /10 Current Pain Regime: Areas of Concern: Suggestion of Treatment Orders: Additional Information: SIGNATURE: DESIGNATION: AGENCY PHONE NUMBER: RESPONSE OR ORDERS Response Required:  YES  NOSouth West Home and Community […]

Palliative patient status update form

Last Updated: 2022/09/23 Page 1 of 1 Palliative Patient Status UpdateNAME: ADDRESS: CASELOAD: HCN/BRN: DATE d/m/ y : ATTENTION: PPS %:_ Pain scale : /10 Current Pain Regime: Areas of Concern: Suggestion of Treatment Orders: Additional Information: SIGNATURE: DESIGNATION: AGENCY PHONE NUMBER: RESPONSE OR ORDERS Response Required:  YES  NOSouth West Home and Community […]

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