COPD and Heart Failure Telehomecare – Referral Form – French
[…] TCDSB Other A. STUDENT INFORMATION NAME: ________________________________________________ ___________________________________________________ Print surname, first name D.O.B.: ______________________________ GENDER: □ M □ F Day/Month/Year HOME TELEPHONE: ( ) _______________________ LANGUAGE SPOKEN IN HOME:_____________________ _____ ADDRESS: __________________________________________________ ______ POSTAL CODE: _______________________ CUSTODIAL PARENT/ GUARDIAN: ___________________________________________________ ________________________ Print surname, first name WORK PHONE OR CELL PHONE & RELATIONSHIP: ( ) […]
[…] TDSB TCDSB Other A. STUDENT INFORMATION NAME: ________________________________________________ ___________________________________________________ Print surname, first name D.O.B.: ______________________________ GENDER: □M □ F Day/Month/Year HOME TELEPHONE: ( ) _______________________ LANGUAGE SPOKEN IN HOME:_____________________ _____ ADDRESS: __________________________________________________ ______ POSTAL CODE: _______________________ CUSTODIAL PARENT/ GUARDIAN: ___________________________________________________ ________________________ Print surname, first name WORK PHONE OR CELL PHONE & RELATIONSHIP: ( ) […]
[…] Sciences (1-800 -263 -2679 ) Kids Help Phone (1-800 -668 -6868 or text 686868) for children and youth ages 5 to 20 through phone, text and online resources Hope for Wellness Helpline (1-855 -242 -3310) for Indigenous peo ple Talk 4 Healing (1-855 -554 -4325) helping Indigenous women with supports and […]
[…] Sciences (1-800 -263 -2679 ) Kids Help Phone (1-800 -668 -6868 or text 686868) for children and youth ages 5 to 20 through phone, text and online resources Hope for Wellness Helpline (1-855 -242 -3310) for Indigenous people Talk 4 Healing (1-855 -554 -4325) helping Indigenous women with supports and resources […]
[…] « cliniques médicales sans rendez -vous » ou « centre s de soins d’ urg ence » dans la barre de recherche. Si vous avez des douleurs in ten ses à la p o itrin e, vous avez des symptômes d’accident vasculaire cérébral ou pour toute autre urgence médicale, appele z le 911 ou […]
[…] Sciences (1-800 -263 -2679) • Kids Help Phone (1 -800 -668 -6868 or text 686868) for children and youth ages 5 to 20 by phone, text and online resources • Ho p e fo r W elln es s Help lin e (1 -855 -242 -3310) for I ndig enous people • Talk 4 […]
[…] Health Sciences (1-800 -263 -2679) Kids Help Phone (1-800 -668 -6868 or text 686868) for children and youth ages 5 to 20 by phone, text and online resources Hope for Wellness Helpline (1-855 -242 -3310) for Indigenous people Talk 4 Healing (1-855 -554 -4325) helping Indigenous women with supports and resource […]
[…] ) Page 1 of 2 Unclassified Please select up to five long -term care homes for short stay respite, including any out -of-Champlain choices, and rank them in order of your preference. The applicant’s name will be added to the wait lists for the chosen homes if eligible, and if the chosen long -term […]
Champlain Short Stay Respite Home List – French
Champlain Short Stay Respite Home List – French
[…] Other Allergies ______________________________________________________ Order Urgency within next 7 days 1-2 weeks 2-4 weeks Other – please specify Dat e _______________ ___________ _________________________________________ _ _ Iron Therapy Administered in Hospital Most Recent IV Iron Product Given in H ospital (if applicable )IV Access Iron Sucrose First dose Iron Sucrose is required in hospital, pending Exceptional […]
