Formulaire de renvoi à Télésoins à domicile pour les patients atteints d’une maladie pulmonaire obstructive chronique (MPOC) ou d’une insuffisance cardiaque congestive (12/23) Veuillez envoyer le formulaire rempli par télécopieur au 905-444-2555 or 1-855-352-2555 RENSEIGNEMENTS SUR LE PATIENT ADMISSIBILITÉ AUX SERVICES DE TÉLÉSOINS À DOMICILE PRINCIPAL DIAGNOSTIC À SURVEILLER COMORBIDITÉS Date du renvoi (JJ MM […]
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 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 […]
[…] 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 […]
[…] 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 […]
[…] 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 […]
[…] (25/12) 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 […]
Patients et soignants Liste de foyers offrant des soins de relève de courte durée Le présent document s’adresse aux patients qui envisagent des soins de relève de courte durée dans un foyer de soins de longue durée ai nsi qu’à leurs soignants. Les renseignements ci -après sont fournis pour vous aider à prendre une décision […]
