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cen-intake-and-linking-referral-form

[…] Placement Nursing Nutritional Services Occupational Therapy Personal Support (e.g. bathing, dressing) Physiotherapy Social Work Speech Lanuage Pathology Community Linking (e.g. housekeeping, shopping, transportation) Has the patient been in the ER/hospital within the last 14 days? Unknown No Yes Does the patient have a current cancer diagnosis? Unknown No Yes Has the patient had any […]

cen-clinic-eligibility

Community Clinic Eligibility Criteria 18 June 2021 Page 1 of 1 Community Clinic vs. In-Home Nursing Eligibility Information to guide patient-focused decisions Clinic Eligibility With extended evening and weekend hours, and seven convenient locations to choose from, for most patients Home and Community Care Support Services C entral community clinics are the best options […]

nsm-telehomecare-referral-form

Note : The information contained in this form is confidential. It contains If you have accessed this form i n error, please contact the ow ner or sender immediately. V 3. 9 COPD & Heart Failure Telehomecare Referral Form Please fax referral forms(s) to: _________________ PATIENT INFORMATION Referral Date (DD MM YYYY) : ________________ […]

nsm-telehomecare-referral-form

Note : The information contained in this form is confidential. It contains If you have accessed this form i n error, please contact the ow ner or sender immediately. V 3. 9 COPD & Heart Failure Telehomecare Referral Form Please fax referral forms(s) to: _________________ PATIENT INFORMATION Referral Date (DD MM YYYY) : ________________ […]

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 […]

OHaH-LTC-Fact-Sheet-EN

[…] at 310-2222 (no area code required) 2. Visit our website: ontariohealthathome.ca 3. Read our Guide to Placement in Long-Term Care Homes: ontariohealthathome.ca/ document/guide-to-placement-in-long-term- care-homes/ 4. Visit the Ministry of Long-Term Care website: ontario.ca/longtermcare 5. Use the online search tool to learn about homes near you: ontario.ca/longtermcare 11-202 5 Ontario Health atHome | 310-2222 | ontariohealthathome.ca

2026 ABC Recognition Program – FAQ – French

Non classifié Programme de reconnaissance de soignants « Au -del à du devoir » Dans le cadre du Programme de reconnaissance de soignants « Au-delà du devoir » , on célèbre et honore une fois par année les soignants (membres de la famille, amis et voisi ns, entre autres) dont la gen�llesse, le dévouement et […]

Service Providers Sale of Business Process

Notice from SPO re: Selling / Buying Process OHaH to provide SPO the Sale of Business guidelines and advise the SPO that Ontario Health will coordinate Sale of Business process Ontario Health leads due diligence process including procurement of financial advice as necessary L egal Counsel for the OHaHs and OHaH Contract Managers meets to […]

Palliative Symptom Relief Kit (SRK) – Sudbury Prescriber Order Form

[…] 8 tabs Directions: For anxie ty or agitation, give 1 to 2 tablets PO or Sublingual e ve ry 2 hours PRN May crush and disso lve in water to put under tongue GLYCOPYRROLATE 0.2MG /ML – LU 481 Dispense: 5 vial s x 2 mL Directions: For terminal secretions, give 0. 2 mg […]

Palliative Symptom Relief Kit (SRK) – Parry Sound Prescriber Order Form

[…] Ontario Health atHome Healthcare Provider may access kit for first dose. To be dispensed with Supply kit (SIV 0220). Prescri ber to check items to be dispensed in the kit: Lorazepam 1 mg tablets For anxiet y or agitation, associated dyspnea give 1-2 tabs orally every 2 hours as needed. May crush, dissolve in […]

LTC in Ontario Fact Sheet – English

[…] at 310-2222 (no area code required) 2. Visit our website: ontariohealthathome.ca 3. Read our Guide to Placement in Long-Term Care Homes: ontariohealthathome.ca/ document/guide-to-placement-in-long-term- care-homes/ 4. Visit the Ministry of Long-Term Care website: ontario.ca/longtermcare 5. Use the online search tool to learn about homes near you: ontario.ca/longtermcare 11-202 5 Ontario Health atHome | 310-2222 | ontariohealthathome.ca

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