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Long-Term Care Home Referral for Services – English

[…] does the patient understand:______ _______________________________________________________ Does the patient use a communication aid? Yes No Specify:_______________________________________________ Other Concerns: MRSA VRE C diff Other:____________________________________________________________ Is the LTC home currently in outbreak? Yes No Is the outbreak on patient’s unit/floor? Yes No SERVICE REQUESTED Speech Language Pathology Present Diet Texture:________________________________ Fluid:__________________________________________ Reason for Referral______________________________________________________________________________________ Patient is unable […]

OHaH-Transitioning-Hospital-to-Long-Term-Care-EN

Transitioning from hospital to long-term care Leaving the hospital is the next step   on your care journey.  Your care provider has informed us that you no longer need  acute medical care at a hospital. In Ontario, you have a range of options to help you get the  appropriate care you need. We have explored these options  with you and determined that long-term care may be the  most appropriate setting for your care needs. If eligible, your admission to a long-term care home is  coordinated by placement coordinators at Ontario Health  atHome. Your placement coordinator will work with you to  support your move into a long-term care home that can meet  your care needs. The home will be your frst choice home or  another one that can meet your needs while you continue to  wait for your frst choice home. Patients, their families and caregivers are encouraged to visit  the long-term care homes discussed. If you are unable to visit  the homes, you can view photos, information or virtual tours  of Ontario’s long-term care homes at  www.thehealthline.ca .  This will help you get a sense of what the home looks like,  where it is located, and meet the people who work and live |  in the home. 0 6 -2024 About Long-Term Care Homes Long-term care homes ofer a safe, secure and  specialized care environment for people who  can no longer live independently because of the  high level of care or supervision they require.  Long-term care homes are licensed and funded  by the Government of Ontario and must meet  requirements under the Fixing Long-Term Care Act, 2021.   z All long-term care homes are required to  meet the same standards of care, regardless  of home type, ownership model, location    or size.   z Long-term care homes provide a home- like environment and can ofer recreational  services and social supports. […]

Transitioning from Hospital to Long-Term Care Home – English

Transitioning from hospital to long-term care Leaving the hospital is the next step   on your care journey.  Your care provider has informed us that you no longer need  acute medical care at a hospital. In Ontario, you have a range of options to help you get the  appropriate care you need. We have explored these options  with you and determined that long-term care may be the  most appropriate setting for your care needs. If eligible, your admission to a long-term care home is  coordinated by placement coordinators at Ontario Health  atHome. Your placement coordinator will work with you to  support your move into a long-term care home that can meet  your care needs. The home will be your frst choice home or  another one that can meet your needs while you continue to  wait for your frst choice home. Patients, their families and caregivers are encouraged to visit  the long-term care homes discussed. If you are unable to visit  the homes, you can view photos, information or virtual tours  of Ontario’s long-term care homes at  www.thehealthline.ca .  This will help you get a sense of what the home looks like,  where it is located, and meet the people who work and live |  in the home. 0 6 -2024 About Long-Term Care Homes Long-term care homes ofer a safe, secure and  specialized care environment for people who  can no longer live independently because of the  high level of care or supervision they require.  Long-term care homes are licensed and funded  by the Government of Ontario and must meet  requirements under the Fixing Long-Term Care Act, 2021.   z All long-term care homes are required to  meet the same standards of care, regardless  of home type, ownership model, location    or size.   z Long-term care homes provide a home- like environment and can ofer recreational  services and social supports. […]

OHaH-Patient-Bill-Rights-Large-Text-FR

OHaH-Patient-Bill-Rights-Large-Text-FR

OHaH-Patient-Bill-Rights-Large-Text-FR

OHaH-Patient-Bill-Rights-Large-Text-FR

OHaH-Patient-Bill-Rights-Large-Text-EN

Patient Bill of Rights As a patient, family member, substitute decision maker or caregiver,  you have the right to expect that every Ontario Health atHome  employee, Board member and contracted health service provider  shall respect and promote your rights as follows: 1. To be dealt with in a respectful manner and to be free from  physical, sexual, mental, emotional, verbal and fnancial abuse. 2. To be dealt with in a manner that respects your dignity and privacy,  and that promotes your autonomy and participation in  decision-making. 3. To be dealt with in a manner that recognizes your individuality and that is sensitive to and responds to your  needs and preferences, including preferences based on ethnic,  spiritual, linguistic, familial and cultural factors. 4. To receive home and […]

OHaH-Patient-Bill-Rights-Large-Text-EN

Patient Bill of Rights As a patient, family member, substitute decision maker or caregiver,  you have the right to expect that every Ontario Health atHome  employee, Board member and contracted health service provider  shall respect and promote your rights as follows: 1. To be dealt with in a respectful manner and to be free from  physical, sexual, mental, emotional, verbal and fnancial abuse. 2. To be dealt with in a manner that respects your dignity and privacy,  and that promotes your autonomy and participation in  decision-making. 3. To be dealt with in a manner that recognizes your individuality and that is sensitive to and responds to your  needs and preferences, including preferences based on ethnic,  spiritual, linguistic, familial and cultural factors. 4. To receive home and […]

COVID-19 Remote Self-Monitoring Program Referral Form 2021 04

[…] for COVID-19 Patient has access to smartphone or other device t hat can run apps COVID-19 Positive How would the patient like to receive notification to participate in the program? (Choose one) By Email By Secure Text Patient to self-isolate at home Patient to self-isolate via cohorting space Patient does not own a smart […]

Adult Intravenous Remdesivir Infusion Therapy Order Form – English

[…] completed copy of this form. Refer to product monograph for specifc details related to lab values and contraindications for infusion. Please complet e the referra l form in its e ntirety and fax completed form to Ontar io Health atHo me at 1-519-472-4045 or 1-855-223-2847 Orders are processed between 8am 8pm (7days/week) and require […]

CH-Referral-Form-EN

[…] Valid OHIP card; Assessment by a Health Care Professional. If faxed, include Number of Pages (Including Cover): Pages Confidential when completed. If you have received this form in error, please ca ll 1.800 .538 .0520. (dd-mm-yyyy) (dd-mm-yyyy) 2.25 (23/0 2) Page 2 of 2 Referral – Primary Care Addendum Last Name, First name: HCN: […]

Referral Form for Community Referrals – English

[…] card; Assessment by a Health Care Professional. If f axed , include Number of Pages (Including Cover): Pages Confidential when completed. If you have received this form in error, please ca ll 1. 800 . 538 . 0520. (dd-mm-yyyy) (dd-mm-yyyy) 2.25 (23/02) Page 2 of 2 Referral – Primary Care Addendum Last Name, First […]

MH-Referral-form-EN

[…] Physician orders weightbearing, ROM or Functional Restrictions, please include all d etails below. Note: To ensure patient safety and care continuity, pleas e complete this Referral Form in full. Palliative referrals are to use the Palliati ve Care Services Referral Form available at healthcareathome.ca When completing Referral: 1.Identify reason/need for each service selected 2.Provide […]

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