June 20 24 High Intensity Supports At Home (HISH) – Durham Co ntact Info rmatio n Ontario Health atHome Contacts Manage me nt Contact Name Management Contact Telephone and Email Dedicated HISH Te am Contact HISH Contact Telephone and Email Nik eisha Beck f o r d (S enio r M anag er ) 90 […]
June 20 24 High Intensity Supports At Home (HISH) – Durham Co ntact Info rmatio n Ontario Health atHome Contacts Manage me nt Contact Name Management Contact Telephone and Email Dedicated HISH Te am Contact HISH Contact Telephone and Email Nik eisha Beck f o r d (S enio r M anag er ) 90 […]
[…] 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 […]
[…] Medium Large Extra Large Initiate wound -specific clinical pathways Wound Care as follows : Negative Pressure Wound Therapy (NPWT) Foam Type: Cycle: Intermittent Continuous Pressure Setting mmHG: In the event of NPWT failure, please provide back -up orders: As a practitioner, I understand and agree that it is my responsibility to monitor and follow […]
[…] Small Medium Large Extra Large Initiate wound-s pecific clinical pathways Wound Care as follows: Negative Pressure Wound Therapy (NPWT) Foam Type: Cycle: Intermittent Continuous Pressure Setting mmHG: In the event of NPWT failure, please provide back -up orders: As a practitioner, I understand and agree that it is my responsibility to monitor and follow […]
NOTE: The information contained in this form is confi dential. It contains personal health information that is subject to the provisions of the ‘Personal Health Information Protection Act, 2004’. This form and its contents should not be distributed, copied or disclosed to any unauthorized persons. If you have accessed this form in error, please […]
NOTE: The information contained in this form is confi dential. It contains personal health information that is subject to the provisions of the ‘Personal Health Information Protection Act, 2004’. This form and its contents should not be distributed, copied or disclosed to any unauthorized persons. If you have accessed this form in error, please […]
[…] of 3 PATIENT INFORMATION Name: (Individubl’s Lbst Nbme, First Nbme) Home Address: (Street No., Street Nbme, Building) (Apt/Suite#) (Entry Code) City: Postal Code: Lives Albne Ybung Children in the Hbme Smbking in the Hbme Pet(s) in the Hbme (Specify): Hu.n sbuwn /R.-ng’ evyngw,yn /R.-ng’ Date of Birth: Gender: Male Faith/Religion: (dd -mmm -yyyy) Female […]
[…] of 3 PATIENT INFORMATION Name: (Individubl’s Lbst Nbme, First Nbme) Home Address: (Street No., Street Nbme, Building) (Apt/Suite#) (Entry Code) City: Postal Code: Lives Albne Ybung Children in the Hbme Smbking in the Hbme Pet(s) in the Hbme (Specify): Hu.n sbuwn /R.-ng’ evyngw,yn /R.-ng’ Date of Birth: Gender: Male Faith/Religion: (dd -mmm -yyyy) Female […]
Version 3 (26/06/2024) Page 1 of 1 Submit your request to the a ddress or fax number above. Note: Legislation permits a 30-day response time. Patient whose information is being requested Last Name: Health Card Number: First N a me: Date o f Birth (DD/MM /YYYY): Information about the person making the request Patient Substitute […]
[…] Placement bursing butritional 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 bo Yes Does the patient have a current cancer diagnosis? Unknown bo Yes Has the patient had any […]
[…] Placement bursing butritional 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 bo Yes Does the patient have a current cancer diagnosis? Unknown bo Yes Has the patient had any […]
