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CH-Primary-Care-Resource-Sheet-HCC-Supports

[…] Care Supports What can Home an d Community Care Supp ort Services Champlain offer your patients? Access to a variety of services to facilitate care of patients in their homes  Assessments to determine eligibility for long -term care, respite care, adult day programs, assisted living services for high risk seniors and completes applications […]

CH-Primary-Care-Resource-Sheet-HCC-Supports

esc-expense-report-2019-20 Q4

[…] Senior Staff Expenses ISSUE: LHIN Posting of Travel, Meal and Hospitality Expenses for: Q4, 2019-20 Submit all approved Travel, Meal and Hospitality expenses as they will appear online as an attachment to the briefing note. See attached. Note: Do not include any personal or confidential information in the Briefing Note Prepared by: Jenn deHaas, […]

esc-expense-report-2019-20 Q4

CE-Patient-Appeal-Form

[…] I hereby request a formal review of my complaint/concern with Ontario Health atHome. I consent to the release of information from my record to all parties involved in the appeal, whether representatives of myself or representatives of Ontario Health atHome, which may include Service Providers. Please complete form and return to the Vice President, […]

CE-Hospital-Request-for-Assessment-Form

[…] Ontario Shores Fa x: 1- 844 – 631- 5803 Hospital Request for Assessment This form is only required if there are medical treatment orders for this patient Enter “LHIN to Assess” and follow instructions on posters on each hospital unit Name: Address: Sex: Postal Code: Date of Birth: Phone: HCN: Version Code: PRIMARY CARE […]

CE-Hospital-Request-for-Assessment-Form

[…] Shores Fa x: 1- 844 – 631- 5803 Hospital Request for Assessment This form is only required if there are medical treatment orders for thi s patient Enter “LHIN to Assess” and follow instructions on posters on each hospital unit Name: Address: Sex:Postal Code: Date of Birth: Phone: HCN: Version Code: PRIMARY CARE PROVIDER […]

CE-Hospital-Narcotic-Infusion-Therapy-Referral-Form

CE-CM-635 (02/20) Hospital Narcotic Infusion Therapy Referral Form Enter “LHIN to Assess” and follow instructions on posters on each hospital unit Name: Address: Sex: Postal Code: Date of Birth: Phone: HCN (mandatory): Ordering Physician (PRINT): Version Code: Primary Diagnosis: Other Diagnosis Pertinent to Care: Allergies: Height: We i g ht : Blood Pressure: Diabetic: […]

CE-Hospital-Narcotic-Infusion-Therapy-Referral-Form

CE-CM-635 (06/24) Hospital Narcotic Infusion Therapy Referral Form Enter “LHIN to Assess” and follow instructions on posters on each hospital unitName: Add ress: Sex: Postal Code: Date of Birth: Phone: HCN (mandatory): Ordering Physician (PRINT): Version Code: Primary Diagnosis: Other Diagnosis Pertinent to Care: Allergies: Height: We i g ht : Blood Pressure: Diabetic:Ye […]

NE-AODA-statement-of-commitment

[…] North East (HCCSS NE) , is committed to providing a barrier – free environment for our patients, students, employees, job applicants, suppliers, visitors, and other stakeholders who enter our prem ises, access our information, and/or receive goods or services from us. As an organization, we respect and uphold the requirements set forth under the […]

NE-AODA-statement-of-commitment

CE-Hospital-Infusion-Therapy-Referral-Form

Hospital Infusion Therapy Referral Form Enter “LHIN to Assess” and follow instructions on posters on each hospital unit Name: Address: Sex: M F undif fer – entiated Postal Code: Date of Birth: Phone: HCN (mandatory): Version Code: CE-CM-620 (02/20) Primary Diagnosis: Other Diagnosis Pertinent to Care: Height: We i g ht : Blood Pressure: […]

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