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Referral Form – English

Revised: June 28, 2024 Page 1 of 2 REFERRAL FORM Anyone can make a refer ral to Ontario Health atHome. Physician signature only required for nursing services. If Physician orders weightbearing, ROM or Functional Restrictions, please include all details below. Note: To ensure patient safety and care continuity, please comp lete this Referral Form in […]

tc-mhan-referral-form-viamonde-en

Mental Health and Addiction Nursing (MHAN) Program Conseil scolaire Viamonde REFERRAL FORM TEL: (416) 217 -3820 *FAX: (416) 506- 03 74 *PLEASE RETURN BY FAX ONLY A. Student Information – Completed by Parent/Guardian and School Student Name: Please print clearly Last N ame Date of Birth: YYYY MM DD ☐ Male ☐ Female First Name […]

tc-mhan-referral-form-viamonde-en

Mental Health and Addiction Nursing (MHAN) Program Conseil scolaire Viamonde REFERRAL FORM TEL: (416) 217 -3820 *FAX: (416) 506- 03 74 *PLEASE RETURN BY FAX ONLY A. Student Information – Completed by Parent/Guardian and School Student Name: Please print clearly Last N ame Date of Birth: YYYY MM DD ☐ Male ☐ Female First Name […]

tc-mhan-referral-form-tdsb-en

Mental Health and Addiction Nursing (MHAN) Program Toronto District School Board (TDSB) REFERRAL FORM TEL: (416) 217-3820 *FAX: (416) 506-0374 *PLEASE RETURN BY FAX ONLY A. Student Information – Completed by Parent/Guardian and School Student Name: Please print Clearly Surname Date of Birth: YYYY MM DD ☐ Male ☐ Female First Name Health Card Number: […]

tc-mhan-referral-form-tdsb-en

Mental Health and Addiction Nursing (MHAN) Program Toronto District School Board (TDSB) REFERRAL FORM TEL: (416) 217-3820 *FAX: (416) 506-0374 *PLEASE RETURN BY FAX ONLY A. Student Information – Completed by Parent/Guardian and School Student Name: Please print Clearly Surname Date of Birth: YYYY MM DD ☐ Male ☐ Female First Name Health Card Number: […]

tc-mhan-referral-form-tcdsb-en

Mental Health and Addiction Nursing (MHAN) Program Toronto Catholic District School Board (TCDSB) REFERRAL FORM TEL: (416) 217-3820 *FAX: (416) 506-0374 *PLEASE RETURN BY FAX ONLY A. Student Information – Completed by Parent/Guardian and School Student Name: Please print Clearly Surname Date of Birth: YYYY MM DD ☐ Male ☐ Female First Name HealthCard Number: […]

tc-mhan-referral-form-tcdsb-en

Mental Health and Addiction Nursing (MHAN) Program Toronto Catholic District School Board (TCDSB) REFERRAL FORM TEL: (416) 217-3820 *FAX: (416) 506-0374 *PLEASE RETURN BY FAX ONLY A. Student Information – Completed by Parent/Guardian and School Student Name: Please print Clearly Surname Date of Birth: YYYY MM DD ☐ Male ☐ Female First Name HealthCard Number: […]

Quick Guide: Microsoft Guest Account Creation

QUICK GUIDE: MICROSOFT GUEST ACCOUNT CREATION When external users are added as a guest user to a Home and Community Care Support Services (HCCSS ) SharePoint site , they are required to activate the account and set up multi -factor authentication MFA. This only needs to be done once per account. 1. You will receive […]

AODA – 2019-2024 Multi-Year Accessibility Plan – English

[…] independence and we believe in integration and equal opportunity. We are committed to meeting the needs of people with disabilities in a timely manner, and will do so by preventing and removing barriers to accessibility and meeting the accessibility requirements and standards in accordance with Ontario’s Accessibility for Ontarians with Disabilities Act (AODA). Background […]

AODA – 2019-2024 Multi-Year Accessibility Plan-EN

2019-2024 Multi-Year Accessibility Plan Home and Community Care Support Services Erie St. Clair and Accessibility Home and Community Care Support Services (HCCSS) Erie St. Clair cares for over 37,000 residents annually by providing them with home and community health services. Through our vision, Exceptional Care – wherever you call home, we realize the promise of […]

HCCSS-QA-risk-assessment

[…] this FAQ document), which SPOs can use to provide additional information for selected questions. 7 Are copies of agreements with HCCSS required to be submitted, and if so, please specify what copies are needed. Copies of agreements with HCCSS are not required. Policies & Procedures – Human Resourc es # Question Response 8 [Regarding […]

HCCSS QA SPO Risk Assessment

[…] this FAQ document), which SPOs can use to provide additional information for selected questions. 7 Are copies of agreements with HCCSS required to be submitted, and if so, please specify what copies are needed. Copies of agreements with HCCSS are not required. Policies & Procedures – Human Resourc es # Question Response 8 [Regarding […]

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