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June 20 24 High Intensity Supports At Home (HISH) – North East Contact Information Ontario Health atHome Contacts Manage me nt Contact Name Management Contact Telephone and Email Dedicated H I SH Te am Contact HISH Contact Telephone and Email Nik eisha Beck f o r d (S enio r M anag er, HI S […]

June 20 24 High Intensity Supports At Home (HISH) – North East Contact Information Ontario Health atHome Contacts Manage me nt Contact Name Management Contact Telephone and Email Dedicated H I SH Te am Contact HISH Contact Telephone and Email Nik eisha Beck f o r d (S enio r M anag er, HI S […]

Ontario Health atHome Referral s Estimated Date of Discharge (EDD): DD/MM/YYYY Patient Details and Demographics Health Card# No Health Card #: Version Code No Version Code: Province Issuing Health Card Surname: Given Name: City: Province: No Know n Address: Home Address: Postal Code: Telephone: Alternate Telephone: No Alternate Telephone Address for Treatment (Complete if different […]

06-2024 Programmes de jour pour adultes Les programmes de jour pour adultes proposent des activités sociales, récréatives et thérapeutiques aux personnes âgées fragiles ainsi qu’aux personnes qui éprouvent une perte de mémoire. Ils s’adressent aux personnes âgées qui ont besoin d’une aide régulière et qui sont seules et retirent des avantages de leur interaction sociale […]

A Ontario Health atHome Mental Health and Addiction nurse will contact the student or parent/guardian to determine/confirm consent. Student’s Last Name: Student’s First Name: Gender: Male Female Date of Birth (YYYY/MM/DD): Health Card Number: Contact Number: Home Address: Apt#: City: Province: Postal Code: Guardian Mother Father Guardian Name: – Home: – – – Cell: – […]

Centralized Intake and Ref erral Application to Spe cialty Hospitals PATIENT INFORMATION **** upon completion of referral please fax to 416-506-0439 **** Gender : □ Male □ Female □ Other ____________ Weight: __________________ Height: _____________________ Language spoken: _______________________________ ______ Preferred language: ____________________________________ Patient Name: ______________________________________ Patient Preferred Name: ______________________________ D.O.B.: (dd/mm/yy) _______/_______/_______ Age: ______ OHIP […]