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HISH-Contact-List-NorthEast

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[…] dermatitis or rash related to any allergen, including food? Is the first dose medication: iron, gold, amphotericin B, vancomycin, gancyc lovir, bisphosphonates, furosemide, magnesium, potassium, anti-neoplastic or an investigational drug? Is the patient on beta blocker or ace-inhibitors? (see attached list) Is the patient at least 1 year old and weighs at least 10 […]

Toronto Central, Referral-Form for Ontario Health atHome

[…] June 28, 202 4 EMAIL COMPLETED FORM TO: COVIDCare@uhn.ca or fax 416- 340-4135 Referral form may not be processed if all sections are not completed. IMPORTANT: In order to qualify for start of treatment, patients need to a) Be within 7 days of sy mptom onset b) Meet criteria for use c) Be willing […]

[…] June 28, 202 4 EMAIL COMPLETED FORM TO: COVIDCare@uhn.ca or fax 416- 340-4135 Referral form may not be processed if all sections are not completed. IMPORTANT: In order to qualify for start of treatment, patients need to a) Be within 7 days of sy mptom onset b) Meet criteria for use c) Be willing […]

[…] Any diagnosis of being deve lopmenta lly delayed? □ Yes □ No □ Yes □ No Is the Patient medically stable? Specify: Does patient have a DNR order? □ Yes □ No Any Advance Directives? □ Yes □ No Specify: Specify: List any outstanding medical appointments of the Patient: Other Medical Needs: IV Therapy […]