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Negative Pressure Wound Therapy Supplies and Equipment Order Form

Order form for supplies and equipment needed for Negative Pressure Wound Therapy in the Central West area

Symptom Response Kit for End of Life Order Form

Symptom Response Kit for End-of-Life Order Form Please fax your completed form to the appropriate Ontario Health atHome branch: Central East: 1-855-352-2555 Champlain: 1-800-373-4945 South East: 1-866-839-7299 Timing and placement of the Symptom Response Kit (SRK) requires careful consideration (i.e. prognosis is less than six months; patient expected to deteriorate quickly) with goal of […]

Home Parenteral Nutrition Order Form

To order care relating to Home Parenteral Nutrition in the South East. NOTE: Two (2) business days notice required

Diabetes Type 1 Request Treatment Order – EN

Request for Type 1 Diabetes Treatment Order

Symptom Response Kit Request Order Form (Windsor ONLY) – EN

Symptom Response Kit (SRK) Request Order Form Windsor

MAID Prescription Order Form

Central East Medical Assistance in Dying Prescription Order Form

Symptom Management Kit Prescription/Order Form

Mississauga Halton Symptom Management Kit Prescription/Order Form

Symptom Response Kit (SRK) for End of Life Order Form – French

Symptom Response Kit (SRK) for End of Life Order Form – French

Symptom Response Kit (SRK) for End of Life Order Form – English

Symptom Response Kit (SRK) for End of Life Order Form – English

Accessibility for Ontarians with Disabilities

[…] Ontarians with Disabilities Act, 2005 (opens in a new tab)  (the AODA) is a provincial act with the purpose of developing, implementing and enforcing accessibility standards in order to achieve accessibility for persons with disabilities with respect to goods, services, facilities, accommodation, employment, buildings, structures and premises.  Under the AODA, Ontario Regulation 191/11 entitled […]

Milrinone Home Infusion Order Form for Adult Patients – EN

To order Milrinone Infusion Therapy for adult patients

Medical Orders – Parenteral Therapy – 525 – EN

To order care relating to parenteral therapy