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mh-covidathome2

[…] from the left menu. If you save a change to this form and close it, you must refresh the patient’s eChart before opening this form again in order to see the changes you made. 2021 -01-26 2021 -02-05 IMPORTANT: To access a new row for data entry, save the form, exit, refresh the patient’s […]

NE-NPWT-Referral-Form-EN

Version 1 (06/19/2024) Page 1 of 2 Negative Pressure Wound Therapy Referral Form Name: Health Card #: Version Code: Address: Postal Code: Date of Birth: Phone: Gender: ☐ Male ☐ Female ☐ Non -binary ☐ Unknown Pronouns: Diagnosis: Diabetic: ☐ Yes ☐ No Allergies: ☐ Yes ☐ No ☐ Unknown Specify: Latex Allergy: ☐ Yes […]

Referral Assessment Request – English

[…] Initiated By (if other than referring physician or nurse practitioner) Position Signature Telephone Number Date A re ferring physician or nurse practitioner signature and date is require d at the time of referral , if the treatment orders require such signature. I nformation entered by person other than the physician must be signed and dated.

BPSAA Attestation – Q2 2022 – English

[…] Administration Act (“FAA”): The Community Care Access Centres ( “CCAC s”) HIROC Subscribers’ Agreements were transferred to the Local Health Integration Networks (“LHINs”) pursuant to a transfer order of the Minister of Health and Long -Term Care (“Minister”) , as it then was, under section 34.2 of the historical version of the Local Health […]

Medical Referral Form Community – English

MEDICAL REFERRAL Fax: 905 -796 -4671 Phone: 905 -796 -0040 / 1-833 -733 -1177 Confirmed Discharge Date: or within: 24 hrs 48 hrs 72 hrs Other Diagnosis: Allergies: Precautions: Contact Droplet/Contact Droplet Airborne Reason for isolation: Prognosis (i.e. Months): Discussed Care Plan with Patient/Caregiver Yes No Discussed Care Plan with Primary Care Provider Yes No […]

Medical Referral Form Hospital – English

MEDICAL REFERRAL Hospital Fax: 905 -796 -4677 Phone: 905 -796 -4687 / 1-833 -229 -5446 Confirmed Discharge Date: or within: 24 hrs 48 hrs 72 hrs Other Diagnosis: Allergies: Precautions: Contact Droplet/Contact Droplet Airborne Reason for isolation: Prognosis (i.e. Months): Discussed Care Plan with Patient/Caregiver Yes No Discussed Care Plan with Primary Care Provider Yes […]

Medical Referral Form Hospital

MEDICAL REFERRAL Hospital Fax: 905-796 -4677 Phone: 905-796 -4687 / 1- 833-229 -5446 Confirmed Discharge Date: or within: 24 hrs 48 hrs 72 hrs Other Diagnosis: Allergies: Precautions: Contact Droplet/Contact Droplet Airborne Reason for isolation: Prognosis (i.e. Months): Discussed Care Plan with Patient/Caregiver Yes No Discussed Care Plan with Primary Care Provider Yes No N/A […]

Essential Pain Management Flyer Winter 2024

[…] Palliativ e Care Competency Framework and Canadian Interdisciplinary Palliative Care Competency Framework • For more details please review: EPM Content & Objectives Cours e Details – This online course is provided using the Partnering for Palliative Education online learning platform, powered by D2L’s Brightspace. You will be required to use a computer, tablet, or […]

Essential Pain Management Flyer Winter 2024

CELHIN-BoD-Mins-Jan28-2015

[…] Recorder ) Mr. Gladstone, Chair of the Central East Local Health Integration Network (the “Central East LHIN”) Board of Directors chaired the meeting. 1.1 MEETING CALLED TO ORDER Mr. Gladstone called the meeting to order at 9:30 am and welcomed the members of the p ublic to the Central East LHIN open Board m […]

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