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[…] is a PDF or TIFF). Health Partner Gateway Reference Guide for Health Partners HPG Health Partner Reference Guide 21 of 22 7. E MAIL N OTIFICATIONS In order to make the referral and application process seamless, e -mail notifications may be enabled for the Health Partner user to be notified of any changes or […]

= IV Ant ibiot ic Referral Order Form Last Updated: 2022-09-23 Page 1 To consult a Community Phar macist : Yureks Specialties Limited (London, Middlesex, Oxford, Elgin & South Huron) Phone: 1 – 519-680- 7474, Ext: 5404 Browns Pharmacy (Grey Bruce, North Huron/Perth ) Phone: 1-519 -881 -2420 or 1-844 -474 -7577 PRESCRIBER (PLEASE […]

= Last Updated: 09/23/2022 Page 1 Hydration Order Form Name: _____________________________________ Gender: ________D.O.B. (dd/mm/yyyy): ___________ HCN: _______________________________________ Address:_____________________________________ Phone Number: _______________________________ Physician / NP complete and fax to: 519-4 72-4045 or 1-8 55-223-2847 orders processed between 8am – 8pm Vascular Access: ☐ Peripheral Line ☐ Central Line /Port ☐ PICC : number of lumens___________ […]

REQUEST AND TREATMENT ORDER FORM DIAGNOSIS : Type 1 Diabetes Plan ned Start Date : REASON FOR REFERRAL: Child/teen requires school support over the lunch hour with: in sulin administration blood glucose monitoring Timi ng: _______________________________________________________________________ Child /teen and family to return to Children’s Hospital for ongoing diabetes education and support. If ques tions […]

= Form Last Updated: 08/05/2019 Page 1 S outh West LHIN Hydr ation Order Form Name: _____________________________________ Gender: ________D.O.B. (dd/mm/yyyy): ___________ HCN: _______________________________________ Address:_____________________________________ Phone Number: _______________________________ Physician / NP complete and fax to: SW LHIN 519 -472 -4045 or 1 -855 -223 -2847 orders processed between 8am – 8pm Vascular Access: ☐ Peripheral […]

[…] technique o Ensure extension cords are in good condition and positioned properly o Maintain first aid supplies, keep fire extinguishers and carbon monoxide detectors in good working order o Ensure an evacuation plan has been established o Follow the absence reporting protocols at the local LHIN if experiencing any COVID -19 symptoms Communication Employees […]

[…] technique o Ensure extension cords are in good condition and positioned properly o Maintain first aid supplies, keep fire extinguishers and carbon monoxide detectors in good working order o Ensure an evacuation plan has been established o Follow the absence reporting protocols at the local LHIN if experiencing any COVID -19 symptoms Communication Employees […]

[…] was originally developed by the Toronto In -Patient Palliative Care subcommittee of the Toronto Palliative Care Network (now known as the Toronto Central Palliative Care Network) in order to standardize the application process to access palliative care services throughout the city. In No vember 2010 the Palliative Care Common Referral Form was revised to […]

[…] he tables on the following pages set out the specific deliverables that Central LHIN has identified in its Accessibility Plan along with key dates. The LHIN has reached compliance for the applicable standards required to date. O ne outstanding Communication standard mandated for completion in 2021 for designated public sector organizations, is in the […]