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A Palliative Approach to Care The Home and Community Care Support Services Hamilton Niagara Haldimand Brant provides home and community care and services including care coordination for people who are living with a progressive, life limiting illness.

HNHB Convalescent Care Pamphlet

MEDICAL ASSISTANCE IN DYING (MAID ) PRESCRIPTION FORM HCCSS CENTRAL EAST 233 Alden Road Markham, ON L3R 3W6 T: 1 – 888 – 313 – 6988 F: 1 – 888 – 287 – 8577 Page 1 of 2 Patient Name: _________________________________________________ DOB: _____ __ /____ /_______ Health card : ______ _________________ __ Phone: __________ […]

MEDICAL ASSISTANCE IN DYING (MAID ) PRESCRIPTION FORM HCCSS CENTRAL EAST 233 Alden Road Markham, ON L3R 3W6 T: 1 – 888 – 313 – 6988 F: 1 – 888 – 287 – 8577 Page 1 of 2 Patient Name: _________________________________________________ DOB: _____ __ /____ /_______ Health card : ______ _________________ __ Phone: __________ […]

[…] services Description E&S Order – Client phone number missing in E&S Flat File When new or updated medical equipment and supply orders are sent to the selected vendor, the client’s telephone number is no longer included in the E&S Flat File. This defect has been fixed. The client’s telephone phone number is now received […]

[…] services Description E&S Order – Client phone number missing in E&S Flat File When new or updated medical equipment and supply orders are sent to the selected vendor, the client’s telephone number is no longer included in the E&S Flat File. This defect has been fixed. The client’s telephone phone number is now received […]

[…] Gender: m Male m Female Union/association membership, if applicable: T he new member will be asked to send HOOPP proof of age documentation. For acceptable proof documents see the Instructions page. New member’s mailing address: Home Tel: Work Tel: E-mail: Fax: New member’s language preference is: m English m French   (See instructions page for details about French services.) 2. Benefit Transfers   (Complete this section, if applicable.)  m The member named above was a member of a pension plan at his/her previous place of employment and wants to explore the possibility of transferring service from that plan into HOOPP. Please indicate,  in the space below, the name of the member’s previous pension plan – for a list of plans with which HOOPP has reciprocal transfer agreements and other details on transfers, see the Instructions page. Date of termination from previous employer: |_____|_____|__________| Previous Plan:  3. Declaration   (Completed by member – see Instructions page.) Iconsent to the use of all information contained on this form and any and all additional personal information which I may hereafter provide to the administrators of the Plan, including my social insurance number, plus information related to my salary and employment record, as may be required to administer the Plan. My consent extends to any disclosures by the Plan administrators to the Plan’ s auditors, actuaries and/or other pr ofessional advisors for the purposes of administering the Plan.  Ialso understand that any information collected or requested via this document is solely for the purpose of administering the Plan and will not be disclosed to any other party, except as previously indicated, without my consent. I certify that the information contained in this form is correct to the best of my knowledge. This form no longer captures beneficiary designation information. See Instructions page for details. New member’s signature: Date: |_____|_____|__________|   4. Employment Information   (To be completed by employer.) Name of employer: Employer code: |___|___|___| New member works:  m […]

[…] – watc h the individual am bulate through their res idenc e to determ ine if OT/PT/ additional s upports and equipm ent are required to assist in ac tivities of daily living. (bathroom adjunc ts , bed rails , c om m ode, 2 -wheeled, 4 – wheeled walkers ) • His tor […]

[…] e : CC AC Fol lo w -u p A ctio n Re sp on sib ili ty D ate Upd ates mus t be su bmitted in acc ordance with delive rables a nd timeli nes in th e ac tion plan(s) unt il th e Quality Not ice is c los ed […]