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First Dose Parenteral Medication Screener – English
[…] 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 kg? Does the patient have a working telephone? Will there be a most responsible person available to remain in the home for […]
NE-social-work
06-2024 Social Work How we can help If you are suffering from an acute or chronic illness, coping with disability, or experiencing the effects of aging and loneliness, you may also be struggling mentally and emotionally. Families and caregivers can be equally affected. Our social workers are regulated health professionals who offer much more […]
NE-social-work
06-2024 Social Work How we can help If you are suffering from an acute or chronic illness, coping with disability, or experiencing the effects of aging and loneliness, you may also be struggling mentally and emotionally. Families and caregivers can be equally affected. Our social workers are regulated health professionals who offer much more […]
NE-rapid-response-fr
NE-rapid-response-fr
NE-rapid-response-fr
NE-rapid-response-fr
NW-information-and-referral-services-fr
NW-information-and-referral-services-fr
NW-information-and-referral-services-fr
NW-information-and-referral-services-fr
SE-Referral-Service-Request-Form-EN
[…] required record of service in the patient’s medical record is nil. The amount payable for home care supervision rendered on the same day as a consultation or visit by the same physician with the same patient is nil. K071 for Acute home care supervision (maximum 1 every week for the first 8 weeks following […]
Referral – Service Request Form – English
[…] required record of service in the patient’s medical record is nil. The amount payable for home care supervision rendered on the same day as a consultation or visit by the same physician with the same patient is nil. K071 for Acute home care supervision (maximum 1 every week for the first 8 weeks following […]
MH-Referral-form-EN
[…] Physician signature only r equired for nursing services. If Physician orders weightbearing, ROM or Functional Restrictions, please include all d etails below. Note: To ensure patient safety and care continuity, pleas e complete this Referral Form in full. Palliative referrals are to use the Palliati ve Care Services Referral Form available at healthcareathome.ca When […]
Referral Form – English
[…] Health atHome. Physician signature only required for nursing services. If Physician orders weightbearing, ROM or Functional Restrictions, please include all details below. Note: To ensure patient safety and care continuity, please comp lete this Referral Form in full. Palliative referrals are to use the Palliative Care Services Referral Form av ailable at healthcareathome.ca When […]
tc-palliative-care-referral-form-en
[…] TO ALL PALLIATIVE CARE PROVIDERS (For the purpose of this Form, an individual refers to a patient or client) Please complete this form as thoroughly as possible and PRINT clearly. Each referring agency, group or institution should decide which practitioner(s) is most appropriate to complete each section. Individual’s Last Name: First Name: Application Checklist […]