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CCSH Community Stroke Groups - Hastings Prince Edward June 2018.pdf

Caregiver/Survivor Groups - Caregivers and survivors meet same time, same...location but in separate rooms. ...Each facilitated group has an opportunity to share their...Third...
https://www.southeasthealthline.ca/pdfs/CCSH%20Community%20Stroke%20Groups%20-%20Hastings%20Prince%20Edward%20June%202018.pdf

VON SMILE Program Fact Sheet - Ver.7.pdf

There may be times when you or your family/caregivers need help finding information or voicing a concern relating to the...VON SMILE Program. ...If you have any questions, feedback, or concerns to...
https://www.southeasthealthline.ca/pdfs/VON%20SMILE%20Program%20Fact%20Sheet%20-%20Ver.7.pdf

Client Onboarding Document

We are very honoured to support our residents and their families...during this time. ...We have provided this guide to assist you to learn...more about what is available to you at Hospice....Our...
https://www.southeasthealthline.ca/pdfs/Hospice%20Guide.pdf

500160-Complex-Adult-Seating-Clinic-Referral-2019-08-3.pdf

Please Note: If you require assistance for providing basic needs while attending clinic, a caregiver must accompany you....Date: YYYY/MM/DD Referring Physician (please print):...Time: HH:MM...
https://www.southeasthealthline.ca/pdfs/500160-Complex-Adult-Seating-Clinic-Referral-2019-08-3.pdf

Alz Society Kingston Referral Form.pdf

Relationship to Patient: Caregiver Phone #...Date of Diagnosis:...Diagnosis:...Alzheimer’s Disease Vascular Dementia Frontotemporal Dementia...Lewy-Body Dementia Mixed Dementia MCI...Korsakoff’s...
https://www.southeasthealthline.ca/pdfs/Alz%20Society%20Kingston%20Referral%20Form.pdf

Maple Diabetes Referral Form.pdf

If this patient is not suitable for group programs, please indicate the reason here:...Provider Signature: Date:...☐ Patient has provided consent to share their Personal Health Information with...
https://www.southeasthealthline.ca/pdfs/Maple%20Diabetes%20Referral%20Form.pdf

lgl_health_unit_smoking_resources_for_tobacco_for_general_public.pdf

Has the client considered what supports they would like to use to quit?...No Yes...Yes...See also:...Private Health Insurance...Social Assistance/ODSP...If a client has...extra health...insurance
https://www.southeasthealthline.ca/pdfs/lgl_health_unit_smoking_resources_for_tobacco_for_general_public.pdf

Kingston_Access_Services_Application_Form.pdf

[ ] No the applicant does not require support person travelling with them all the time. ...Note: If the applicant...occasionally requires assistance it is the responsibility of the applicant or a...
https://www.southeasthealthline.ca/pdfs/Kingston_Access_Services_Application_Form.pdf

SMILE PROGRAM

Name: Phone: Relationship: Caregiver: Call Emergency Contact for...DOE/Admission:...Additional Information...**Health Information/Medical Diagnosis:...What services does client currently receive?
https://www.southeasthealthline.ca/pdfs/SMILE%20Referral%20Form%20-%20Ver.8.pdf

von Belleville and Trenton Stroke Exercise Flyer.pdf

A FREE Exercise Program designed for Stroke Survivors of all abilities and their Caregivers!...Belleville...YMCA of Central East Ontario...Belleville Branch...433 Victoria Ave...Wednesdays &...
https://www.southeasthealthline.ca/pdfs/von%20Belleville%20and%20Trenton%20Stroke%20Exercise%20Flyer.pdf