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Hastings (County of) - Township of Carlow/Mayo

 Add to clipboard...  Print...Program :...Township of Carlow/Mayo  ...Organization :...Hastings (County of)...Phone Numbers :...613-332-1760...Toll-Free :...1-800-510-3306...Fax :...613-332-2175...Email...
https://www.southeasthealthline.ca/displayService.aspx?id=226215

lanark_county_community_paramedic_program_clinical_guidelines.pdf

The Lanark County Paramedic Service is working with the Ministry of Health, local Physicians, and Community...Services to provide mobile healthcare in our County. ...Community Paramedicine allows...
https://www.southeasthealthline.ca/pdfs/lanark_county_community_paramedic_program_clinical_guidelines.pdf

kfla_smoking_cessation_supports.pdf

• Sites: Kingston (Weller Avenue, Street Health on Barrack Street), Napanee,...and Deseronto....Hospitals...NRT and medications are available for in-patient care....• Kingston Health...
https://www.southeasthealthline.ca/pdfs/kfla_smoking_cessation_supports.pdf

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

Plaza, Trenton - Hastings Prince Edward Health Unit –Third Friday of every month –...9:30am-11:30am...Living with Stroke Program – free 6 consecutive, weekly educational sessions...Topics include:...
https://www.southeasthealthline.ca/pdfs/CCSH%20Community%20Stroke%20Groups%20-%20Hastings%20Prince%20Edward%20June%202018.pdf

Maple Diabetes Referral Form.pdf

☐ Patient has provided consent to share their Personal Health Information with Maple Diabetes...Fax Referral to Maple Diabetes: 1-888-981-1640...We do not accept referrals for people using insulin...
https://www.southeasthealthline.ca/pdfs/Maple%20Diabetes%20Referral%20Form.pdf

SMILE PROGRAM

...tion:...Person completing this form:...(Print Name)...Date: Phone Number:...**Ensure Health Information/Medical Diagnosis section is filled out before summitting this form to SMILE...Yes No Yes No
https://www.southeasthealthline.ca/pdfs/SMILE%20Referral%20Form%20-%20Ver.8.pdf

New Client Application Form - Sept 2023 -FINAL.pdf

because of problems with mental health or substance use?...No Yes – Please explain below...Instructions:...1. ...Please complete one form for each applicant...2. ...Complete this fillable form on...
https://www.southeasthealthline.ca/pdfs/New%20Client%20Application%20Form%20-%20Sept%202023%20-FINAL.pdf

Alz Society Kingston Referral Form.pdf

Independent physician Family Health Team (specify which team) ________________...Private PCC Geriatric Outreach S.M.O.L Community Agency...Discipline...General Practitioner Allied Health...
https://www.southeasthealthline.ca/pdfs/Alz%20Society%20Kingston%20Referral%20Form.pdf

Centralized Referral Form

under the Personal Information Protection and Electronic Documents Act (PIPEDA) and the Personal Health...Information Protection Act (PHIPA)....Please send your referral form to:...
https://www.southeasthealthline.ca/pdfs/SCIO-centralized-referral-form.pdf

Referral_Form_Wound_Foot_Care.pdf

Name (as it appears on Health Card):_____________________, ________________________, ________...Last First Initial...Preferred Name: _______________________________...Health Card Number:...
https://www.southeasthealthline.ca/pdfs/Referral_Form_Wound_Foot_Care.pdf