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CPC Patient Information Sheet

Visiting www.ontario.ca/healthcareoptions...Contacting your Home and Community Care...Support Services (www.healthcareathome.ca)...Calling the Seniors' INFOline at 1-888-910-...1999...
https://www.southeasthealthline.ca/pdfs/Napanee%20Physiotherapy%20and%20Rehabilitation%20-%20OHIP%20Insured%20Physiotherapy%20Information.pdf

rac_lbp_patient_intake_form_march_2020.pdf

What results do you hope to achieve from your visit today? ...(Mark one response on each line)...likely...Slightly...likely...Somewhat...likely...likely...Extremely...likely...applicable...Relief...
https://www.southeasthealthline.ca/pdfs/rac_lbp_patient_intake_form_march_2020.pdf

SMILE PROGRAM

Reason for ED visit/hospitalization:...Additional Information:...Person completing this form:...(Print Name)...Date: Phone Number:...**Ensure Health Information/Medical Diagnosis section is filled...
https://www.southeasthealthline.ca/pdfs/SMILE%20Referral%20Form%20-%20Ver.8.pdf

Brenda, Dianne, Amanda, Kathy and Irene of Volunteer & Information Quinte wish to thank your organization for the loyalty and support you show to us

613-969-8862 or www.VIQ.ca...Volunteer & Information Quinte provides high quality, professional assistance to...the residents and agencies of Hastings & Prince Edward Counties by continuously......
https://www.southeasthealthline.ca/pdfs/About-VIQ-Membership.pdf

lanark_county_community_paramedic_program_referral_form.pdf

Number of Visits Required/Frequency:...Community Paramedicine assessment may include:... Vital Signs  Glucose... Mini Mental Assessment  Medication Compliance... ECG  Wellness Assessment...
https://www.southeasthealthline.ca/pdfs/lanark_county_community_paramedic_program_referral_form.pdf

Hulpr Rack Card

...29-0484...www.hulpr.ca...Why ride with us?...Helping Canada's fastest growing population since 2019...Want to learn more? ...Call...us at 613-329-0484 or...email careteam@hulpr.ca...Request a ride
https://www.southeasthealthline.ca/pdfs/Hulpr-Brochure-Jan2023.pdf

September 20, 2009

Please Note: QELC caseworkers visit...clients outside of the QELC offices only...in limited circumstances, pending the...approval of review counsel....client of QELC...[ ] YES...Page 3 of 4...FILE...
https://www.southeasthealthline.ca/pdfs/Queens%20Elder%20Law%20Clinic%20Client%20Application%20Form.pdf

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

What are your goals for this clinic visit?... New Manual Wheelchair  New Power Wheelchair... New Cushion  Improved Comfort... Improved Mobility  New Back Support... Improved Pressure...
https://www.southeasthealthline.ca/pdfs/500160-Complex-Adult-Seating-Clinic-Referral-2019-08-3.pdf

CPHC Brochure

www.cphcare.ca...1.800.465.7646...OF R S OR VOI E...RN...E 1S 0...0G YNI E...V A...R R...E SS...Adult Day Service – a day program for seniors...to socialize, participate in games, crafts,...those...
https://www.southeasthealthline.ca/pdfs/sss_general_brochure_of_services.pdf

lgl_health_unit_smoking_resources_for_tobacco_for_general_public.pdf

See www.healthunit.org for...*General Population in LGL...For youth:...Like “Quit the Denial” on...Facebook...For LGBT:...www.clear-the-air.ca...Break It off...1-866-366-3667...*Young...
https://www.southeasthealthline.ca/pdfs/lgl_health_unit_smoking_resources_for_tobacco_for_general_public.pdf