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400953 Seniors Day Rehabilitation

Ryan...REFERRAL CRITERIA...TYPE OF SERVICE...SENIORS DAY REHABILITATION
https://www.southeasthealthline.ca/pdfs/pc_referral_form_seniors_day_rehabilitation.pdf

400292 Initial Assessment ABI OT

barkerd...400127 (2019/02) SIDE 1 OF 1 PERSONAL HEALTH INFORMATION RECORD FORM...P...E...R...S...O...N...L...H...E...L...T...H...N...F...O...R...M...T...IO...N... Physiotherapy  Occupational Therapy
https://www.southeasthealthline.ca/pdfs/pc_referral_form_seniors_day_rehabilitation_accident_recovery_centre.pdf

lanark_county_community_paramedic_program_clinical_guidelines.pdf

JScott...Lanark County Paramedic Service Telephone: (613) 205-1021...84 Lorne Street Facsimile: (613) 205-1016...Smiths Falls, Ontario Email: jsteele@lcps.care...K7A 3K8...The Community Paramedic Program...
https://www.southeasthealthline.ca/pdfs/lanark_county_community_paramedic_program_clinical_guidelines.pdf

Referral_Form_Wound_Foot_Care.pdf

Gretchen Grenke...HIGH RISK FOOT AND WOUND CARE...INITIATIVE...REFERRAL FORM...**Please note that all incomplete forms will be returned to the referring provider for more...information and all client...
https://www.southeasthealthline.ca/pdfs/Referral_Form_Wound_Foot_Care.pdf

Community_Brain_Injury_Services_Referral_Form.pdf

pccctemplaw...P...E...R...S...O...N...L...H...E...L...T...H...N...F...O...R...M...T...IO...N...400745 (2019/05) SIDE 1 OF 2 PERSONAL HEALTH INFORMATION FORM...COMMUNITY BRAIN INJURY SERVICES (CBIS)...For...
https://www.southeasthealthline.ca/pdfs/Community_Brain_Injury_Services_Referral_Form.pdf

btc_bayfield_treatment_centres_referral_form.pdf

Todd Powell...Bayfield Treatment Centres Referral Form...Confidential Page 1 12/21/2020...Once completed, this referral may be sent to:...Kimberly Baldwin, Director of Service...kbaldwin@bayfield.net...#...
https://www.southeasthealthline.ca/pdfs/btc_bayfield_treatment_centres_referral_form.pdf

amhs-kfla_addictions_mental_health_kingston_self_referral_form.pdf

ADDICTIONS AND MENTAL HEALTH SERVICES – KFLA...SELF-REFERRAL...Self-Referral Return to Service Referral for a Family Member/Friend...SERVICES REFERRAL SOURCE IF OTHER THAN SELF...What help is needed?
https://www.southeasthealthline.ca/pdfs/amhs-kfla_addictions_mental_health_kingston_self_referral_form.pdf

vh_resident_rights_responsibilites_jan2018.pdf

Monica Siegenthaler...Victoria House Resident Rights and Responsibilities...Each resident of Victoria House has the RIGHT:... to full and effective use of his or her personal, civil, legal and consumer...
https://www.southeasthealthline.ca/pdfs/vh_resident_rights_responsibilites_jan2018.pdf

AMHS-KFLA Fillable Referral Form 2019

AMHS-KFLA...Southeast Ontario Addictions & Mental Health Services Access Form...AMHS-KFLA...This form is to be completed by Primary Health Care and other Health Services Providers...FIELDS MARKED WITH AN...
https://www.southeasthealthline.ca/pdfs/amhs-kfla_addictions_mental_health_kingston_referral_form.pdf

von Belleville and Trenton Stroke Exercise Flyer.pdf

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