Search  
   


Results 3411 - 3420 of about 3,427 for Congestive Heart Failure




SEARCH RESULTS

VON SMILE Program Fact Sheet - Ver.7.pdf

Program:...Services:...Funded & Service...Navigation...Eligible:...Financial...Assessment:...Choice:...• Housekeeping • Laundry • Meals • Respite • Seasonal Outdoor Chores...• Shopping • Transportation •...
https://www.southeasthealthline.ca/pdfs/VON%20SMILE%20Program%20Fact%20Sheet%20-%20Ver.7.pdf

Centralized Referral Form

1-877-422-1112...Fax: 1-877-344-9962...referrals@sciontario.org...Client Disability (Please fill out as much as possible)...Spinal Cord Injury (SCI):...Non-SCI:...Complete SCI:...Incomplete SCI:...Date...
https://www.southeasthealthline.ca/pdfs/SCIO-centralized-referral-form.pdf

Hulpr Rack Card

Jonathan Ladha...Last-Minute Availability...Accessible transportation that goes...way beyond your average taxi or...patient transfer. ...Our professional...team offers high-quality rides and...wide range...
https://www.southeasthealthline.ca/pdfs/Hulpr-Brochure-Jan2023.pdf

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

Lapeer, Jennifer...P...E...R...S...O...N...L...H...E...L...T...H...N...F...O...R...M...T...IO...N...500160 (2019/08) SIDE 1 OF 2 PERSONAL HEALTH INFORMATION RECORD FORM...COMPLEX ADULT SEATING...CLINIC...
https://www.southeasthealthline.ca/pdfs/500160-Complex-Adult-Seating-Clinic-Referral-2019-08-3.pdf

CHS-External-Referral-Form-March2021.pdf

1 /2...Referral Form...for External Agencies...I. ...REFERRAL DETAILS...The applicant or lawfully authorized substitute decision maker has consented to this referral....Date:...
https://www.southeasthealthline.ca/pdfs/CHS-External-Referral-Form-March2021.pdf

Alz Society Kingston Referral Form.pdf

Amy VanSteenburgh...Language:...English...French...Referral Form...Patient Name: Phone #:...Street Address: City:...Caregiver Name:...Relationship to Patient: Caregiver Phone #...Date of Diagnosis:...Fax...
https://www.southeasthealthline.ca/pdfs/Alz%20Society%20Kingston%20Referral%20Form.pdf

New Client Application Form - Sept 2023 -FINAL.pdf

Christanne Lewis...BQWCHC PHC-100 New Client Application Form NEW: Sept 2023...New Client Application Form...See page 2 for instructions...Applicant Information:...Last Name First Name...Preferred Name...
https://www.southeasthealthline.ca/pdfs/New%20Client%20Application%20Form%20-%20Sept%202023%20-FINAL.pdf

September 20, 2009

QBLC...Page 1 of 4...APPLICATION FOR QUEEN’S ELDER LAW CLINIC SERVICES...We ask all of our prospective clients to complete this short information form. ...This form will be kept strictly...confidential,...
https://www.southeasthealthline.ca/pdfs/Queens%20Elder%20Law%20Clinic%20Client%20Application%20Form.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

SMILE PROGRAM

Bill Ryan...VON SMILE Program Referral Form...SMILE Fax (for referrals & assessments only): 1-833-255-5672...Created: 2008...Updated: April 2023...Version 8...Next Review: 2025...Client Information...Age...
https://www.southeasthealthline.ca/pdfs/SMILE%20Referral%20Form%20-%20Ver.8.pdf