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

500160 (2019/08) SIDE 1 OF 2 PERSONAL HEALTH INFORMATION RECORD FORM...COMPLEX ADULT SEATING...CLINIC REFERRAL...THIS DEMOGRAPHIC SECTION MUST BE COMPLETED IN FULL...Name:...Street Address:...Home...
https://www.southeasthealthline.ca/pdfs/500160-Complex-Adult-Seating-Clinic-Referral-2019-08-3.pdf

vh_resident_rights_responsibilites_jan2018.pdf

 to care for his or her own health and well-being, as far as he or she is capable;... to inform his or her medical practitioner, as far as he or she is able, about his or her...relevant medical...
https://www.southeasthealthline.ca/pdfs/vh_resident_rights_responsibilites_jan2018.pdf

Community_Brain_Injury_Services_Referral_Form.pdf

Date of Birth: (YYYY/MM/DD) _________________ Health Card Number: _____________________...Version Code & Expiry Date: ______________________...Reason for Referral: How can we help? ...Is client...
https://www.southeasthealthline.ca/pdfs/Community_Brain_Injury_Services_Referral_Form.pdf

Victoria House Policies

Exceptions to this policy include infractions of violence or health/safety...that pose an immediate threat or risk to other residents or staff. ...In these cases, the...tenancy can be terminated...
https://www.southeasthealthline.ca/pdfs/vh_house_rules_Jan2018.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

info...199 Front Street, Suite 121 Century Village, Belleville, ON K8N 5H5...613-969-8862 or www.VIQ.ca...Volunteer & Information Quinte provides high quality, professional assistance to...the residents...
https://www.southeasthealthline.ca/pdfs/About-VIQ-Membership.pdf

400292 Initial Assessment ABI OT

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-Rehabilitation-Therapy-Centre-Outpatient-Referral-2019-02.pdf

400292 Initial Assessment ABI OT

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

400292 Initial Assessment ABI OT

400127 (2019/06) 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... Speech Language...
https://www.southeasthealthline.ca/pdfs/400127-Rehabilitation-Therapy-Centre-Outpatient-Referral-2019-06.pdf

btc_bayfield_treatment_centres_referral_form.pdf

Are there any known Health Problems?...Allergies: Y N Comments:...Tuberculosis: Y N Comments:...STD: Y N Comments:...HIV: Y N Comments:...HEP C: Y N Comments:...Pregnancy: Y N Comments:...Other:...
https://www.southeasthealthline.ca/pdfs/btc_bayfield_treatment_centres_referral_form.pdf

Kingston_Access_Services_Application_Form.pdf

Services to contact/communicate with you if additional information, including personal health information,...documentation and/or clarification is required to evaluate this application....Part B...
https://www.southeasthealthline.ca/pdfs/Kingston_Access_Services_Application_Form.pdf