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CPHC Brochure

changes resulting from stroke....Exercise & Fall Prevention – classes are...combined with exercise and education and...are designed to help seniors stay active,...independent and “on their feet”.
https://www.southeasthealthline.ca/pdfs/sss_general_brochure_of_services.pdf

as_first_link_referral_form.pdf

Family dynamics Infectious diseases Infestation/Squalor Pets Physical Environment...Recent hospitalizations Responsive behaviours Smoking Weapons Other:...Person with Dementia Name (probable or...
https://www.southeasthealthline.ca/pdfs/as_first_link_referral_form.pdf

Kingston_Access_Services_Application_Form.pdf

Do your disabilities prevent you from reading and/or understanding signage, such as at a bus stop, or...digital signage on a bus?...[ ] Yes [ ] No [ ] Sometimes...3g. ...Do your disabilities...
https://www.southeasthealthline.ca/pdfs/Kingston_Access_Services_Application_Form.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

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

400292 Initial Assessment ABI OT

barkerd...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

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

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

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