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Pharmacies
Pharmacies - Sharps Disposal
Pharmacies - Medication Return
Flu Shots (Influenza Vaccines)
In-Home Personal Support
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Ontario Health atHome - THC COVID-19 remote Self-Monitoring Program Referral Form
Lives
in long term care facility...Referrer Information Community Pharmacy...Name: Name:...Position: Phone Number:...Phone Number: Fax Number:...Email Address:...Primary Care Provider’s...
https://www.centralhealthline.ca/pdfs/COVID-19%20Remote%20Self-Monitoring%20Program%20Referral%20Form.pdf
Ontario Health atHome - THC referral form
Patient
lives
in a residential setting with an active...land line (internet or analog phone line)....Patient or family caregiver is able to provide informed...consent to participate....MAIN...
https://www.centralhealthline.ca/pdfs/Telehomecare%20Referral%20Form.pdf
SGS Referral form.pdf
lwebster...Geriatricians: Dr. Amanda Goldberg, Dr. Nihal Haque, Dr. Bianca Petrut, Dr. ...Stephanie Siu...Psychiatrists: Dr. Goran Eryavec, Dr. Anne Ferguson, , Dr. Marianna Hill, Dr. Franklin Wong,...
https://www.centralhealthline.ca/pdfs/SGS%20Referral%20form.pdf
SGS Referral form.doc
lwebster...Specialized Geriatric Services ...Referral Form ...Tel: (416) 756-6871 ...Fax: (416) 756-6438 ...Please include related consultation notes and/or lab results...Name of Client...M...F...d /...
https://www.centralhealthline.ca/pdfs/SGS%20Referral%20form.doc
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