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Client Intervention and Support Services Program Brochure

The Regional Municipality of York...What is the Client Intervention and Support Services Program?...York Region’s Client Intervention and Support Services Program (CISS) can help older adults delay or...
https://www.centralhealthline.ca/pdfs/CISS_Brochure-email.pdf

Ontario Health atHome - THC referral form

Judy.Wong_ctr...Note: The information contained in this form is confidential. ...It contains personal health information that is subject to the provisions of the ‘Personal Health Information...Protection...
https://www.centralhealthline.ca/pdfs/Telehomecare%20Referral%20Form.pdf

134605 - North York General Hosp Elder Care LTC Geriatric Psychiatry Referral Form.pdf

lwebster...C:\Users\Kevin.Cheung\Downloads\North_York_General_Hosp_-_Elder_Care_-_LTC_Geriatric_Psychiatry_Referral_Form (1).doc Revised 12/29/20...GERIATRIC PSYCHIATRY REFERRAL...FOR LONG TERM CARE...
https://www.centralhealthline.ca/pdfs/134605%20-%20North%20York%20General%20Hosp%20Elder%20Care%20LTC%20Geriatric%20Psychiatry%20Referral%20Form.pdf

Ontario Health atHome - THC COVID-19 remote Self-Monitoring Program Referral Form

Maria.Lagunzad...COVID-19 Remote Self-Monitoring Program Referral Form...COVID-19 Remote Self-Monitoring Program Rev 28 June 2024 Page 1 of 2...Please fax referral form(s) to: 905-707-2409...PATIENT...
https://www.centralhealthline.ca/pdfs/COVID-19%20Remote%20Self-Monitoring%20Program%20Referral%20Form.pdf

Cardiovascular Pulmonary Rehab Referral form

Rev. ...Oct 2020 Please fax referral to: (905) 883-0772...Chronic Disease Wellness Centre...Cardiovascular & Pulmonary Rehab (CVPR)...955 Major Mackenzie Drive West, 3rd Floor Suite 340...Vaughan,...
https://www.centralhealthline.ca/pdfs/Cardiovascular%20Pulmonary%20Rehab%20Referral%20form.pdf

DEP-Physician-Referra 1.pdf

Lu, Jack...Patient Information...Last Name First Name ❏M ❏F ❏Other...Date of Birth...(YYYY/MM/DD):...OHIP#:...❏ Non-Insured:...Expiry Date...(MM/DD):...Address:...Primary Phone #:...Preferred Language:
https://www.centralhealthline.ca/pdfs/DEP-Physician-Referra%201.pdf

patient-checklist-english.pdf

Katie Giles...Bernard Betel Centre • 1003 Steeles Ave. ...W., Toronto, ON M2R 3T6...416-225-2112 • www.betelcentre.org...We acknowledge financial support from:...Charitable number 11921 5697 RR0001......
https://www.centralhealthline.ca/pdfs/patient-checklist-english.pdf