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Alzheimer Sociery PKLNH Referral Form.pdf
Living
Arrangement/Transition Support...Information/Education...Safety Concerns...Other/Specific Program, please specify:...Finding Community Supports...Staying Socially/Physically Engaged...Known...
https://www.centraleasthealthline.ca/pdfs/Alzheimer%20Sociery%20PKLNH%20Referral%20Form.pdf
Yee-Hong-Residential-Hospice-Referral-Form.pdf
•
Live
in or have family members who
live
in Scarborough or in the Eastern Greater Toronto Area...• Have a designated Power of Attorney for Personal Care (POA) or a Substitute Decision...
https://www.centraleasthealthline.ca/pdfs/Yee-Hong-Residential-Hospice-Referral-Form.pdf
Community Care City of Kawartha Lakes Adult Day Program
Assistance
with...personal care such as...mobility and toileting is...also provided....Clients can participate in...age and capacity...appropriate activities....Adult Day activities...include...
https://www.centraleasthealthline.ca/pdfs/Community%20Care%20City%20of%20%20Kawartha%20Lakes%20ADP.pdf
Ross Memorial Hospital - Health First Referral Form
For further information on the Medical Directives contact the Executive
Assistant
to Program...Management at 705-324-6111 ext. ...6218...* Heart Failure Physician Clinic Education only ECHO, ECG,...
https://www.centraleasthealthline.ca/pdfs/HealthFirstReferralForm2013.pdf
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