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Résultats 5621 - 5630 sur environ 5,678 pour Aide à la vie autonome




RÉSULTATS DE LA RECHERCHE

Spine-Pain-Referral-Form-for-PRINT-2024.pdf

Ogi...Spine Pain Referral Form...Tel.: 647-722-9696 / Fax.: 647-722-9606 / Referrals@BloorPain.com...PATIENT DEMOGRAPHICS: REFERRING PHYSICIAN:...Name: Name:...DOB: MOH #:...Health Card #: VC: Phone #:
http://www.lignesantemississaugahalton.ca/pdfs/Spine-Pain-Referral-Form-for-PRINT-2024.pdf

Sauga Stroke Breakers - 2018 Referral and Consent Forms

3 of 3...‘SAUGA STROKE BREAKERS (‘SSB)...Mississauga Valley Community Centre...Participant Consent to disclose personal information...Participant Full Name: __________________________________________......
http://www.lignesantemississaugahalton.ca/pdfs/Sauga%20Stroke%20Breakers%20-%202018%20Referral%20and%20Consent%20Forms.pdf

one-Link - 2020 Referral Form

Carolyn Thompson...Referral Form...Instructions and Information...Information for Referring Providers...Catchment Area:... one-Link is the coordinated access service for referrals for Mississauga Halton...
http://www.lignesantemississaugahalton.ca/pdfs/one-Link%20-%202020%20Referral%20Form%20Fillable.pdf

one-Link 2023 Referral Form.pdf

Carolyn Thompson...Referral Form...Instructions and Information...Information for Referring Providers...Catchment Area:... one-Link is the coordinated access service for referrals for Mississauga Halton...
http://www.lignesantemississaugahalton.ca/pdfs/one-Link%202023%20%20Referral%20Form.pdf

THP-Seniors Medical Psychiatry Brochure

MEDICAL TrilliumPSYCHIATRY Health Partners...A I NCE Better Together...The Centre for Seniors' Medical Psychiatry...Background:...The Centre for Seniors' Medical Psychiatry program is a collaborative...
http://www.lignesantemississaugahalton.ca/pdfs/THP%20-%20Centre%20for%20Seniors%20Medical%20Psychiatry%20-%202019%20Info%20Sheet.pdf

ActiveAssist - Supporting Documentation List

Leamur...Supporting Documentation List...Applying as an individual/family without dependants:...When applying as an individual or family without dependants the supporting documentation uploaded should...
http://www.lignesantemississaugahalton.ca/pdfs/ActiveAssist%20-%20Supporting%20Documentation%20List.pdf

HH - FIT Referral Form

Jenny Stevenson...Referral Form...Positive Fecal Immunochemical Testing...Fax: 905-815-5133...Referral Inquiries: 905-338-2983...Patients must be 18 years of age at time of referral....Patients will be...
http://www.lignesantemississaugahalton.ca/pdfs/HH%20-%202021%20FIT%20Referral%20Form.pdf

Cruisers Registration Package

Owner...Registration Package...Contact Information:...First Name: ______________________________Last Name: _____________________________...DOB (YYYY-MM-DD): ______________________Email Address:...
http://www.lignesantemississaugahalton.ca/pdfs/Halton-Peel%20Cruisers%20Sports%20-%202016%20General%20Registration%20Package.pdf

VON Referral form.docx

COMMUNITY SUPPORT SERVICE –REFERRAL FORM Intake Information: Last Name: First Name: Gender: Address: City: Postal Code: Telephone: D.O.B Language Spoken: □ English □ French □ Other Does Client Consent...
http://www.lignesantemississaugahalton.ca/pdfs/VON%20Referral%20form.docx

KMH__Cardiac PET Requisition Form__April 2021

TO BE COMPLETED BY THE REFERRING PHYSICIAN...POSITRON EMISSION TOMOGRAPHY (PET)...Tel.: (905) 855-1860 • Toll Free: 1-877-564-5227 • Fax: (905) 855-1863 • Toll Free Fax: 1-877-564-3297 • www.kmhlabs.com
http://www.lignesantemississaugahalton.ca/pdfs/KMH__PET%20Registry%20Indications__Apr%202021.pdf