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Prism Eye Institute New Patient Registration Form.pdf

HP Authorized Customer...NEW PATIENT WELCOME...Welcome to Prism Eye Institute! Thank you for trusting us with your care. ...We do our best to see...patients on time, but eye disease is not always...
https://www.mississaugahaltonhealthline.ca/pdfs/Prism%20Eye%20Institute%20New%20Patient%20Registration%20Form.pdf

Hyperbaric Medicine 2020 Referral Form

C07180-6...Patient Name:...OHIP # Version Code...DOB: Gender:...Patient Phone #:...Alternative Phone #:...Referring Physician Name...Arterial/Venous Ulcers...Diabetic...Thermal Burns...- Does the patient...
https://www.mississaugahaltonhealthline.ca/pdfs/HBOT%20-%202020%20Referral%20Form.pdf

MergedFile

Appointment Date & Time:...Name: Last...First M F...DOB: dd / mm / yy Health No:...Address:...Telephone:...Referring Doctor (print): Ver:...CLINICAL INFORMATION:...
https://www.mississaugahaltonhealthline.ca/pdfs/AppleMed_X-Ray_%20Ultrasound_Mammography_Requisition_Form.pdf

Canadian Blood Services - 2019 Brochure

must know to...give blood...Making donation safe for you, and...for those who receive your blood...General information...Your presence here is voluntary....You may leave at any time but...please inform a...
https://www.mississaugahaltonhealthline.ca/pdfs/Canadian%20Blood%20Services%20-%202019%20Info%20Pamphlet.pdf

Cruisers Sports Brochure

CRUISERS SPORTS...for the Physically Disabled is a non-profit,...volunteer organization formed in 1986....The Cruisers provide both recreational...and competitive sports such as Sledge...Hockey,...
https://www.mississaugahaltonhealthline.ca/pdfs/Halton-Peel%20Cruisers%20Sports%20for%20the%20Physically%20Disabled%20-%202017%20Brochure.pdf

OTMH - Patient Instructions Sleep Lab

Nina Yankovich...Oakville Trafalgar Memorial Hospital...CardioRespiratory Department – Sleep Lab...3001 Hospital Gate, Oakville, ON L6M 0L8...(905) 338-4484 Fax: (905) 338-4636...Patient Instructions...–...
https://www.mississaugahaltonhealthline.ca/pdfs/OTMH%20-%202020%20Patient%20Instructions%20Sleep%20Lab.pdf

Ontario Lung Screening Program (OLSP) Referral Form

THP and Cancer Care Ontario...te} V Ontario Health Cancer Care Ontario...Ontario Lung Screening Program (OLSP) Referral Form...Phone: 905-813-2200 ext. ...2946...Fax: 905-813-7154...• You may submit this...
https://www.mississaugahaltonhealthline.ca/pdfs/1-OLSP-Referral-Form-and-Provider-FAQs-v2025.pdf

VON - 2018 MOW Brochure

VON MEALS ON WHEELS...VON Meals on Wheels is a voluntary community...service that offers a nourishing meal at midday to CANADA•those who need help with meal preparation. ...It...began as a pilot project...
https://www.mississaugahaltonhealthline.ca/pdfs/VON%20-%202018%20MOW%20Brochure.pdf

PSMA-PET_Req-Jan_2025-Proof-Rev3.pdf

TO BE COMPLETED BY THE REFERRING PHYSICIAN...PSMA-PET for Prostate Cancer...Tel.: (905) 855-1860 • Toll Free: 1-877-564-5227 • Fax: (905) 855-1863 • Toll Free Fax: 1-877-564-3297 • www.kmhlabs.com...1/25
https://www.mississaugahaltonhealthline.ca/pdfs/PSMA-PET_Req-Jan_2025-Proof-Rev3.pdf

Cruisers Registration Package

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