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Christie Oaks Care Home - 2019 Respite Referral Form

 Yes  No (Include walker, wheelchair, assistive...technology, hearing aids, etc.) If yes, describe....Does this person require transferring by a...support person or support staff?... Yes  No
https://www.mississaugahaltonhealthline.ca/pdfs/Christie%20Oaks%20Care%20Home%20-%202019%20Respite%20Referral%20Form.pdf