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Halton Healthcare - 2019 Outpatient Geriatric Referral Form

 GERIATRIC MEDICINE OUTREACH PROGRAM – home visits by Multidisciplinary Team, in collaboration...with Geriatrician - PLEASE USE TRILLIUM SENIORS SERVICES REFERRAL FORM...Urgency...Referral......
https://www.mississaugahaltonhealthline.ca/pdfs/Halton%20Healthcare%20-%202019%20Outpatient%20Geriatric%20Referral%20Form.pdf

Caregiver ReCharge Services - 2016 Referral Form

 Companionship/Friendly Visiting  Safety / Risk Monitoring...Is there another (secondary)...informal caregiver supporting...the care recipient?... Yes  No...If yes, please specify relationship...
https://www.mississaugahaltonhealthline.ca/pdfs/Caregiver%20ReCharge%20Services%20-%202016%20Referral%20Form.pdf

REFERENCE CHECK

REFERRAL FOR FRIENDLY VISITING SERVICES Please provide as much information as possible. Sections marked * are required. Client Name* Preferred Gender |_| Female |_| Male |_| Other: Date of...
https://www.mississaugahaltonhealthline.ca/pdfs/Indus%20Community%20Services-2026%20Friendly%20Visiting%20Program%20Referral%20Form.docx

Adeline's Lodge - 2018 Brochure

... ON, M8W 1C1...The Greenway Lodge​, 860 The Greenway, Mississauga, ON, L5G 1P6...Rosedale Retirement​, 12 William St, Brampton, ON L6V 1L2...WWW.EXCLUSIVERETIREMENT.COM​ ~ ​(416) 503-3333
https://www.mississaugahaltonhealthline.ca/pdfs/Adeline%20Lodge%20-%202018%20Brochure.pdf

Lifemark Seniors Wellness - 2021 StepUP Program Flyer.pdf

... to...participating in a 6 week program (2 hour...visits)...• Motivated to participate and achieve...improved function...• Able to perform own personal care...or have a caregiver to assist
https://www.mississaugahaltonhealthline.ca/pdfs/Lifemark%20Seniors%20Wellness%20-%202021%20StepUP%20Program%20Flyer.pdf

Verve Senior Living - Credit River Retirement Residence - 2025 Brochure.pdf

E: info@creditriverretirement.com...CreditRiverRetirement.com...We believe retirement living can be inspired, and inspiring....Every day our residents redefine aging by experiencing...
https://www.mississaugahaltonhealthline.ca/pdfs/Verve%20Senior%20Living%20-%20Credit%20River%20Retirement%20Residence%20-%202025%20Brochure.pdf

BIAPH CONSENT-TO-RELASE-OF-INFORMATION.pdf

Jorun Rucels jorun.rucels@biaph.com...(905) 823-2221 or 1-800-565-8594...Recommended by Date Approved by Date...BIAPH OFFICE USE...Jun-18...CONSENT TO RELEASE INFORMATION...Additional Information:
https://www.mississaugahaltonhealthline.ca/pdfs/BIAPH%20CONSENT-TO-RELASE-OF-INFORMATION.pdf

OTMH - ED Fact Sheet

patientrelations@haltonhealthcare.com and be sure to speak with...the Nurse in Charge about any immediate concerns....WHY YOU MAY WAIT...Our Emergency Department cares for people with a wide range...
https://www.mississaugahaltonhealthline.ca/pdfs/OTMH%20Emergency%20Department__Fact%20Sheet.pdf

Oakville Strokers - 2019 Brochure

www.oakvillestrokers.com...Volunteer Information...Get Involved! ...Volunteer!...To learn more call...Donna Chamberlain...Volunteer Coordinator...905.84-5.574-1...Mid-Summer Cruise...aboard...
https://www.mississaugahaltonhealthline.ca/pdfs/Oakville%20Strokers%20-%202019%20Brochure.pdf

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

www.BloorPain.com/refer-a-patient/...REFERRAL DOCUMENTATION INCLUDES:...□ Recent note/consult re: event/patient history □ Clearance letter (anticoag), if applicable....□ Imaging reports:...
https://www.mississaugahaltonhealthline.ca/pdfs/Spine-Pain-Referral-Form-for-PRINT-2024.pdf