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153_SH_Hospital to Home Flyer 8.5"x11
...iors...arrive safely, wherever they need...to go, giving you peace of mind....Call us at 1-844-422-7399 or visit us at...spectrumhealthcare.com/
services
to...learn more or book one of our drivers.
https://www.southwesthealthline.ca/pdfs/Seniors%20for%20Seniors%20Spectrum%20Health%20Care_Driver%20Companion%20Flyer_Dec2022.pdf
Living a Healthy Life Stanford Brochure 2013
c/o South West
Community
Care...Access Centre (CCAC)...1147 Dundas Street...Woodstock, ON N4S 8W3...Do you have an ongoing health condition...such as diabetes, arthritis, lung, kidney,...heart...
https://www.southwesthealthline.ca/pdfs/LivingAHealthyLifeStanfordBrochure.pdf
Town of Tillsonburg Fitness Program Application 2019
Please return completed forms to Mark Salt at Tillsonburg
Community
Centre...Or Email a scanned copy to: msalt@tillsonburg.ca...Fitness Program Application...Personal Details...Name:...
https://www.southwesthealthline.ca/pdfs/Tillsonburg_Town_of_Accessible_Fitness_Application_2019.pdf
Senior Centre Brochure
support
physical, mental, and social...wellbeing....Whether you want to meet new people,...learn a new skill, or just get out and enjoy...time with your peers, the Senior Centre is...the place to...
https://www.southwesthealthline.ca/pdfs/Senior%20Centre%20Brochure.pdf
Brightshores Health System - Owen Sound Hospital - Grey Bruce District Stroke Centre - Stroke Prevention Clinic Referral Form - Jan 2026
*INCLUDE
SUPPORTING
DOCUMENTATION*...M-230 Revised Jan 2026...Signs/Symptoms eg. ...Unilateral weakness, numbness, speech disturbances...vertigo, vision changes...R L...7 day...Side...Yes No...☐...
https://www.southwesthealthline.ca/pdfs/Brightshores%20Health%20System%20-%20Owen%20Sound%20Hospital%20-%20Grey%20Bruce%20District%20Stroke%20Centre%20-%20Stroke%20Prevention%20Clinic%20Referral%20Form.pdf
Rapid_Access_ Clinic_Brochure
We will also connect you with resources in your
community
....• Patients may be given the option for a follow-up appointment at...the Rapid Access Clinic which will track your referral....Hours of...
https://www.southwesthealthline.ca/pdfs/Rapid_Access_Clinic_Brochure.pdf
Aragon Prosthodontics Referral Form
• Is patient interested in implant
supported
dentures? ...Y N... Dental implant restorations... Implant retained complete fixed dentures/partial dentures... Full mouth rehabilitation......
https://www.southwesthealthline.ca/pdfs/aragon_prosthodontics_referral_form_2018.pdf
Parkwood Institute Main Building - Inpatient Referral Form
• Care needs cannot otherwise be met in the
community
:...CLINICAL PROFILE...Primary Medical Diagnosis:...Date and Description of Event (example: stroke, trauma, fall):...Etiology:...Surgical...
https://www.southwesthealthline.ca/pdfs/parkwoodaccess_referralform.pdf
St. Joseph's Health Care London Geriatric Referral Form 2006
Specialized Geriatric
Services
Intake/Referral Form...Tel: (519) 685-4046 Fax: (519) 685-4020...Mailing Address: 801 Commissioners Road East, London ON N6C 5J1...What
service
does this...
https://www.southwesthealthline.ca/pdfs/SJ_Geriatric_Referral_Form.pdf
LHSC Sleep & Apnea Assesment Unit Information Brochure 2014
service
....What time will I be discharged?...Discharge is at 6:30 a.m....Contacting Us...Sleep & Apnea Assessment Unit...Monday to Friday (8:00 a.m. ...to 4:00 p.m.)...Booking Secretary...Email:...
https://www.southwesthealthline.ca/pdfs/SleepApneaAssesmentUnit_InformationBrochure.pdf
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