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Home and Community Care Support Services - Services de Soutien à Domicile et en Milieu Communautaire
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Document Category: Forms

Application for Determination of Eligibility for LTC – English

Medical Referral Guidelines PCP Adult – English

South West Referral Form

HNHB Community Paramedicine Communication Form

Long-Term Care Home Short-Stay Respite Choice List – French

Long-Term Care Home Short-Stay Respite Choice List – English

South West Symptom Response Kit Prescription Form

South West Pain Management Order Form

South West Negative Pressure Wound Therapy Referral Form

South West IV First Dose and Iron Sucrose Screener

South West Adult Standard Flush Protocol

Long-Term Care Home Short Stay Interim Choice List – French

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