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CP_Referral_Form(2025)

Given name: Surname: Date of birth: Gender:...Health card: Version code:...Address: City: Postal code:...Primary phone: Secondary phone:...RELEVANT CLINICAL HISTORY *Select all that apply...☐...
http://www.lignesantesud-ouest.ca/pdfs/CP_Program_Referral_Form_2025.pdf

St Joseph's Health Care London - Parkwood Institute - Geratric Ambulatory Access Team (GAAT) Referral Form

Phone: Fax: Date of referral: Primary Care Practitioner (if other than referring practitioner):...WHAT HAPPENS NEXT?...We will contact you within 2 business days* to confirm receipt of your...
http://www.lignesantesud-ouest.ca/pdfs/LHSC%20-%20St%20Josephs%20Health%20Care%20London%20-%20Parkwood%20Institute%20-%20Geriatric%20Ambulatory%20Access%20Team%20Referral%20Form.pdf

Oxford and Elgin Child and Youth Centre - Oxford and Elgin Walk in and Referral Services Brochure (2017)

www.yourwebsitehere.com...Woodstock: Tuesdays...10:00am – 6:00pm...St. ...Thomas: Thursdays...10:00am-6:00pm...Private...Confidential...No Fee...Front Door Walk-In...Counselling and Referrals...99...
http://www.lignesantesud-ouest.ca/pdfs/OECY_Oxford_and_Elgin_Walk_In_Counseling_Brochure.pdf

CMHA Oxford - Peer Support Outpatient Booklet

with childcare/housekeeping, provision of transportation or money).... Informational support represents a third type of social support, which refers to the help that others may offer...through...
http://www.lignesantesud-ouest.ca/pdfs/CMHA_Oxford_Peer_Support_Outpatient_booklet.pdf

Victim Services_GENERIC BROCHURE cs5

date of the incident;...Funeral Expenses - homocide victims;...Emergency Counselling and Transportation...Contact the office for additional information...Volunteer Crisis Responders will...offer...
http://www.lignesantesud-ouest.ca/pdfs/VictimServices_2020cs5.pdf

GBHS - Sexual Assault and Partner Abuse Centre (2014)

girlfriend, or a dating partner ...Sexual Assault... Is any form of sexual act that is forced on a person without their consent. Sexual ... Victims include women, men and children ......
http://www.lignesantesud-ouest.ca/pdfs/SexualAssaultandPartnerAbuseCentreFactSheet.pdf

Southwold (Township of) - Keystone Complex

 Ajouter au presse-papiers...  Imprimer...Programme :...Keystone Complex  ...Organisation :...Southwold (Township of)...Numéros de téléphone :...519-769-2010...Télécopie :...519-769-2837...Adresse...
https://www.lignesantesud-ouest.ca/displayService.aspx?id=161851

CMHA Thames Valley Addiction and Mental Health Services - Regional Centre - London - Back On Track Program

 Ajouter au presse-papiers...  Imprimer...Programme :...Back On Track Program  ...Organisation :...CMHA Thames Valley Addiction and Mental Health Services - Regional Centre - London...Sans frais :...Site...
https://www.lignesantesud-ouest.ca/displayService.aspx?id=10006

London Health Sciences Centre Multi Organ Transplant Program 2017

channel at https://www.youtube.com/user/...LHSCCanada....• Show your support by attending...community events, wearing a green ribbon,...or using our merchandise that promotes...greater awareness...
http://www.lignesantesud-ouest.ca/pdfs/LHSC_MultiOrganTransplantProgram2017.pdf

St Joseph's Health Care London - St Joseph's Hospital - Breast Care Centre - Ontario Breast Screening Program - Breast Imaging Program

 Ajouter au presse-papiers...  Imprimer...Programme :...Breast Imaging Program  ...Organisation :...St Joseph's Health Care London St Joseph's Hospital Breast Care Centre - Ontario Breast Screening...
https://www.lignesantesud-ouest.ca/displayService.aspx?id=145756