Services de Santé pour South West Ontario

Addiction Services of Thames Valley - Community Opioid Addiction Program Referral Form

FAX COMPLETED FORM TO: 519-673-1022...Community Opioid Addiction Program...REFERRAL FORM...ADDRESSOGRAPH...VERBAL CONSENT HAS BEEN OBTAINED (please obtain before submitting referral)...Internal ADSTV...

http://www.lignesantesud-ouest.ca/pdfs/ADSTV-Community%20Opioid%20Addiction%20Program%20Referral%20Form.pdf

Arbeau Sports Medicine Centre - Referral Form

www.asmcentre.com...Pa#ent informa#on:...Name: ________________________________________ Date of Birth: ________________...Address:...

http://www.lignesantesud-ouest.ca/pdfs/Arbeau%20Sports%20Medicine%20Centre%20-%20Referral%20Form.pdf

WECHC_ReferralApplicationForm_2019.docx

Referral Form for Counselling Services at WECHC Please note: There is currently a waitlist for counseling services. All referrals will be handled in a confidential manner and will become part of your...

http://www.lignesantesud-ouest.ca/pdfs/WECHC_ReferralApplicationForm_2019.docx

Narateen Flyer - St Thomas - 2019

doris gingell...What Can You do to Help Your Children?...Narateen...A Twelve Step Program for young people who are affected by a drug problem in a...relative or friend...New Meeting...Starting May 1st...

http://www.lignesantesud-ouest.ca/pdfs/NarateenFlyer-StThomas.pdf

Elgin St Thomas Public Health - Environmental Health - Mandatory Rabies Vaccination of Pets Information Sheet

Mandatory Rabies...Vaccination of Pets...All dogs and cats over the age of three...(3) months must be immunized against...rabies infection....You and your veterinarian can discuss...which rabies vaccine...

http://www.lignesantesud-ouest.ca/pdfs/ElginStThomasPublicHealth_RabiesPetVaccinationInformationSheet.pdf

Addiction Services Thames Valley - French Mental Health and Addictions System Navigation Program - Referral Form (2016)

mfaoro...1 | P a g e...Person Responsible of the Client’s Care /Next of Kin...Guardian/Substitute Decision Maker:...Parent’s /Guardian Names (if under 12): ________________...Address (if different from...

http://www.lignesantesud-ouest.ca/pdfs/ADSTV_FrenchMentalHealthAddictionsSystemNavigationProgram_ReferralForm.pdf

Intervenor_Services_Brochure

!"#$" %#&"#$'(" )#"*+ ,",-.!/"0 !)#'%1' ' !#.%*/'2,#" 3%44+ '!.) ,&%(')2&"#$'(" 56/".)#")$)'2)-2"!%#" '," ! ...%*0 !)#'%7/%)#"2'$' 87'!/)2% %*-%!//")#' 8) ,$' '% 3)...

http://www.lignesantesud-ouest.ca/pdfs/Intervenor_Services_Brochure.pdf

Grey and Bruce Counties Behavioural Supports Ontario Mobile Team - Patient Handout

Grey Bruce Specialized Geriatric Services PHONE: 519-376-2121,ext. ...2436; FAX: 519-378-1478...You have been referred to Grey Bruce Specialized Geriatric Services...These services help older adults with...

http://www.lignesantesud-ouest.ca/pdfs/Grey%20and%20Bruce%20Counties%20Behavioural%20Supports%20Ontario%20Mobile%20Team%20-%20Patient%20Handout.pdf

Grey Bruce Health Services - Meaford Hospital - Geratric Services Patient Handout

Grey Bruce Specialized Geriatric Services PHONE: 519-376-2121,ext. ...2436; FAX: 519-378-1478...You have been referred to Grey Bruce Specialized Geriatric Services...These services help older adults with...

http://www.lignesantesud-ouest.ca/pdfs/GBHS%20-%20Meaford%20Hospital%20-%20Geriatric%20Clinic%20-%20Patient%20Handout.pdf

Tillsonburg MSC YJC Summer flyer 2019

Jennifer Reimer...Looking for a SUMMER job?...Are you aged 15 to 18?...PAID Training PAID Job ONGOING Support...To register, call Jenn at 519-842-9008 ext. ...387 or email...June 27&28, July 4&5...Youth...

http://www.lignesantesud-ouest.ca/pdfs/TillsonburgMSC_YJCS_flyer2019.pdf

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