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Waterloo Regional Diabetes Education Programs –Central Intake

- Have a confirmed diagnosis of Type 1, Type 2 Diabetes, Prediabetes or at High Risk for Diabetes...- Reside in the Waterloo-Wellington region...Please fill out the following information...
https://www.wwhealthline.ca/pdfs/Diabetes_Self_Referral_Form.pdf

Cardiodiagnostics Services Requisition Form

30-39 4% 2% 34% 12% 76% 26%...40-49 13% 3% 51% 22% 87% 55%...50-59 20% 7% 65% 33% 93% 73%...60-69...27% 14% 72% 51% 94% 86%...STEP 2. ...Determine the appropriate non-invasive risk...
https://www.wwhealthline.ca/pdfs/Cardiodiagnostics-Services-Requisition-Final-June-2016.pdf

14-Jan-05-Referral-Form_Neuro-Rehab-Geriatric-FINAL.pdf

Page 1 of 3...Neuro Rehabilitation Clinic & Geriatric Rehabilitation...Clinic Referral Form...Grand River Hospital, Freeport Site: 3570 King St East Kitchener, ON N2A 2W1...Phone: 519-894-8340...
https://www.wwhealthline.ca/pdfs/14-Jan-05-Referral-Form_Neuro-Rehab-Geriatric-FINAL.pdf

Ageing Well Waterloo Directory for 2024-2025

either by dialing 2-1-1 or visiting...211ontario.ca. ...This free helpline...will connect you to community...and social services in the area 24...hours a day, 365 days a year, in...a...
https://www.wwhealthline.ca/pdfs/AgeingWellWaterlooDirectory_2024_2025.pdf

Waterloo Wellington Specialized Geriatric Services Referral Form

Physician Signature: ________________ Date:....,..,,--~--~/=20~- Fax to: 1-888-205-1491...dd mm yyyy...Specialized Geriatric Services You have been referred to these services M...■ D Specialized...
https://www.wwhealthline.ca/pdfs/WW_SGS_ReferralForm_Fillable.pdf