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ARTHRITIS EDUCATION & REHABILITATION PROGRAM

Alternate Fax Number in the event of transmission problems: 1.613.723.1172 or please call...1.800.321.1433. ext. ...1562...Privacy and Confidentiality: The Arthritis Society has policies...
https://www.wwhealthline.ca/pdfs/Revised-Referral-form-AREP-39-March-2018.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 stratification...
https://www.wwhealthline.ca/pdfs/Cardiodiagnostics-Services-Requisition-Final-June-2016.pdf

Waterloo Regional Diabetes Education Programs –Central Intake

Newly Diagnosed (less than 1 year) or Established (greater than one year)...Are you pregnant? ...Yes or No If pregnant, when is your due date?...If pregnant, where are you delivering?...Do you...
https://www.wwhealthline.ca/pdfs/Healthy-Living_Community-Diabetes-Program_Self-Referral-Form.pdf

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 and send...
https://www.wwhealthline.ca/pdfs/Diabetes_Self_Referral_Form.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...over 150...
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

Updated_Aspira_DoonVillage_Brochure.pdf

...,195/month;...One Bedroom starting at $4,705/month;...Two Bedroom starting at $6,680/month...• Additional care & service packages: Available for...additional charges...AL ILAssisted Living...AL IL
https://www.wwhealthline.ca/pdfs/Updated_Aspira_DoonVillage_Brochure.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