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Cardiodiagnostics Services Requisition Form

 Prior MI  Cardiac Cath  CABG  Valve Replacement  Mechanical  Tissue Model:________________________... Chest pain  Dyspnea  Palpitations  AFib  Syncope ...
https://www.wwhealthline.ca/pdfs/Cardiodiagnostics-Services-Requisition-Final-June-2016.pdf

Ageing Well Waterloo Directory for 2024-2025

the National Model Railroad...Association...Nonprofit...registrar@wod-NMRA.ca...wod-nmra.ca...45...RECREATION & LEISURE...Region-led Recreation...REGION-LED RECREATION...McDougall Cottage National
https://www.wwhealthline.ca/pdfs/AgeingWellWaterlooDirectory_2024_2025.pdf

Elemenoe Fall Services 2024 (Email)

Learn in our small 2:2 or 3:2 groups...Elemenoe...Autism...Program...Highlights...Investment...$73.50-$84 per hour...depending on...number of hours...Initial assessment...cost of...
https://www.wwhealthline.ca/pdfs/Elemenoe_Services_2024.pdf

Waterloo Regional Diabetes Education Programs –Central Intake

- Have a confirmed diagnosis of Type 1 or Type 2 Diabetes or Prediabetes...- Reside in the Waterloo-Wellington region...Please fill out the following information and fax back...- If possible,...
https://www.wwhealthline.ca/pdfs/Healthy-Living_Community-Diabetes-Program_Self-Referral-Form.pdf

Waterloo Regional Diabetes Education Programs –Central Intake

Insulin Type: Adjust insulin dose by 1-2 units or up to 20% prn to achieve CDA CPG...glycemic targets of ac 4-7 mmol/L and pc 5-10mmol/L or individual...target...
https://www.wwhealthline.ca/pdfs/WWRCC_CI_ReferralForm_Dec2015.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

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/WWRCC_CI_Self%20Referral%20FormApr2017.pdf

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

Page 2 of 3...Does this person have a current ARO infection? ...Yes No (Please Specify): MRSA VRE C.Diff ESBL...Driving Information *Please discuss any medical/functional concerns with the...
https://www.wwhealthline.ca/pdfs/14-Jan-05-Referral-Form_Neuro-Rehab-Geriatric-FINAL.pdf