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Ageing Well Waterloo Directory for 2024-2025

The City of Waterloo is an age-friendly city, where...people of all ages thrive and grow....The City of Waterloo is an age-friendly city,...where people of all ages thrive and...
https://www.wwhealthline.ca/pdfs/AgeingWellWaterlooDirectory_2024_2025.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

- 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

Cardiodiagnostics Services Requisition Form

City Province Postal Code...Phone: Fax:...Additional copies:...Has the patient previously been seen by a Cardiologist:...No Yes if yes Specify: Dr. ...__________________________...TO BOOK A TEST...
https://www.wwhealthline.ca/pdfs/Cardiodiagnostics-Services-Requisition-Final-June-2016.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

Mobility-Clinic-Referral-Form-Fillable-FINAL.pdf

City: Postal Code:...Home Phone Number: Work/Cell Phone Number:...Alternative Contact: (If necessary) Relationship:...Home Phone Number: Work/Cell Phone Number:...Diagnosis/Medical History:...If...
https://www.wwhealthline.ca/pdfs/Mobility-Clinic-Referral-Form-Fillable-FINAL.pdf

Waterloo Wellington Specialized Geriatric Services Referral Form

Gender:___________ City:______________...Postal Code: ___________DOB:---~---~---...dd mm yyyy Phone:_____________...HCN:____________ Version Code: ___________...Family Physician:...
https://www.wwhealthline.ca/pdfs/WW_SGS_ReferralForm_Fillable.pdf