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ARTHRITIS EDUCATION & REHABILITATION PROGRAM

2. ...Referrals are triaged based on diagnosis, reason for referral, and availability of resources....3. Major focus on inflammatory and peripheral joint arthritis. ...This includes conditions...
https://www.wwhealthline.ca/pdfs/Revised-Referral-form-AREP-39-March-2018.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

Ageing Well Waterloo Directory for 2024-2025

519-742-8327 x 2...houseoffriendship.org...The Food Bank of Waterloo Region...Nonprofit...info@thefoodbank.ca...519-743-5576...thefoodbank.ca...The Salvation Army,...Community and Family...
https://www.wwhealthline.ca/pdfs/AgeingWellWaterlooDirectory_2024_2025.pdf

Cardiodiagnostics Services Requisition Form

Loop Recorder:  14 day  28 Day... Stress Test only  Stress Test with Consult  Stress Test +/- Consult...Select appropriate test:... Treadmill Stress Test (Patient has no physical, cognitive...
https://www.wwhealthline.ca/pdfs/Cardiodiagnostics-Services-Requisition-Final-June-2016.pdf

Waterloo Wellington Specialized Geriatric Services Referral Form

Please attach relevant consult notes, diagnostic reports (Labs, ECG, X-Rays) and cumulative patient profile...Physician Signature: ________________ Date:....,..,,--~--~/=20~- Fax to:...
https://www.wwhealthline.ca/pdfs/WW_SGS_ReferralForm_Fillable.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

- 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