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Influenza Immunization Clinic Registration Form
2020-09-15
To receive a flu vaccination, you must complete a registration form. Complete the top section of this form and bring it with you to a vaccination clinic.
Cardiac Rehab Referral Form
2019-10-30
Your physician or nurse practitioner can refer you to the , Cardiac Rehab Program, by submitting this referral form. An exercise stress test , must, be sent in with your referral. If you meet the inclusion criteria for the program, you will be contacted for an assessment appointment. For more...
Pulmonary Rehab Referral Form
2019-10-30
Your physician or nurse practitioner can refer you to the , Pulmonary Rehab Program, by submitting this referral form. If you meet the inclusion criteria for the program, you will be contacted for an assessment appointment. For more information, visit the Cardiac and Pulmonary Rehab Programs .
Dental Care Program for Children - Declaration Form
2019-05-17
As part of the application process to apply for dental public health services for your child, you must complete and sign a declaration form to declare that your child is, not, covered under a private dental insurance plan.
Home Care Referral Form
2019-01-28
Complete and submit this referral form to your local Home Care office to access services. A referral can be made by yourself, your family, care provider, or family doctor. Services are provided based on assessed need for a defined period of time.
Child Audiology Referral Form
2019-01-15
Complete this form to request audiology services for children.
Pediatric Speech and Language Pathology Referral Form
2019-01-15
Referral form for your child to be seen by Speech Language Pathology.
Adult Speech and Language Pathology Referral Form
2019-01-15
Referral form for Adult Speech Language Pathology.
Edinburgh Perinatal/Postnatal Depression Scale (EPDS)
2018-09-26
If you are pregnant and are worried about anxiety or depression, a Public Health Nurse can assist you with completing this, Edinburgh Postnatal Depression Scale (EPDS) screening tool, for perinatal/postnatal depression and anxiety. Your Public Health Nurse can also provide you with information...