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CIRCLE OF CARE WAB ANO Center FOR ABORIGINAL HEALTH 299 MONTREAL ROAD, OTTAWA, ONTARIO, K1L 6B8 CIRCLE OF CARE REFERRAL FORM Referral Date: Name of Person Referring: Referring Agency: Telephone: Email:

How to fill out circle of care

How to fill out circle of care:

1. Start by identifying the primary person who will be receiving care. This could be yourself or someone else who requires assistance and support.
2. Consider the specific needs of the individual and determine the level of care required. This can include medical, emotional, and practical aspects.
3. Reach out to trusted individuals who can be part of the circle of care. These individuals should be reliable, caring, and willing to contribute their time and effort.
4. Clearly communicate the expectations and responsibilities of each member in the circle of care. This ensures that everyone understands their role and can work together effectively.
5. Create a schedule or system for coordinating care. This can include assigning specific tasks to each member or establishing regular check-in times to discuss the individual's progress and any necessary adjustments.
6. Ensure that all necessary medical and personal information is shared among the members of the circle of care. This includes important contact details, medication schedules, medical history, and any other relevant information.
7. Encourage open communication and collaboration among the members of the circle of care. Regularly update and inform each other about any changes, concerns, or improvements in the individual's condition.
8. Continuously assess the effectiveness of the circle of care and make adjustments as needed. This includes evaluating if the current members are meeting the individual's needs and considering whether additional support is required.

Who needs circle of care:

1. Individuals with chronic or long-term illnesses who require ongoing support and assistance can benefit from a circle of care. This can include elderly individuals, individuals with disabilities, or individuals with conditions that limit their independence.
2. Family members and friends who are caregivers can also benefit from having a circle of care. They may experience physical and emotional fatigue and having a support system can provide them with much-needed respite and assistance.
3. Individuals who are recovering from surgery or facing a short-term health challenge may find a circle of care helpful during their recovery process. Having a network of people who can help with daily activities and provide emotional support can aid in a swift and successful recovery.

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What is circle of care?

Circle of care is a document that outlines a patient's healthcare providers and caregivers.

Who is required to file circle of care?

The patient or their legal guardian is required to file the circle of care.

How to fill out circle of care?

Circle of care can be filled out by listing all healthcare providers and caregivers involved in the patient's care.

What is the purpose of circle of care?

The purpose of circle of care is to ensure all healthcare providers and caregivers are aware of the patient's care plan and can communicate effectively.

What information must be reported on circle of care?

The circle of care should include the names, contact information, and roles of all healthcare providers and caregivers.