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North Shore Chronic Disease Services Referral (v.2021) West Vancouver Community Center, Room 241, 2121 Marine Drive, West Vancouver V7V 4Y2www.vch.ca/nscds Patient Profile: Surname PDF of form at
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01
Obtain the North Shore Chronic Disease form from the healthcare provider
02
Fill out all personal information such as name, address, phone number
03
Provide details about the chronic disease including diagnosis, treatment plan, medication history
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Include any relevant medical records or test results
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Submit the completed form to the appropriate healthcare facility or provider

Who needs north shore chronic disease?

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Individuals with chronic diseases who require comprehensive and coordinated care
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Healthcare providers who need to document and track the progression of chronic diseases in their patients
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North Shore Chronic Disease is a registry used to track and monitor chronic diseases within a specific geographic area.
Healthcare providers and facilities are required to file North Shore Chronic Disease reports.
North Shore Chronic Disease reports can be filled out online using the designated portal or submitted via mail.
The purpose of North Shore Chronic Disease is to gather data on chronic diseases in order to improve healthcare planning and interventions.
Information such as type of chronic disease, patient demographics, and treatment outcomes must be reported on North Shore Chronic Disease.
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