Get the free Home and Community Care Referral Form Toronto
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Mental Health and Addiction Nursing (THAN) Program
Toronto District School Board (TDSB) REFERRAL FORM
TEL: (416) 2173820 *FAX: (416) 5060374
*PLEASE RETURN BY FAX ONLY. Student Information Completed
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How to fill out home and community care
How to fill out home and community care
01
Contact your local home and community care organization.
02
Fill out an application with your personal information.
03
Provide information about your medical history and any conditions that require care.
04
Discuss your needs and preferences with a care coordinator.
05
Wait for approval and receive a care plan tailored to your specific needs.
Who needs home and community care?
01
Seniors who need assistance with daily activities such as bathing, dressing, and meal preparation.
02
Individuals with disabilities who require specialized care and support services.
03
Patients recovering from surgery or illness who need temporary assistance at home.
04
Patients with chronic conditions such as diabetes or heart disease who need ongoing monitoring and care.
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What is home and community care?
Home and community care refers to the support services provided to individuals in their homes or within their communities to help them remain independent and healthy.
Who is required to file home and community care?
Individuals or families who are in need of assistance with daily living activities due to age, disability, or illness may be required to file for home and community care.
How to fill out home and community care?
To fill out home and community care, individuals can contact their local health department or community care agency for assistance in determining eligibility and completing the necessary paperwork.
What is the purpose of home and community care?
The purpose of home and community care is to provide individuals with the support they need to live independently and safely in their own homes or communities.
What information must be reported on home and community care?
Information such as the individual's medical history, current health needs, support services required, and any additional information relevant to the care plan must be reported on home and community care.
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