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Request for Urgent Medical Status office use onlyHousing Access Center (HAC) / Center daces DE movement City Plaza, 2nd Floor | 355 Wellington Street | Suite 248 | London ON N6A 3N7 Tel: 519 6610861
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How to fill out request for urgent medical

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Contact the nearest medical facility or hospital
02
Provide details of the medical emergency such as symptoms and any pre-existing conditions
03
Fill out any necessary forms or paperwork accurately and completely
04
Follow any additional instructions given by the medical staff

Who needs request for urgent medical?

01
Individuals experiencing a medical emergency or urgent medical situation
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Request for urgent medical is a form that is submitted to request immediate medical attention.
The individual requiring urgent medical attention or someone acting on their behalf is required to file the request.
Request for urgent medical can be filled out by providing the necessary personal and medical information on the form.
The purpose of request for urgent medical is to ensure that individuals in need of immediate medical attention receive prompt care.
Information such as personal details, medical history, current symptoms, and contact information must be reported on request for urgent medical.
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