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2655 North Sheridan Way, Suite 140 Mississauga, ON L6Y 0P2 Tel: 9058559090 / 18773369090 Fax: 9058558989 / 18772988989REFERRAL FORM×Hospital inpatient: Use Hospital Ontario Health home Office fax
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Contact your local home and community care provider to inquire about obtaining services.
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Complete any required paperwork or applications for eligibility.
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Provide information about your current health conditions, needs, and preferences.
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Work with a care coordinator to create a personalized care plan.
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Schedule and attend any necessary assessments or home visits.
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Begin receiving home and community care services as outlined in your care plan.

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Seniors who may need help managing medications, transportation to medical appointments, or household chores.
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Individuals with disabilities who require ongoing support to maintain independence and quality of life.
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Home and community care is a range of services designed to help individuals remain independent and live in their own homes or communities for as long as possible.
Individuals who are in need of assistance with daily tasks and activities, such as elderly or disabled individuals, may be required to file for home and community care.
To fill out home and community care, individuals can contact their local health department or social services agency for assistance with the application process.
The purpose of home and community care is to provide support and assistance to individuals who may have difficulty living independently due to age, disability, or illness.
Information that must be reported on home and community care may include the individual's medical history, current health status, and daily living needs.
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