
Get the free A GOING HOME PROGRAM REFERRAL FORM
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Hospital Sticker Champlain Region
EASTERN COUNTIES
Tel: 6139323451
Fax: 6139323755
Toll Free: 18002671741APEMBROKERENFREW
COUNTY
Tel: 6137323949
Fax: 6137327114OTTAWA
Tel: 6132388420
Fax: 6132389427
Toll
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How to fill out a going home program

How to fill out a going home program
01
Start by gathering all necessary information such as personal details, medical history, medications, and follow-up appointments.
02
Create a detailed plan for the patient's ongoing care including medication schedule, diet restrictions, and physical therapy exercises.
03
Communicate the plan with the patient, family members, and healthcare team to ensure everyone is on the same page.
04
Provide the patient with written instructions and contact information for any questions or emergencies.
05
Review the plan regularly and adjust as needed based on the patient's progress and feedback.
Who needs a going home program?
01
Patients who have been recently discharged from a hospital and require ongoing care at home.
02
Patients with chronic illnesses or medical conditions that require regular monitoring and treatment outside of a healthcare facility.
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What is a going home program?
A going home program is a plan outlining the steps necessary for a smooth transition back to one's home country after an extended stay in a foreign location.
Who is required to file a going home program?
Individuals who are living or working in a foreign country on a temporary basis are typically required to file a going home program.
How to fill out a going home program?
A going home program can be filled out by detailing the specific actions and arrangements needed to return to one's home country, such as obtaining necessary travel documents and booking transportation.
What is the purpose of a going home program?
The purpose of a going home program is to ensure a smooth and organized return to one's home country, minimizing potential challenges and delays.
What information must be reported on a going home program?
Information such as travel dates, flight details, accommodations, and any necessary documentation should be reported on a going home program.
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