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No dossier / Chart No Sexe/SexDDN/DOBNom / NamePrnom / First NameHpital gnral du LakeshoreHLAS CHSLD DBV CHSLD GDHGL CHSLD DOR CHSLD NPCHSM CHSLD LACH CLSC LASNom de la mre / Name of motherHSA IUSMDAdresse / AddressPREPRINTED INDIVIDUAL ORDER TITLE : Referral to the Clinical Access service for Retrosternal Chest PainTl. / Tel. No assurance maladie / Medicare Card No ExpirationInit. MD/ NPReferral to the Clinical Access service for Retrosternal Chest Pain Allergies
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01
Gather your personal information, including identification and insurance details.
02
Visit the Hospital Général du Lakeshore website or contact their admissions office for specific forms needed.
03
Fill out the registration form with accurate personal and insurance information.
04
Provide details about any pre-existing medical conditions or medications you are currently taking.
05
If applicable, gather any referral notes from your primary care physician.
06
Submit the completed forms either online, via email, or in person at the hospital's admissions desk.
07
Follow up with the hospital to confirm receipt of your registration and any further steps needed.

Who needs hpital gnral du lakeshore?

01
Patients seeking medical treatment, including urgent care or specialized services.
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Individuals requiring diagnostic tests or surgeries.
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Residents of the local community needing access to healthcare services.
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Emergency cases that require immediate medical attention.
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The Hospital General du Lakeshore is a healthcare facility located in the Lakeshore region that provides various medical services and treatments to the community.
Individuals seeking medical treatment or services at the Hospital General du Lakeshore are required to file necessary documentation, including patients, healthcare providers, and administrative personnel.
To fill out the necessary forms for Hospital General du Lakeshore, patients should provide personal information, medical history, and insurance details as required by the facility.
The purpose of Hospital General du Lakeshore is to deliver comprehensive healthcare services, support community health initiatives, and ensure access to medical care for all residents.
Information that must be reported includes patient identification details, medical diagnoses, treatment plans, and any adverse events experienced during care.
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