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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
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How to fill out chsld dor

01
Obtain the CHSLD DOR form from your local health authority or website.
02
Read the instructions carefully to understand the requirements.
03
Fill out the personal information section with accurate details.
04
Provide information about the resident's health status and needs.
05
Include any necessary documentation or referrals as required.
06
Review the completed form for accuracy and completeness.
07
Submit the form to the designated authority by the specified deadline.

Who needs chsld dor?

01
Individuals seeking admission to a CHSLD (Centre d'hébergement de soins de longue durée) for long-term care.
02
Family members or guardians submitting the application on behalf of a loved one.
03
Healthcare professionals who are coordinating care and need to submit necessary documentation.
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CHSLD DOR is a reporting document used in Quebec, Canada, which stands for 'Centre d'Hébergement de Soins de Longue Durée Déclaration d'Occupation et de Ressources'. It is utilized to declare the occupancy and resources related to long-term care facilities.
The administrators or operators of long-term care facilities in Quebec are required to file the CHSLD DOR to report on the occupancy and available resources.
To fill out the CHSLD DOR, one must gather relevant data about the facility's occupancy, available beds, residents' needs, and resources. The document should then be completed as per provided guidelines and submitted to the relevant health authorities.
The purpose of the CHSLD DOR is to provide accurate data on the operations and resource allocation within long-term care facilities, which aids in public health planning and monitoring.
Information required on the CHSLD DOR includes details about the number of residents, occupancy rates, available resources, the types of care provided, and any specific needs of the residents.
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