Additional Information

Last updated December 11, 2021
Created December 11, 2021
Format PDF
Form Number https://forms.mgcs.gov.on.ca/dataset/ab2c6d7a-aea9-429e-b246-eb7deaa9b6ea/resource/494c0a33-b238-4d8a-a186-a4b265051fc3/download/4768-69f-lhin.pdf
Form File Identifier
Name French - 014-4768-69e-lhinf - Health Assessment - Local Health Integration Network (LHIN)
Form File Status
Description

To be used for completion of the assessment required under the Long-Term Care Homes Act, 2007 when a person applies for a determination of eligibility for long-term care home admission. This form is for use effective the date when LHINs become designated as the placement co-ordinators for long-term care homes by the Ontario Ministry of Health and Long-Term Care.

Language French
Functionality
Form File Content Type
Remark
Edition Date