Application for Determination of Eligibility for Long-Term Care Home Admission (Ontario Health atHome)
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English - 045-4767-69e - Application for Determination of...PDF
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French - 045-4767-69f - Application for Determination of...PDF
Additional Information
Form Number | 045-4767-69-lhin |
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Title | Application for Determination of Eligibility for Long-Term Care Home Admission (Ontario Health atHome) |
Description | To be filled out by long-term care (LTC) home applicants as part of the process for determination of eligibility for admission to a LTC home. This completed form is for use by Ontario Health atHome, as the designated placement co-ordinators for long-term care homes, as per the Fixing Long-Term Care Act, 2021, s 47(1). |