Health Assessment - Ontario Health atHome
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Forms, Links, and Information
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English - 045-4768-69e - Health Assessment - Ontario Health atHomePDF
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French - 045-4768-69f - Health Assessment - Ontario Health atHomePDF
Additional Information
Form Number | 045-4768-69e |
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Title | Health Assessment - Ontario Health atHome |
Description | This form is to be used for completion of the assessment required under the Fixing Long-Term Care Act, 2021 when a person applies for a determination of eligibility for long-term care home admission. The required assessment is of the applicant’s physical and mental health, and the applicant’s requirements for medical treatment and health care. This assessment must be made by a physician or registered nurse. |