Welcome Home - Canadian Mental Health Association, Toronto ...
Welcome Home - Canadian Mental Health Association, Toronto ...
Welcome Home - Canadian Mental Health Association, Toronto ...
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
!<br />
MEDICATIONS<br />
HOUSING AND HOUSING CRISIS/EMERGENCY ASSISTANCE<br />
1) 6) 11)<br />
2) 7) 12)<br />
3) 8) 13)<br />
4) 9) 14)<br />
5) 10) 15)<br />
MEDICAL ALLERGIES<br />
No Known Allergies Penicillin ASA Sulpha Codeine<br />
Other<br />
SPECIAL CONSIDERATIONS<br />
Communicable Infection / Disease<br />
Other<br />
Hospital affiliation<br />
Extensive history,<br />
Specialty (Dialysis, neuro, etc.)<br />
MOBILITY / SENSORY<br />
Dentures Visual (impairment / glasses) Hearing (impairment / aid)<br />
Mobility issues (cane / wheelchair / walker / motorized scooter / prosthetic limb)<br />
Completed by Date / /<br />
day month year<br />
22<br />
| A Guide To Services For Tenants | 2012-2013
Change language