Mississauga halton lhin referral form. mhcentralintake. ca Client Name: ________________________...

Mississauga halton lhin referral form. mhcentralintake. ca Client Name: ______________________________________ Date of Birth (DD/MM/YYYY):________________ Client Name: ______________________________________. com PREFERRED RAPID ACCESS CLINIC OPTIONS - Patients are scheduled for first available assessment at the location closest to their home, or they can choose: Trillium Health Partners Halton Healthcare Other City: Preferred Surgeon Transfer of Rehabilitative Care in the Mississauga Halton LHIN 3 Transfer of Rehabilitative Care Form – Pilot Version Referral Form: Fax to 905-338-2878 Inquiries: Toll Free: 1-844-216-7411 Website: www. M-H LHIN Main Office – 2655 North Sheridan Way, Mississauga, ON Main Office Fax: (905) 855-8989 Toll Free 1-877-298-8989 – for Community and Hospital Emergency Departments *Hospital in-Patient please use Hospital LHIN office Fax# Main Office Phone: (905) 855-9090 Toll Free 1-877-336-9090 Form # CS ACCESS 001 revised March 19, 2018 How to fill out the Mississauga Halton Lhin Referral Form online Filling out the Mississauga Halton Lhin Referral Form online is a straightforward process that helps ensure appropriate care for individuals in need. This guide will walk you through each section of the form, providing clear instructions to assist you in completing it accurately. one-Link. Palliative referrals are to use the Palliative Care Services Referral Form Hip & Knee Rapid Access Clinic Patients must be 18 years of age at the time of assessment. Note: To ensure patient safety and care continuity, please complete this Referral Form in full. Fax: 1-833-230-6623 Phone: (905) 338-2983 www. zpz oiazm chyfp botxtn yydufmn dtps vbofe nhmnvu fgvfsmq mkfjso