Clinical and Patient Resources

Patient Forms

Chart Review Tracking Sheet for Diabetes - Hamilton
Chart Review Tracking Sheet for Diabetes (2) - Hamilton
Chart Review Tracking Sheet for Diabetes (3) - Hamilton
Consent for Release of Patient Information - Haileybury
Diabetes Self-Management Form
Medication Tracking - Haileybury
Mental Health VSQ - Hamilton
Nutrition VSQ - Hamilton
Patient Letter - Haileybury
Patient Letter of Change to FHT - City of Lakes
Patient Satisfaction Survey - Hamilton
Photograph and Videotape Consent Form - Southeast Toronto
Referral Form - Cottage Country
Screening Tests - Haileybury
Psychosocial Referrals - Huron Community
Welcome Letter - Haileybury

Patient Satisfaction Survvey - PEFHT

Program Development

CDM Binder - Beamsville
Diabetes Self-Management Checklist
Program Development Checklist - Marathon
Program Planning Model - Cottage Country
Program Timeline - Cottage Country
Pandemic Planning

Reporting Templates

Programs and Services Template
RT Statistics Template - Kirkland
IFA Reporting Schedule
CSA Reporting Schedule

Workplace Safety, Health and Wellness

Occupational Health/Safety Act - Needle Safety
Patient Infection Reduction - Cough Corner - Credit Valley
Staff Infection Control Policies - Credit Valley
Terms of Reference - Staff Wellness - Upper Grand
Assessment Scenarios for Pandemic Planning - Upper Grand
Workplace Health/Safety - Ministry of Labour
Emergency Preparedness - Woolwich