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VON Chronic Pain Letter 2024.pdf

VON Chronic Pain Program...Dear Health Care Provider,...We are writing to update you on the services provided by the VON Chronic Pain Program....All patients referred to the program receive the...
http://www.lignesanteeriest-clair.ca/pdfs/VON%20Chronic%20Pain%20Letter%202024.pdf

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Signature : ___________________________________...Date: _______________________________________...Healthcare Professional...Coupon Code...(optional)...CONSENT AND PRIVACY NOTICE: BY SUBMITTING THIS FORM...
http://www.lignesanteeriest-clair.ca/pdfs/Follow%20Up%20Form%20BWH.pdf

Chatham Accessible Application

Chatham Accessible Service...Application for...Transportation for the Disabled...Please have applicant fill out this form and have it signed by their attending doctor....Please Print Clearly:...Name:...
http://www.lignesanteeriest-clair.ca/pdfs/Chatham%20Handibus%20Application%20Form%20NEW%20Jan30-18.pdf

SUN

mary.zevenbergen...ST. ...CLAIR CATHOLIC DISTRICT SCHOOL BOARD...420 Creek Street, Wallaceburg, ON N8A 4C4...Telephone: 519-627-6762 or 1-866-336-6139; Fax: 519-627-8230...www.st-clair.net...ELEMENTARY...
http://www.lignesanteeriest-clair.ca/pdfs/APPROVED_Calendar_201819_PRINT.pdf

Sarnia And District Children’s Treatment Centre

Julie Ingles...Request for Service...Pathways Health Centre for Children...Rotary Place...1240 Murphy Rd. ...Sarnia ON N7S 2Y6...Tel: (519) 542-3471...Fax: (519) 542-4115...www.pathwayscentre.org...File...
http://www.lignesanteeriest-clair.ca/pdfs/Request-for-Service-ONLINE-FORM.pdf

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Signature : ___________________________________ Date: _______________________________________...Healthcare Professional...Coupon Code...(optional)...CONSENT AND PRIVACY NOTICE: BY SUBMITTING THIS FORM...
http://www.lignesanteeriest-clair.ca/pdfs/Lifeline%20Follow-Up%20Form.pdf