416-482-0059
irene@ivot.ca
416-482-0060
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Online Referral
Online Referral | IV League of Occupational Therapists Inc.
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Online Referral
CONFIDENTIAL AND SECURE ONLINE REFERRAL
Client Details
Full Name
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Phone Number
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Email address
Case Information
Impairments/Nature of Injury
Brief Summary of Needs
Required Services
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Attendant Care Needs Assessment
Case Management (elderly, and developmentally disabled)
Cognitive Functional Rehabilitation
Functional Abilities Evaluation
Functional Restoration
Future Care Cost Analysis
Hospital Discharge Planning
Housekeeping and Home Maintenance Assessment
Housing Accessibility Assessment
In-home Functional Assessment
Job Demands Analysis/Workplace Assessment
Mental Health Counseling
Mobility Assessment
Occupational Therapy Home Assessment
Occupational Therapy Treatment Plan
Paper File Review
Present and Future Care Needs Analysis
Return to Work/School Programs
Surveillance Review and Report
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Email: irene@ivot.ca
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