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Hospital Emergency Outpatient Medical Treatment Order - For S ...

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Hospital Emergency Outpatient Medical Treatment Order – For Southlake only

For Southlake only
Please Note: This form needs to be faxed after sending the referral in Resource Matching and e-Referral (RM&R)
Signed Physician Medical Orders are not required for Occupational Therapy, Personal Support and Physiotherapy

Hospital Emergency Outpatient Medical Treatment Order – For Southlake only
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