Complex Care Survey

Complex Care Survey

Complex Care Survey
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I understand my answers will be confidential and all information collected will be used to make recommendations to Dilico Health Services.
Do you identify as Aboriginal? Aboriginal peoples are defined in the Canadian Constitution Act, 1982, Section 35 (2) as including First Nation, Inuit, and Metis peoples.
2. How long have you been a client/patient of the program?
3. What service(s) did you receive during your visit and how would you rate the service(s)? (Please check service(s) and rating)
Complex Care Nurses
Care Management
Visiting Nursing
Physiotherapy
Occupational Therapy
Social Work
Speech / Language
Personal Care
Activities of Daily Living
Respite
Wound Care
Infant/Child Wellness Worker
Foot Care
Foot Care
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