|Classification / Identification:|
| ||Form Number:||014-4768-69E-LHIN||Edition date: ||2020/04 |
| ||Title:||Health Assessment - Local Health Integration Network (LHIN)|
| ||Ministry:||Health and Long-Term Care|| || |
| ||Branch/ABC:||Licensing and Policy|| || |
| ||Program:||Aging and Long-Term Care Unit|| || |
| ||Purpose of Form:||To be used for completion of the assessment required under the Long-Term Care Homes Act, 2007 when a person applies for a determination of eligibility for long-term care home admission. This form is for use effective the date when LHINs become designated as the placement co-ordinators for long-term care homes by the Ontario Ministry of Health and Long-Term Care.|| || |
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