|Classification / Identification:|
| ||Form Number:||008-0153E||Edition date: ||2014/05 |
| ||Title:||Institutional Patient Death Record|
| ||Ministry:||Solicitor General|| || |
| ||Branch/ABC:||Office of the Chief Coroner|| || |
| ||Program:||Office of the Chief Coroner|| || |
| ||Purpose of Form:||As required by the Coroners Act, upon the death of any resident of a facility regulated under the Long Term Care Homes Act 2007, this form is completed in order to notify the Coroner. This form is intended for use by a facility regulated under the Long Term Care Homes Act 2007, or a Hospital.|| || |
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