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Get Canada HLTH2986 2012-2024

E hospital discharge summary document must also be completed. Patient Name Date of Birth PHN Telephone Number Most Responsible Physician Telephone Number Primary Health Care Provider / Family Physician Telephone Number Primary Health Care Provider / Family Physician was notified in the first 24 hours post admission No Other consulting physicians involved in patient s hospital care Other supports consulted during development of the discharge plan Nutrition Copy of this form provided t.

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