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Locations (PDF)
Red Cross Health Equipment Loan Program (HELP)
Larger items (hospital beds, lifts e.g.) only available at HELP Plus sites
(cm):
(kg):
Family Doctor:
Stamp
Signature
inches
inches
inches
inches
inches
inches
inches
inches
inches
inches
inches
inches
"Electronically signed"
Doctor
Other
OT
PT
RN
Subject:
Red Cross Health Equipment Loan Program (HELP) - Okanagan - eForm, update V1_Apr2_2022, by Dr. John Yap, is licensed under a
GPL
.
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