GeriJournal 16.3

"The Prescription For All Your Long Term Care Needs"

Phone:+1 416 221 7755 Toll Free:+1 877 421 7755 Fax:+1 416 221 4276 Toll Free Fax:+1 877 221 4276

Unit 7 – 31 Scarsdale Road, Toronto, Ontario M3B 2R2

Alert

Please contact DOC or Nurse Manager immediately as per facility protocol.

This form is only to be completed where no overriding facility policy exists.