Application Forms

Lakeview Lodge Personal Care Home
  1. Resident Application
    Needs to be filled out by his/her supporter
  2. Medical Report
    Needs to be filled out and signed by the family physician



    These forms are in Adobe Acrobat format to download and print before completing and submitting.
               

Saskatchewan First Nations Home and Community Care Assesment - (not included) - Needs to be filled out by the Home Care Nurse

            OR

SCIP - (not included) - Needs to be filled out by the Home Care Nurse

These forms are the same, only one is required; one is from the First Nations Health and the other is from the Province. Home Care Nurse will decide which one they use.
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