Airvo™ 2 Unit – Requesting Hospital Agreement
2021 | Forms
The Requesting Hospital is required to complete this form and submit as instructed before the release of an Airvo™ 2 Unit from the Provincial Stockpile
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2021 | Forms
The Requesting Hospital is required to complete this form and submit as instructed before the release of an Airvo™ 2 Unit from the Provincial Stockpile
2021 | Forms
The Host Hospital is required to complete this form and retain it for the record before sending/receiving Airvo™ 2 Nasal High Flow Nasal Cannula Device(s).
2021 | Forms
The Host Hospital is required to complete this form and submit as instructed before the release of an Airvo™ 2 Unit from the Provincial Stockpile
2021 | Forms
The Requesting Hospital is required to complete this form and retain it for the record before accepting/returning Airvo™ 2 Nasal High Flow Nasal Cannula Device(s).
2021 | Forms
The Host Hospital is required to complete this form and retain it for their records before sending/receiving Ventilator Device(s).
2021 | Forms
The Host Hospital is required to complete this form and retain it for their records before sending/receiving Ventilator Device(s).
Doc
2021 | Forms
The Requesting Hospital is required to complete this form and retain it for their records before receiving/returning Ventilator Device(s).
2021 | Forms
The Requesting Hospital is required to complete this form and retain it for their records before receiving/returning Ventilator Device(s).
Doc
2021 | Forms
This form is to be completed by critical care units that are reporting substantive changes to their hospital’s critical care capacity information.
2020 | Forms
This form must be completed in full by any individual or organization requesting access to data from the Critical Care Information System (CCIS) for research purposes
Doc
2020 | Forms
This form must be completed in full by any individual or organization requesting access to data from the Critical Care Information System (CCIS).
Doc
2020 | Forms
To be completed by Partner Hospitals prior to joining the Moderate Surge teleconference (organized by CritiCall Ontario). This form has been developed to confirm resources available at the partner hospital in the event of a moderate surge.
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