In order for you to complete the North East Behavioural Support Ontario application you will be required to enter the following information:
- Patient Name, preferred language, gender, health card number, date of birth, and phone number
- Family Caregiver Name, relationship and phone number
-
Legal consent information identifying the individual capable of consenting to BSO services
- Patient
-
Substitute Decision-Maker (SDM)
- Specifically Appointed or
- Family Member or
- Alternative