OTs 2 Go Screening Form - Hamilton Health Sciences 2026

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  1. Click ‘Get Form’ to open the OTs 2 Go Screening Form in the editor.
  2. Begin by entering the Client’s Name, OHCN, and Phone Number in the designated fields. Ensure accuracy for effective communication.
  3. Fill in the Date of Birth (DOB) and Client’s Address along with Postal Code. This information is crucial for identification and service provision.
  4. Provide details for the Family Contact, including their name, relationship to the client, and multiple contact numbers (Home, Work, Cell). This ensures that all relevant parties can be reached.
  5. Indicate the Diagnosis and Day Program along with Attendance Days. This section helps in understanding the client's needs and scheduling.
  6. Specify the Type of Mobility Device Currently in Use and its Condition. This information is vital for assessing mobility requirements.
  7. Complete sections regarding Referral details including Rationale for Referral and Referred By information. Make sure to include contact numbers where necessary.
  8. Finally, review all entries for accuracy before submitting. You can easily save or share your completed form directly from our platform.

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A health screening form is a document used to collect information about an individuals health status, potential symptoms, exposure to illnesses, and other relevant health-related details. Health screening forms are an important tool for promoting early detection and prevention of disease.
The Faculty of Health Sciences is proud to be affiliated with two major academic hospital systems Hamilton Health Sciences and St. Josephs Healthcare Hamilton as well as many community healthcare facilities and groups in the Waterloo, Niagara, Brant, Wellington and Halton regions, and beyond.
A health screening form is purposely great in identifying potential health risks and ensuring adequate care is administered. It is also useful because it provides information to create solutions or controls that keep the environment safe.

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