Toronto ABI Network

ABI Conference 2012

Info for Families

Referral Forms

Inpatient Forms

Early Notification Form

For use by: acute care hospitals who are repatriating patients with an ABI

The ABI Early Notification Form should be completed for patients with an ABI where the patient is expected to benefit from inpatient ABI rehab, but is not yet rehab ready and repatriation to their home hospital is being planned. This form will be used by the ABI Network to track and follow up on repatriated patients. Once the patient has progressed to rehab ready status, a full inpatient ABI rehab referral must be completed by the patient's current care team.

For any questions, please contact the Network office at 416-597-3057 or info@abinetwork.ca.

Repatriation Tool

For use by: acute care hospitals who are repatriating patients with an ABI

The ABI Rehab Resource Tool allows acute care hospitals to provide valuable information to the care team at the home hospital when a patient is being repatriated. The form, to be included in the acute care discharge package, will facilitate the referral/transfer to an inpatient ABI program when the patient is rehab ready.

Inpatient Forms

For use by: hospitals who are NOT using the RM&R electronic system and are making a referral to an inpatient ABI program.