Employee Internal Referral

Columbus Cancer Clinic - Screening

Columbus Cancer Clinic - Info on Homecare

Dietitian Consult - General/Follow Up

Choice Meal Plan Eligibility Assessment / Meal Selection

Dining Centers

Durable Medical Equipment (Walker, Roller Aiders, Cane, Shower Chair, ect.) Give details of request in NOTES

Ensure/Boost (Limited Supplies)

Foot Care

HAH (provide details of homemaking services needed in the Notes section)

Home Repair

Grab bar and/or Hand rails only (Occupational Therapist)

Housing Resource Specialist (For Housing Stability Concerns)

Incontinence Supplies (Diapers / Bed Pads, ect,) (Limited Supplies)

LegalShield

Medical Nutrition Therapy (Diabetes or Renal Counseling)

Meals-on-Wheels

Occupation Therapist Consult, not DME related (Limited Availability)

Pet Food/ Pet Care (non-active Meals-on-Wheels Clients)

Other - Please explain in NOTES