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FR-CA
Registration Form
Name
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Password
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What type of data will you submit to the portal?
(Required)
I will submit data for 1 or more BSO Teams
I will submit data for 1 or more BSUs
I oversee BSO data for an entire region in my role as a BSO Clinical/Strategic Lead
How many BSO teams OR BSUs will you submit data for?
(Required)
I will submit data for 1 BSO team or 1 BSU.
I will submit data for more than 1 BSO team or more than 1 BSUs.
Select BSO Region
(Required)
Select BSO Region
Central East
Champlain
Central
Central West
Erie St. Clair
Hamilton Niagara Haldimand Brant
Mississauga Halton
North East
North Simcoe Muskoka
North West
South East
South West
Toronto
Waterloo Wellington
Select your BSO Team
(Required)
Select a BSO Location
AgeCare Samac
Ballycliffe
Bay Ridges
Bon Air Long Term Care Residence
Brock Community Health Centre
Burnbrae Gardens Long Term Care Residence
Campbellford Memorial Hospital - Acute Lead
Caressant Care Mary
Caressant Care on McLaughlin Road
Case Manor Community
Centennial Place Long-Term Care Home
CHC Northumberland - GAIN
Community Care City of Kawartha Lakes - GAIN
Durham CHC - GAIN
Extendicare Cobourg
Extendicare Haliburton
Extendicare Kawartha Lakes
Extendicare Lakefield
Extendicare Oshawa
Extendicare Peterborough
Extendicare Port Hope
Fairhaven
Fairview Lodge - Embedded Lead
Fairview Lodge - Virtual Mobile Response Team
Fenelon Court
Fosterbrooke
Frost Manor
Glen Hill Strathaven
Glen Hill Terrace
Golden Plough Lodge
Haliburton Highlands Health Services - Acute Lead
Haliburton Highlands Health Services - GAIN
Highland Wood
Hillsdale Estates
Hillsdale Terraces
Hope Street Terrace
Hyland Crest
Lakeridge Gardens
Lakeridge Health - Acute Lead
Lakeridge Health - GAIN
Lakeview Manor
Northumberland Hills Hospital - Acute Lead
Orchard Villa
Peterborough Regional Health Centre - Acute Lead
Peterborough Regional Health Centre - GAIN
Pinecrest Nursing Home (Bobcaygeon)
Pleasant Meadow Manor
Port Perry Place
ReachView Village
Regency Long Term Care Home
Riverview Manor Nursing Home
Ross Memorial Hospital - Acute Lead
Springdale Country Manor
St. Joseph's at Fleming
Streamway Villa
The Village of Taunton Mills
Thorntonview
Trent Hills - GAIN
Victoria Manor Home for the Aged
Warkworth Place
Winbourne Park
Select your BSO Team
(Required)
Select a BSO Location
Almonte Country Haven
Bonnechere Manor
Cardinal Creek Residence
Caressant Care Bourget
Caressant Care Cobden
Carleton Lodge
Carlingview Manor
Centre d'Accueil Champlain
Centre d'Accueil Roger Seguin
Cornwall Community Hospital
Crossing Bridge
Dundas Manor Nursing Home
Fairview Manor
Forest Hill
Garden Terrace
Garry J. Armstrong Home
Geriatric Psychiatry Community Services of Ottawa
Glebe Centre
Glen-Stor-Dun Lodge
Granite Ridge Community
Groves Park Lodge
Hawkesbury General Hospital
Heartwood
Hillel Lodge
Kemptville District Hospital
L'Hôpital Montfort
Lancaster Long Term Care Residence
Laurier Manor
Longfields Manor
Manoir Marochel
Marianhill Nursing Home
Maxville Manor
Medex
Miramichi Lodge
Montfort
New Orchard Lodge
North Renfrew Long-Term Care Services
Osgoode Care Centre
Pembroke Regional Hospital
Perley Health
Peter D. Clark Centre
Pinecrest (Plantagenet)
Queensway Carleton Hospital
Residence Prescott et Russell
Residence Saint-Louis
Royal Ottawa Place
Sandfield Place
Sarsfield Colonial Home
Southbridge Cornwall
Southbridge Kemptville
Southbridge Ottawa
St-Viateur Nursing Home
St. Joseph's Continuing Care Centre
St. Patrick's Home
Starwood
Stoneridge Manor
The Four Seasons Lodge
The Grove Nursing Home
The Ottawa Hospital
The Palace
The Royal - BSO Mobile Resource Team
The Salvation Army Ottawa Grace Manor
Tsiionkwanonhsote
Valley Manor Nursing Home
Villa Marconi
Woodland Villa
Élisabeth-Bruyère Residence
Select your BSO Team
(Required)
Select a BSO Location
Select your BSO Team
(Required)
Select a BSO Location
Select your BSO Team
(Required)
Select a BSO Location
Select your BSO Team
(Required)
Select a BSO Location
Select your BSO Team
(Required)
Select a BSO Location
Select your BSO Team
(Required)
Select a BSO Location
Select your BSO Team
(Required)
Select a BSO Location
Select your BSO Team
(Required)
Select a BSO Location
Select your BSO Team
(Required)
Select a BSO Location
Select your BSO Team
(Required)
Select a BSO Location
Select your BSO Team
(Required)
Select a BSO Location
Select your BSO Team
(Required)
Select a BSO Location
BSO Teams (hold down CTRL and select each BSO team that you submit data for)
(Required)
Select a BSO Location
AgeCare Samac
Ballycliffe
Bay Ridges
Bon Air Long Term Care Residence
Brock Community Health Centre
Burnbrae Gardens Long Term Care Residence
Campbellford Memorial Hospital - Acute Lead
Caressant Care Mary
Caressant Care on McLaughlin Road
Case Manor Community
Centennial Place Long-Term Care Home
CHC Northumberland - GAIN
Community Care City of Kawartha Lakes - GAIN
Durham CHC - GAIN
Extendicare Cobourg
Extendicare Haliburton
Extendicare Kawartha Lakes
Extendicare Lakefield
Extendicare Oshawa
Extendicare Peterborough
Extendicare Port Hope
Fairhaven
Fairview Lodge - Embedded Lead
Fairview Lodge - Virtual Mobile Response Team
Fenelon Court
Fosterbrooke
Frost Manor
Glen Hill Strathaven
Glen Hill Terrace
Golden Plough Lodge
Haliburton Highlands Health Services - Acute Lead
Haliburton Highlands Health Services - GAIN
Highland Wood
Hillsdale Estates
Hillsdale Terraces
Hope Street Terrace
Hyland Crest
Lakeridge Gardens
Lakeridge Health - Acute Lead
Lakeridge Health - GAIN
Lakeview Manor
Northumberland Hills Hospital - Acute Lead
Orchard Villa
Peterborough Regional Health Centre - Acute Lead
Peterborough Regional Health Centre - GAIN
Pinecrest Nursing Home (Bobcaygeon)
Pleasant Meadow Manor
Port Perry Place
ReachView Village
Regency Long Term Care Home
Riverview Manor Nursing Home
Ross Memorial Hospital - Acute Lead
Springdale Country Manor
St. Joseph's at Fleming
Streamway Villa
The Village of Taunton Mills
Thorntonview
Trent Hills - GAIN
Victoria Manor Home for the Aged
Warkworth Place
Winbourne Park
BSO Teams (hold down CTRL and select each BSO team that you submit data for)
(Required)
Select a BSO Location
Almonte Country Haven
Bonnechere Manor
Cardinal Creek Residence
Caressant Care Bourget
Caressant Care Cobden
Carleton Lodge
Carlingview Manor
Centre d'Accueil Champlain
Centre d'Accueil Roger Seguin
Cornwall Community Hospital
Crossing Bridge
Dundas Manor Nursing Home
Fairview Manor
Forest Hill
Garden Terrace
Garry J. Armstrong Home
Geriatric Psychiatry Community Services of Ottawa
Glebe Centre
Glen-Stor-Dun Lodge
Granite Ridge Community
Groves Park Lodge
Hawkesbury General Hospital
Heartwood
Hillel Lodge
Kemptville District Hospital
L'Hôpital Montfort
Lancaster Long Term Care Residence
Laurier Manor
Longfields Manor
Manoir Marochel
Marianhill Nursing Home
Maxville Manor
Medex
Miramichi Lodge
Montfort
New Orchard Lodge
North Renfrew Long-Term Care Services
Osgoode Care Centre
Pembroke Regional Hospital
Perley Health
Peter D. Clark Centre
Pinecrest (Plantagenet)
Queensway Carleton Hospital
Residence Prescott et Russell
Residence Saint-Louis
Royal Ottawa Place
Sandfield Place
Sarsfield Colonial Home
Southbridge Cornwall
Southbridge Kemptville
Southbridge Ottawa
St-Viateur Nursing Home
St. Joseph's Continuing Care Centre
St. Patrick's Home
Starwood
Stoneridge Manor
The Four Seasons Lodge
The Grove Nursing Home
The Ottawa Hospital
The Palace
The Royal - BSO Mobile Resource Team
The Salvation Army Ottawa Grace Manor
Tsiionkwanonhsote
Valley Manor Nursing Home
Villa Marconi
Woodland Villa
Élisabeth-Bruyère Residence
BSO Teams (hold down CTRL and select each BSO team that you submit data for)
(Required)
Select a BSO Location
BSO Teams (hold down CTRL and select each BSO team that you submit data for)
(Required)
Select a BSO Location
BSO Teams (hold down CTRL and select each BSO team that you submit data for)
(Required)
Select a BSO Location
BSO Teams (hold down CTRL and select each BSO team that you submit data for)
(Required)
Select a BSO Location
BSO Teams (hold down CTRL and select each BSO team that you submit data for)
(Required)
Select a BSO Location
BSO Teams (hold down CTRL and select each BSO team that you submit data for)
(Required)
Select a BSO Location
BSO Teams (hold down CTRL and select each BSO team that you submit data for)
(Required)
Select a BSO Location
BSO Teams (hold down CTRL and select each BSO team that you submit data for)
(Required)
Select a BSO Location
BSO Teams (hold down CTRL and select each BSO team that you submit data for)
(Required)
Select a BSO Location
BSO Teams (hold down CTRL and select each BSO team that you submit data for)
(Required)
Select a BSO Location
BSO Teams (hold down CTRL and select each BSO team that you submit data for)
(Required)
Select a BSO Location
BSO Teams (hold down CTRL and select each BSO team that you submit data for)
(Required)
Select a BSO Location
BSO Teams (hold down CTRL and select each BSO team that you submit data for)
(Required)
Select a BSO Location
BSO Teams (hold down CTRL and select each BSO team that you submit data for)
(Required)
Select a BSO Location
Select the Long-Term Care Home that your BSU is located in.
(Required)
Select a BSU Location
Bendale Acres
Berkshire Care Centre
BSO Provincial Coordinating Office
Cooksville Care Centre
Cummer Lodge
Extendicare Rouge Valley
Fairview Lodge
Finlandia Hoivakoti Nursing Home
Georgian Manor Home for the Aged
Golden Manor
Grey Gables Home for the Aged
Hogarth Riverview Manor
Kipling Acres
Lakeridge Gardens
Linhaven (primary unit)
Linhaven (step-down unit)
McGarrell Place
Peel Manor
Perley Health
Sheridan Villa
St Josephs Health Centre Guelph
The Jewish Home for the Aged
Wellbrook Place West (Dementia)
Wellbrook Place West (Mental Health)
Select the long-term care homes that your BSUs are located in. (hold down CTRL and select each BSU that you submit data for)
(Required)
Select a BSU Location
Bendale Acres
Berkshire Care Centre
BSO Provincial Coordinating Office
Cooksville Care Centre
Cummer Lodge
Extendicare Rouge Valley
Fairview Lodge
Finlandia Hoivakoti Nursing Home
Georgian Manor Home for the Aged
Golden Manor
Grey Gables Home for the Aged
Hogarth Riverview Manor
Kipling Acres
Lakeridge Gardens
Linhaven (primary unit)
Linhaven (step-down unit)
McGarrell Place
Peel Manor
Perley Health
Sheridan Villa
St Josephs Health Centre Guelph
The Jewish Home for the Aged
Wellbrook Place West (Dementia)
Wellbrook Place West (Mental Health)
Are you in a leadership role?
(Required)
Yes
No
Please select your role
(Required)
Administrator
Assistant Director of Care
Manager
Director of Care
Executive Director
Resident Care Manager/Coordinator
Other Management/Leadership Role
Please select your designation (check all that apply):
(Required)
Nurse Practitioner
Registered Nurse
Registered Practical Nurse
Behavioural Therapist
Occupational Therapist
Physical Therapist
Social Worker
Therapeutic Recreation Specialist
Physician
Other Regulated Role
Activation/Recreation Aide
Adminstrative Assistant
Healthcare Aide
Occupational Therapy Assistant
Personal Support Worker
Physical/Rehabilition Therapy Assistant
Social Service Worker
Other Non-regulated Role
Other designation
Are you in a regulated role?
(Required)
Yes
No
Please select your professional designation:
(Required)
Nurse Practitioner
Registered Nurse
Registered Practical Nurse
Behavioural Therapist
Occupational Therapist
Physical Therapist
Social Worker
Therapeutic Recreation Specialist
Physician
Other Regulated Role
Please select your role
(Required)
Activation/Recreation Aide
Adminstrative Assistant
Healthcare Aide
Occupational Therapy Assistant
Personal Support Worker
Physical/Rehabilition Therapy Assistant
Social Service Worker
Other Non-regulated Role
Title of Role
(Required)
Organization
(Required)
I've read and agree to the following:
(Required)
User Agreement
&
Privacy Policy
Yes, I've read and agree to the user agreement and privacy policy.
Your draft submission has been saved. Please proceed to the next section.
