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Connecting Care to Home Patient Information Sheet

Connecting Care to Home (CC2H) is a two-to-six-week program that supports a safe transition from hospital to home, for those with a diagnosis of Chronic Obstructive Pulmonary Disease (COPD) and/or Congestive Heart Failure (CHF).

Guide, Information Sheetsouth-westguide information-sheet
Programme de reconnaissance d’aidants « Au-delà du devoir »
Leçons apprises d’aidants

À l’occasion de la Journée nationale des proches aidants, Santé à domicile Ontario a mis sur pied le
Programme de reconnaissance d’aidants « Au-delà du devoir » en vue de reconnaître, célébrer et appuyer
les aidants qui font en sorte que les gens puissent vivre dans leur communauté.

Fiche d’informationglobal-frinformation-sheet-fr
Above and Beyond Caregiver Recognition Program Caregiver Learnings

To coincide with National Caregiver Day, Ontario Health atHome created the Above and Beyond Caregiver
Recognition Program to recognize, celebrate and support caregivers who make it possible for people to live
their lives in their communities

Information Sheetglobalinformation-sheet
Formulaire de transfert de responsabilités

Tous les organismes fournisseurs de soins qui transfèrent les services de soins d’un ou d’une patient.e à un autre organisme doivent remplir et soumettre le présent formulaire. Le ou la superviseur.e du préposé aux services de soutien à la personne doit remplir ce formulaire pour transférer des services de soins à un nouveau fournisseur de services.

Formulaire, Partenairescentreformulaire partenaires
Transfer of Accountability

To be used by all Service Provider Organizations (SPOs) when transferring care.
For personal support: PSS Supervisor to complete form to hand over care to new PSS provider

Forms, Partnerscentralforms partners
Formulaire de demande de services à Santé à domicile Ontario

Lorsqu’il s’agit de diriger un ou une patient.e vers Santé à domicile Ontario, l’organisme fournisseur de services
concerné doit remplir et soumettre le présent formulaire de demande. Il faut inclure le plus récent rapport
d’évaluation interRAI sur l’état de santé et les compétences du ou de la patient.e, les ordonnances médicales, les
évaluations du préposé aux services de soutien à la personne, de l’infirmier ou de l’infirmière et du thérapeute,
en plus des documents sur le ou la mandataire spécial.e.

Formulairecentreformulaire
Patient Transition to Ontario Health atHome Referral Form

Service Provider Organizations are required to complete the following referral when referring a patient to Ontario Health
atHome. With this referral, please include assessment information (most recent interRAI HC/CA), updated medical
orders, PSW/nursing/therapy assessments and substitute decision maker (SDM) documentation.

Formscentralforms
Executive Expense Report for Designated Individuals Q1 2026/27

Ontario Health atHome Posting of Travel, Meal and Hospitality.
Executive Expense Report for Designated Individuals for Quarter 1 – Fiscal Year 2026-27

BPSAA, Expense Reportsglobalbpsaa expense-reports
Board Expense Report: Q1 2026/27

Ontario Health atHome Posting of Travel, Meal and Hospitality Board of Directors Expense for Quarter 1 – Fiscal Year 2026/27

BPSAA, Expense Reportsglobalbpsaa expense-reports
Soins spécialisés en plaies, stomies et continence

Santé à domicile Ontario suit des pratiques exemplaires éprouvées en soins des plaies, c’est-à-dire les normes de soins des plaies de Santé Ontario (anciennement Qualité des services de santé Ontario) et de Plaies Canada. Les équipes spécialisées en soins des plaies, y compris l’infirmier ou l’infirmière en chef, le personnel infirmier spécialisé en soins des plaies, stomies et continence et les coordonnateurs des soins de plaies, aident les patients et patientes qui ont des plaies aiguës, chroniques et complexes.

Fiche d’informationnord-estinformation-sheet-fr
Specialized Wound, Ostomy and Continence Care

Ontario Health atHome offers evidence-based, best practice wound care in alignment with Ontario Health (formerly Health Quality Ontario) wound care standards and Wounds Canada. Specialized wound care teams that may include Nurse Champions, Nurses Specialized in Wound, Ostomy and Continence, and dedicated wound care coordinators are available to support patients with acute, chronic and complex wounds.

Information Sheetnorth-eastinformation-sheet
Télésoins à domicile – Nous pouvons vous aider à gérer votre insuffisance cardiaque

Maintenir sa santé à la maison
Il est difficile de composer avec les symptômes d’une insuffisance cardiaque comme l’essoufflement, la fatigue, l’inflammation et l’arythmie du coeur. Les activités quotidiennes peuvent devenir éprouvantes. Vous et vos proches vous souciez peut-être de mesures à prendre pour gérer la situation. Votre anxiété pourrait même entraîner des visites fréquentes chez le médecin ou à l’hôpital.

Fiche d’information, Guidesimcoe-nord-muskokainformation-sheet-fr guide-fr
Telehomecare – Manage Your Heart Failure

Enjoy the best possible health while staying in your own home
Telehomecare is a free health coaching and remote monitoring program that that can make a real difference in your life. Telehomecare helps people gain control of their Heart Failure.

Guide, Information Sheetnorth-simcoe-muskokaguide information-sheet
Télésoins à domicile – Nous pouvons vous aider à gérer vos problèmes de respiration

Maintenir sa santé à la maison
Il est difficile de composer avec les symptômes de la maladie pulmonaire obstructive chronique comme la toux, la respiration sifflante et l’essoufflement. Les activités quotidiennes peuvent devenir éprouvantes. Vous et vos proches vous souciez peut-être de mesures à prendre pour gérer la situation. Votre anxiété pourrait même entraîner des visites fréquentes chez le médecin ou à l’hôpital. Télésoins à domicile, un programme gratuit d’encadrement de santé et de surveillance à distance, peut améliorer votre qualité de vie. De fait, il aide les patients à maîtriser leur maladie pulmonaire obstructive chronique, laquelle peut représenter l’un ou l’autre de divers types de maladies pulmonaires chroniques, y compris l’emphysème.

Fiche d’information, Guidesimcoe-nord-muskokainformation-sheet-fr guide-fr
Telehomecare – COPD – Manage Your Breathing

Enjoy the best possible health while staying in your own home
Telehomecare is a free health coaching and remote monitoring program that can make a real difference in your life. Telehomecare helps people gain control of their COPD – chronic obstructive pulmonary disease – which refers to different types of chronic lung disease, including emphysema.

Guide, Information Sheetnorth-simcoe-muskokaguide information-sheet
2025-26 Audited Financial Statements

Statement of financial position for Ontario Health atHome as at March 31, 2026
Management of Ontario Health atHome is responsible for the integrity, consistency, objectivity and reliability of the financial statements. These financial statements have been prepared by management in accordance with Canadian public sector accounting standards including the 4200 series for government not-for-profit organizations and, where appropriate, include amounts based on management’s best estimates and judgements. Estimates and assumptions are based on historical experience, current conditions and various other assumptions believed to be reasonable in the circumstances.

Audited Financial Statementsglobalaudited-financial-statements
Attestation de Santé à domicile Ontario – T1 2026-2027

Préparée conformément à l’article 14 de la Loi de 2010 sur la responsabilisation du secteur parapublic

BPSAAglobal-frbpsaa-fr
Ontario Health atHome Attestation Q1 2026-27

Prepared in accordance with section 14 of the Broader Public Sector Accountability Act, 2010 (“BPSAA”)

BPSAAglobalbpsaa
Oncology Clinic Medical Order

Form # PSR003
Please Note: This form needs to be faxed after sending the referral in Resource Matching and e-Referral (RM&R)

Formscentralforms
Mackenzie Health Chemotherapy Medical Referral

MHRH Fax: (905) 707-241

Formscentralforms
Hospital Emergency/Outpatient Medical Treatment Order

Please Note: This form needs to be faxed after sending the referral in Resource Matching and e-Referral (RM&R)
Signed Physician/NP Medical Orders are not required for Occupational Therapy, Personal Support and Physiotherapy

Formscentralforms
Chemotherapy Medical Orders – Oak Valley Health

Form # PSR003 – Oak Valley Hospital
Please Note: This form needs to be faxed after sending the referral in Resource Matching and e-Referral (RM&R)

Formscentralforms
Medical Treatment Order – Remdesivir

Please Note: This form needs to be faxed after sending the referral in Resource Matching and e-Referral (RM&R)
Signed Physician/NP Medical Orders are not required for Occupational Therapy, Personal Support and Physiotherapy

Formscentralforms
Hospital 2 Home Active Patient ODB Request Form

*Requests are only for H2H patients already being supported by H2H program within the community
**Hospital based patients are to be initiated as per hospital Ontario Health atHome processes
Please fax completed form to Ontario Health atHome H2H ODB team at 1-877-546-4311

Formscentralforms
HRH – Port Flush Medical Orders

For Humber River Hospital

Formscentralforms
HRH – PICC Line Flush Medical Orders

For Humber River Hospital
Phone: 416-242-1000 x 21500
Fax: 416-242-1068

Formscentralforms
HRH – 5FU Disconnect Oncology Clinic Medical Orders

Form #PSR003 – Humber River Hospital
Please Note: This form needs to be faxed after sending the referral in Resource Matching and e-Referral (RM&R)

Formscentralforms
HRH – IV Hydration – Medical Orders

* Complete medical orders for PICC line or Port Flush
For Humber River Hospital

Formscentralforms
HRH – FUMTMC(RT) Medical Orders

* Complete medical orders for PICC line or Port Flush
For Humber River Hospital

Formscentralforms
HRH – 5FU(CIV-RT) Medical Orders

* Complete medical orders for PICC line or Port Flush
For Humber River Hospital

Formscentralforms
HRH – 5FU(CIV) Medical Orders

* Complete medical orders for PICC line or Port Flush
For Humber River Hospital

Formscentralforms
HRH – Tinzaparin Medical Orders

Form #PSR003 – Humber River Hospital
Please Note: This form needs to be faxed after sending the referral in Resource Matching and e-Referral (RM&R)

Formscentralforms
HRH – Pleurx Catheter – Pleural Effusion Medical Orders

Form #PSR003 – Humber River Hospital
Please Note: This form needs to be faxed after sending the referral in Resource Matching and e-Referral (RM&R)

Formscentralforms
HRH – ParaSil Medical Orders

Form #PSR003 – Humber River Hospital
Please Note: This form needs to be faxed after sending the referral in Resource Matching and e-Referral (RM&R)

Formscentralforms
HRH – Nephrostomy Tube Medical Orders

Form #PSR003 – Humber River Hospital
Please Note: This form needs to be faxed after sending the referral in Resource Matching and e-Referral (RM&R)

Formscentralforms
HRH – GCSF Medical Orders

Form #PSR003 – Humber River Hospital
Please Note: This form needs to be faxed after sending the referral in Resource Matching and e-Referral (RM&R)

Formscentralforms
HRH – Biliary Drain Medical Orders

Form #PSR003 – Humber River Hospital
Please Note: This form needs to be faxed after sending the referral in Resource Matching and e-Referral (RM&R)

Formscentralforms
Hospital Medical Treatment Order

Please Note: This form needs to be faxed after sending the referral in Resource Matching and e-Referral (RM&R)

Formscentralforms
Hospital Emergency Outpatient Medical Treatment Order – For Southlake only

For Southlake only
Please Note: This form needs to be faxed after sending the referral in Resource Matching and e-Referral (RM&R)
Signed Physician Medical Orders are not required for Occupational Therapy, Personal Support and Physiotherapy

Formscentralforms
Formulaire de renvoi vers les services auxiliaires de santé dans les écoles

Les conseils scolaires qui font appel aux services de conseillers en ergothérapie, physiothérapie et orthophonie sont tenus de fournir un rapport et la signature de chaque conseiller.
Téléphone : 416 222-2241 ou 905 895-1240 ou 1 888 470-2222
Fax : 416 222-6517 ou 905 952-2404

*Les formulaires de renvoi qui manquent de renseignements ne seront PAS traités.

Formulairecentreformulaire
School Health Support Services Referral Form

A School Board Consultant’s report and signature are required from school boards that have Occupational Therapy/Physiotherapy/Speech Language Pathology consultants.
Phone: 416-222-2241 or 905-895-1240 or 1-888-470-2222
Fax: 416-222-6517 or 905-952-2404
*Incomplete referrals will NOT be processed

Formscentralforms
School Health Support Services (SHSS)

School Health Support Services (SHSS) is a program of Ontario Health atHome which assists children with rehabilitation needs and/or physical challenges to attend school and participate in school-related activities. Services are funded by the Ministry of Health and Long Term Care; therefore, the student must have a valid Ontario Health Insurance Number in order to receive Ontario Health atHome services.

Information Sheetglobalinformation-sheet
CHRIS Cloud Migration FAQ

For Health System Partners
Updated June 17, 2026

Guide, Information Sheetglobalguide information-sheet
Programme de soins de convalescence

Le programme de soins de convalescence est offert dans les foyers de soins de longue durée partout en Ontario. Les soins de convalescence sont des soins de courte durée offerts jour et nuit aux personnes en provenance de l’hôpital ou de la communauté ayant besoin de services médicaux et de traitements particuliers pour les aider à retrouver leur force, leur endurance et leur mobilité avant de retourner à la maison.

Fiche d’information pour les partenaires : Transfert de patients vers les cliniques de soins infirmiers communautaires

Renseignements importants : mise en congé et transfert
Lorsqu’il s’agit de renseigner les patients sur les services de soins à domicile et en milieu communautaire, il est important de les aviser que tous les patients mobiles reçoivent leurs soins dans nos cliniques de soins infirmiers communautaires.

Fiche d’information, Partenairesglobal-frinformation-sheet-fr partenaires
Partner Fact Sheet: Transitioning Patients to Community Care: Community Nursing Clinics

Important Update: Discharge & Transitions Support
When informing patients about home and community care services, it is important to advise that all mobile, eligible patients will receive nursing care in our community nursing clinics.

Information Sheet, Partnersglobalinformation-sheet partners
Programme de lits de soins de transition de courte durée

Planification de vos soins

En quoi consistent les soins de transition?
Le Programme de lits de soins de transition offert par Santé à domicile Ontario est un programme de courte durée destiné aux personnes qui ont reçu leur congé de l’hôpital, mais qui ne sont pas prêtes à rentrer à la
maison. Notre objectif est de vous offrir un milieu temporaire où vous pouvez vivre en recevant le soutien nécessaire et de vous donner le temps de prendre des décisions quant à votre logement futur. Celui-ci peut être votre propre domicile, un foyer de soins de longue durée, une
maison de retraite ou un autre milieu.

Fiche d’informationhamilton-niagara-haldimand-brant-frinformation-sheet-fr
Votre guide sur l’approche palliative des soins

Une approche palliative des soins Santé à domicile Ontario fournit des soins
à domicile et en milieu communautaire ainsi que des services, y compris la coordination de soins pour les personnes vivant avec une maladie progressive limitant l’espérance de vie. L’équipe
de coordination des soins palliatifs de Santé à domicile Ontario s’est engagée à fournir des soins attentionnés et professionnels pour répondre à vos besoins physiques, affectifs et spirituels ainsi qu’à ceux de votre famille.

Programme de lits de soins de transition

En quoi consistent les soins de transition?
Le Programme de lits de soins de transition offert par Santé à domicile Ontario est un programme de courte durée destiné aux personnes qui ont reçu leur congé de l’hôpital, mais qui ne sont pas prêtes à rentrer à la maison. Notre objectif est de vous offrir un milieu temporaire où vous pouvez vivre en recevant le soutien nécessaire et de vous donner le temps de prendre des décisions quant à votre logement futur. Celui-ci peut être votre propre domicile, un foyer de soins de longue durée, une maison de retraite ou un autre milieu.

hamilton-niagara-haldimand-brant
Attestation de Santé à domicile Ontario – T4 2024-2025

Préparée conformément à l’article 14 de la Loi de 2010 sur la responsabilisation du secteur parapublic

BPSAAglobal-frbpsaa-fr
Ontario Health atHome Attestation Q4 2024-25

Prepared in accordance with section 14 of the Broader Public Sector Accountability Act, 2010 (“BPSAA”)

BPSAAglobalbpsaa
Attestation de Santé à domicile Ontario – T3 2024-2025

Préparée conformément à l’article 14 de la Loi de 2010 sur la responsabilisation du secteur parapublic

BPSAAglobal-frbpsaa-fr
Ontario Health atHome Attestation Q3 2024-25

Prepared in accordance with section 14 of the Broader Public Sector Accountability Act, 2010 (“BPSAA”)

BPSAAglobalbpsaa
Attestation de Santé à domicile Ontario – T2 2024-2025

Préparée conformément à l’article 14 de la Loi de 2010 sur la responsabilisation du secteur parapublic

BPSAAglobal-frbpsaa-fr
Ontario Health atHome Attestation Q2 2024-25

Prepared in accordance with section 14 of the Broader Public Sector Accountability Act, 2010 (“BPSAA”)

BPSAAglobalbpsaa
Attestation de Santé à domicile Ontario – T1 2025-2026

Préparée conformément à l’article 14 de la Loi de 2010 sur la responsabilisation du secteur parapublic

BPSAAglobal-frbpsaa-fr
Ontario Health atHome Attestation Q1 2025-26

Prepared in accordance with section 14 of the Broader Public Sector Accountability Act, 2010 (“BPSAA”)

BPSAAglobalbpsaa
Attestation de Santé à domicile Ontario – T2 2025-2026

Préparée conformément à l’article 14 de la Loi de 2010 sur la responsabilisation du secteur parapublic

BPSAAglobal-frbpsaa-fr
Ontario Health atHome Attestation Q2 2025-26

Prepared in accordance with section 14 of the Broader Public Sector Accountability Act, 2010 (“BPSAA”)

BPSAAglobalbpsaa
Attestation de Santé à domicile Ontario – T3 2025-2026

Préparée conformément à l’article 14 de la Loi de 2010 sur la responsabilisation du secteur parapublic

BPSAAglobal-frbpsaa-fr
Ontario Health atHome Attestation Q3 2025-26

Prepared in accordance with section 14 of the Broader Public Sector Accountability Act, 2010 (“BPSAA”)

BPSAAglobalbpsaa
Attestation de Santé à domicile Ontario – T4 2025-2026

Préparée conformément à l’article 14 de la Loi de 2010 sur la responsabilisation du secteur parapublic

BPSAAglobal-frbpsaa-fr
Ontario Health atHome Attestation Q4 2025-26

Prepared in accordance with section 14 of the Broader Public Sector Accountability Act, 2010 (“BPSAA”)

BPSAAglobalbpsaa
Clinic Bulk Supply Order

Office Location: North East
Tel: 1-800-461-2919 / Toll FreeFax: 1-855-697-7358
*Hospital: Use hospital Ontario Health atHome fax number

Forms, Medical Equipment and Suppliesnorth-eastforms medical-equipment-and-supplies
Formulary Request Intake Form

This form is to be used for the submission of requests for additions, changes, or considerations related to the Ontario Health atHome Medical Equipment and Supplies (MES) Formulary. Submissions may include requests for new products, product substitutions, or other formulary updates. Information collected through this form supports standardized review and decision-making based on clinical evidence, patient need, supply chain resilience and fiscal responsibility. Completed forms must be submitted to the MESModernization@ontariohealthathome.ca for review.

Forms, Medical Equipment and Suppliesglobalforms medical-equipment-and-supplies
Guide to Placement in Long-Term Care Homes – 長期護理院申請指南

當您在家獨立生活變得困難時,長期護理院是讓您安 全、舒適和有尊嚴地生活的地方。長期護理院有時被稱
為療養院。長期護理院提供:
24小時院內護理服務
由長期護理醫療團隊提供初級保健護理
所有膳食(包括對飲食的醫療限制)
個人護理方面的日常協助 – 例如洗澡、穿衣和飲食
住宿配備基本家具,包括床、椅子和床單
洗衣和家務
宗教和心靈服務
個人衛生用品
藥房服務和護理協助,以管理您的藥物和臨床用品
社交和娛樂項目
安全可靠的環境
一些長期護理院還提供短期住宿床位選擇,例如暫托和康復護理
社工服務
治療服務

Guideglobalguide
COPD & Heart Failure Telehomecare Referral Form

Please fax referral form(s) to: 613-650-2909
For inquiries, contact Ontario Health atHome: 1-833-515-1234 ext. 6244

Formssouth-eastforms
Telehomecare Primary Care Provider Information

Primary Care Provider Information about remote monitoring and intensive health coaching program for COPD & Heart Failure
Telehomecare (THC) is a six (6) month program that links patients who have COPD or heart failure with Registered Nurses who provide remote monitoring and regular health coaching. Patients become partners in their own care – right in their own homes.
Telehomecare complements the care you already provide for your COPD or heart failure patients.

Information Sheetsouth-eastinformation-sheet
Telehomecare Patient Information

Telehomecare (THC) is a six (6) month program that enables patients to become partners in their own care, right in their own homes using technology as the enabler.
The program is provided by THC nurses to help people living with conditions such as heart failure and chronic obstructive pulmonary disease (COPD) achieve the best possible quality of life while learning to manage their condition through remote monitoring and regular health coaching sessions in their own homes.

Information Sheetsouth-eastinformation-sheet
Executive Expense Report for Designated Individuals Q4 2025/26

Ontario Health atHome Posting of Travel, Meal and Hospitality.
Executive Expense Report for Designated Individuals for Quarter 4 – Fiscal Year 2025-26

BPSAA, Expense Reportsglobalbpsaa expense-reports
Board Expense Report: Q4 2025/26

Ontario Health atHome Posting of Travel, Meal and Hospitality Board of Directors Expense for Quarter 4 – Fiscal Year 2025/26

BPSAA, Expense Reportsglobalbpsaa expense-reports
Stratégie relative au personnel 2026-27

Investir dans nos gens, Renforcer nos partenariats, Transformer les soins
Les employés à Santé à domicile Ontario sont motivés par une mission d’aider les gens à être en meilleure santé à la maison en leur prodiguant des soins intégrés et équitables dans le cadre de partenariats communautaires

global-fr
People Strategy 2026-27

Investing in our People, Strengthening Partnerships, Transforming Care
At Ontario Health atHome, our people are fundamental to achieving our mission to help everyone to be healthier at home through integrated and equitable care in partnership with the communities we serve.

global
Hospice Supply Order Form

Fax completed form to: 905-855-8989 / 1-877-298-8989

Formsmississauga-haltonforms
Programme de reconnaissance des aidants exceptionnels 2026 (bilingue)

À l’occasion de la Journée nationale des proches aidants, et chaque jour, Santé à domicile Ontario est reconnaissant envers les milliers d’aidants et d’aidantes dont les eff orts permettent à un ou une proche de vivre à la maison, où qu’il ou elle soit.
Pour ces remarquables personnes, nous réservons l’honneur de présenter des témoignages d’expériences personnelles et universelles. Nous reconnaissons vos eff orts, et nous vous en remercions

Fiche d’informationglobal-frinformation-sheet-fr
Above and Beyond Caregiver Recognition Program 2026 (Bilingual)

On National Caregiver Day and beyond, Ontario Health atHome is grateful to the thousands of caregivers whose efforts make it possible for others to live safely at home, wherever that may be.
We are honoured to celebrate these outstanding individuals and to share stories that highlight both the unique and universal experiences of caring.

Information Sheetglobalinformation-sheet
ABC Event – How to Join Online Event 2026

Tips on how to join the 2026 event using Teams.

Information Sheetglobalinformation-sheet
Above and Beyond Caregiver Recognition Event Agenda 2026

2026 Event Agenda

Information Sheetglobalinformation-sheet
Cliniques de soins infirmiers communautaires

Santé à domicile Ontario exploite plus de 135 cliniques de soins infirmiers communautaires, fournissant des soins infirmiers spécialisés de haute qualité, sans frais.

Nos cliniques sont à des endroits accessibles, sur rendez-vous seulement, mais nombreuses parmi elles ont des heures d’ouverture prolongées.

Fiche d’informationcentreinformation-sheet-fr
Community Nursing Clinics

Ontario Health atHome operates over 135 community nursing clinics to provide free, high-quality, specialized nursing care. All of our clinics are by appointment only, in accessible locations, and many have extended operating hours.

Information Sheetcentralinformation-sheet
Rexall Medical Equipment Catalogue: ESC, HNHB, SW and WW

Rexall Medical Equipment Catalogue for the following area: Erie St. Clair, Hamilton Niagara Haldimand Brant, South West and Waterloo Wellington

April 2026

, , , , Medical Equipment and Supplieserie-st-clair global hamilton-niagara-haldimand-brant south-west waterloo-wellingtonmedical-equipment-and-supplies
Communication par voie électronique avec Santé à domicile Ontario

Vous pouvez ou votre aidant.e peut décider de communiquer avec votre coordonnateur ou coordonnatrice de soins ou votre fournisseur de services par courriel ou texto, ou au moyen d’une autre plateforme (Gmail, Outlook ou DocuSign, par exemple).
Le but de la communication électronique est de soutenir les conversations par téléphone et en personne, plutôt que de les remplacer. En raison des risques en matière de cybersécurité et d’atteinte à la vie privée, Santé à domicile Ontario exige votre consentement à communiquer avec vous par voie électronique avant de vous prodiguer des soins.

, , , , , , , , , , , , , , Fiche d’informationcentre centre-est centre-ouest centre-toronto champlain-fr erie-st-clair-fr global-fr hamilton-niagara-haldimand-brant-fr mississauga-halton-fr nord-est nord-ouest simcoe-nord-muskoka sud-est sud-ouest waterloo-wellington-frinformation-sheet-fr
Electronic Communication with Ontario Health atHome

You and/or your caregiver may choose to communicate with your care coordinator or service provider by email, text or other platforms (e.g., Gmail, Outlook, DocuSign).
Electronic communication is meant to support, not replace, phone or in-person conversations, and because of privacy and cyber security risks, Ontario Health atHome requires your consent before using electronic communication for purposes of your care.

, , , , , , , , , , , , , , Information Sheetcentral central-east central-west champlain erie-st-clair global hamilton-niagara-haldimand-brant mississauga-halton north-east north-simcoe-muskoka north-west south-east south-west toronto-central waterloo-wellingtoninformation-sheet
Dépliant pour les patients – Infirmières en santé mentale et en traitement des dépendances dans les écoles

Vous avez besoin de soutien en matière de santé mentale ou de toxicomanie?

Fonctions du personnel infirmier spécialisé pour aider un.e élève qui des problèmes de santé mentale et de toxicomanie dans une école ou la
communauté :

  • évaluer et surveiller les préoccupations en matière de santé mentale et de
    toxicomanie
  • mettre l’élève en rapport avec des services dans la communauté
  • collaborer avec l’école, la famille et les partenaires de soins afin d’appuyer le
    plan de soins ainsi que les objectifs et les traitements qui s’y rattachent
  • évaluer la liste des médicaments en offrant le soutien et l’éducation appropriés
  • appuyer le transfert de l’hôpital ou d’un autre centre de soins à l’école
Fiche d’informationcentre-ouestinformation-sheet-fr
Mental Health and Addictions Nurses in Schools Patient Flyer

Need Mental Health and Addictions Support?

Our specialized nurses work in the community and in schools to assist

  • students with various mental health and addictions challenges.
  • Assess and monitor mental health and addictions concerns
  • Connect students with services within the community
  • Collaborate with schools, families and care partners, to support a
    student’s care plan, goals and treatments
  • Medication assessment, support and education
  • Support transitions back to school from hospitals or other care settings
Information Sheetcentral-westinformation-sheet
Infirmières et infirmiers en santé mentale et en toxicomanie dans les écoles

Aider les élèves à s’épanouir, à
composer avec leurs difficultés et à réussir

Vivre avec un problème de santé mentale ou de dépendance est difficile, peu importe l’âge de la personne. Lorsqu’on ajoute les pressions sociales et scolaires, la vie peut parfois sembler insupportable pour l’élève.
Les infirmières et infirmiers en santé mentale et toxicomanie offrent une intervention précoce, un soutien psychoéducatif et des stratégies thérapeutiques afin de répondre aux besoins particuliers des enfants et des jeunes en matière de santé mentale et de lutte contre les dépendances.

Fiche d’information, Guidecentre-ouestinformation-sheet-fr guide-fr
Mental Health and Addictions Nurses in School (MHAN) Fact Sheet

Helping students thrive, cope and succeed:
Living with mental health issues and/or an addiction is difficult for anybody of any age. When you add in the social and academic pressures of being a student, life can sometimes feel unbearable.
Mental Health and Addictions Nurses provide early intervention, psycho-educational support and therapeutic strategies that addresses specific mental health and addiction needs for children and youth.

Guide, Information Sheetcentral-westguide information-sheet
Personnes en situation de crise dans la communauté qui sont en attente de placement dans un foyer de soins de longue durée

Un guide à l’intention des patients, des familles et des soignants La préparation au déménagement dans un foyer de soins de longue durée représente une période difficile, alors nous avons simplifié le processus pour vous, votre famille et vos soignants. D’après votre plus récent examen, le coordonnateur de soins a déterminé que votre nom sera ajouté à la liste d’attente prioritaire de catégorie 1 (crise) pour tous les foyers de soins de longue durée que vous avez sélectionnés. Cette catégorie est réservée aux personnes qui doivent être admises immédiatement, car elles ne peuvent pas recevoir de soins à la maison.

, Fiche d’informationchamplain-fr global-frinformation-sheet-fr
Waiting for Crisis Long-Term Care Placement in the Community

A guide for patients and families and caregivers
Getting ready to move into a long-term care home can be a challenging time. Knowing this, we are committed to making the process as easy as possible for you and your family/caregivers. Based on your most recent assessment, your care coordinator has determined that you will be prioritized as category 1 (crisis) on the waiting list for all long-term care homes that you select. This category is for people who need immediate admission to long-term care and cannot have their needs met at home.

, Information Sheetchamplain globalinformation-sheet
Patient Bill of Rights – Somali

Bukaan ahaan, xubin qoyska ka tirsan, wakiil qof kale ama daryeele ahaan, waxaad xaq u leedahay inaad fishoo in shaqaale kasta oo ka tirsan Ontario Health atHome, xubin ka tirsan Guddiga iyo bixiye adeeg caafimaad oo qandaraas la galay uu ixtiraamo oo uu kor ugu qaado xuquuqdaada sida soo socota:

Information Sheetglobalinformation-sheet
Board Expense Report: Q3 2025/26

Ontario Health atHome Posting of Travel, Meal and Hospitality Board of Directors Expense for Quarter 3 – Fiscal Year 2025/26

BPSAA, Expense Reportsglobalbpsaa expense-reports
Executive Leadership Expense Report: Q3 2025/26

Ontario Health atHome Posting of Travel, Meal and Hospitality.
Executive Expense Report for Designated Individuals for Quarter 3 – Fiscal Year 2025-26

BPSAA, Expense Reportsglobalbpsaa expense-reports
Rapport annuel 2024/2025 de Santé Ontario

Dans le présent rapport, on trouvera à partir de la page 100 le Rapport annuel de Santé à domicile Ontario pour l’exercice financier 2024‑2025 (T2 à T4 allant du 28 juin 2024 jusqu’au 31 mars 2025).

Rapport annuelglobal-frrapport-annuel
Ontario Health Annual Report 2024/25

Within this report is Ontario Health atHome’s Annual Report for 2024/25 (Q2-Q4 June 28, 2024 to March 31, 2025). Our report begins on page 86.

Annual Reportsglobalannual-reports
Hospital to Home Active Patient Ontario Drug Benefit Program Request Form

*Requests are only for Hospital to Home (H2H) patients already being supported by H2H program within the community
**Hospital based patients are to be initiated as per hospital Ontario Health atHome processes
Please fax completed form to Ontario Health atHome H2H ODB team at 1-877-546-4311

, , , , , , , , , , , , , , Formscentral central-east central-west champlain erie-st-clair global hamilton-niagara-haldimand-brant mississauga-halton north-east north-simcoe-muskoka north-west south-east south-west toronto-central waterloo-wellingtonforms
Form 551A – A Status Update Confirmation of Medical Stability and Program Readiness

Confirmation of medical stability and program readiness
Inpatient rehabilitative care and other complex continuing care
Do NOT use this application for Palliative care referrals.

Coordinated Bed Access, Formswaterloo-wellingtoncba forms
Fournisseurs de services de soins à domicile présélectionnés en 2025

Le statut de présélection expire le 31 décembre 2027.
Les fournisseurs de services mentionnés ci-dessous ont été présélectionnés pour soumettre une
proposition pour la prestation de certains services de soins à domicile en Ontario.
Remarque : Seuls Santé à domicile Ontario, Santé Ontario et les fournisseurs de services ont accès aux
niveaux de présélection confidentiels.

Partenairesglobal-frpartenaires
Prequalified Home Care Service Providers 2025

Prequalification Status Expires December 31, 2027
Service providers identified below have prequalified to bid on Ontario procurements for selected home care services.
Note: Prequalification levels are confidential to Ontario Health atHome, Ontario Health and the individual service providers.

Partnersglobalpartners
Accessibility Compliance Report

Designated Public Sector Accessibility Compliance Report
Section 15 of the Accessibility for Ontarians with Disabilities Act, 2005 (AODA) requires that accessibility reports include a statement certifying that all the required information has been provided and is accurate, signed by a person with authority to bind the organization(s).

Public organizations, non-profits, and private businesses must complete an AODA (opens in a new tab) compliance report. This report is a way to make sure that organizations are on track with the goal of making a fully accessible province by 2025. This report confirms that businesses have met their AODA needs (opens in a new tab) .

AODAglobalaoda
Plan d’accessibilité pluriannuel

Date d’approbation : décembre 2025
Pour obtenir le présent document dans un format accessible, sans aucuns frais, communiquez avec l’équipe des communications de Santé à domicile Ontario par l’un des moyens suivants :
Courriel : accessibility@ontariohealthathome.ca
Téléphone : 1 888 470-2222
Téléimprimeur : 711

AODAglobal-fraoda-fr
Multi-Year Accessibility Plan

Approval Date: December 2025
Updates: To receive this document in an alternate format at no cost, please contact Ontario Health atHome’s Communications Team by the means listed below:
Email: accessibility@ontariohealthathome.ca
Phone: 1-888-470-2222
TTY: 711

AODAglobalaoda
Rapport annuel sur l’accessibilité 2025

Décembre 2025
Au cours de sa première année en tant qu’un seul organisme de service, Santé à domicile Ontario a réalisé d’immenses progrès vers l’harmonisation de notre approche visant à réduire et éliminer les obstacles, mais aussi à améliorer l’accès aux services dans un milieu de travail inclusif.
Pour recevoir ce document dans un autre format sans frais, veuillez communiquer avec l’équipe des communications d’Ontario Health atHome par l’un des moyens suivants :

Courriel: accessibility@ontariohealthathome.ca
Téléphone : 1 833 515-1234

ATS : 711

AODAglobal-fraoda-fr
Annual Accessibility Status Report 2025

December 2025
As an agency in its first full year, Ontario Health atHome has made significant advancements towards harmonizing our approach to reducing and removing barriers while also improving access to services in an inclusive employment environment.
To receive this document in an alternate format at no cost, please contact Ontario Health atHome’s Communications Team by the means listed below:

Email: accessibility@ontariohealthathome.ca
Phone: 1-833-515-1234
TTY: 711

AODAglobalaoda
Politique d’accessibilité

Les politiques de Santé à domicile Ontario jouent un rôle important dans la création d’une culture organisationnelle à l’échelle provinciale qui relie et inspire tous les membres de l’équipe.
D’après la présente politique, Santé à domicile Ontario entend concrétiser son engagement envers l’accessibilité en conformité avec la Loi de 2005 sur l’accessibilité pour les personnes handicapées de l’Ontario et le Règlement sur les normes d’accessibilité intégrées. La politique doit être lue en parallèle avec le Plan d’accessibilité pluriannuel établi par Santé à domicile Ontario en vertu de la Loi de 2005 sur l’accessibilité pour les personnes handicapées de l’Ontario.

AODA, politiqueglobal-fraoda-fr politique
Accessibility Policy

Ontario Health atHome policies are an important part of developing an organizational culture that connects and inspires all team members across the province.
This policy sets out Ontario Health atHome’s commitment to accessibility in accordance with the Accessibility for Ontarians with Disabilities Act, 2005 (“AODA”) (opens in a new tab) and Ontario Regulation 191/11: Integrated Accessibility Standards (“IASR”) (opens in a new tab) , under the AODA. This policy should be read in conjunction with Ontario Health atHome’s AODA Multi-Year Accessibility Plan (“MYAP”).

AODA, Policiesglobalaoda policies
Medical Supplies and Infusion Manufacturer Back Orders

Effective Date: August 26, 2026
Note: Manufacturer Back Order and Discontinuation lists are reviewed and validated on a weekly basis and will be updated if there are changes to the list.

Information Sheet, Medical Equipment and Suppliesglobalinformation-sheet medical-equipment-and-supplies
Parenteral Therapy Medical Orders Form 525

Formswaterloo-wellingtonforms
Medical Referral Form Child

Medical Referral Paediatric for patients under 18 years of age.
Patients may have care in a nursing clinic and be taught their treatments based on nurses discretion.

Formsnorth-simcoe-muskokaforms
Parenteral Therapy Referral (Orders)

Nursing services are primarily provided in clinics, with in-home care only by exception. Prescribers must ensure therapy is appropriate and safe; first dose requests may take longer and are at the nursing provider’s discretion. Patients receive self-management teaching and follow-up, and services are not duplicated. Ineligible medications include blood products, naturopathic, and experimental treatments.

Formsnorth-westforms
First Dose Parenteral Medication Screener

For Adults 18 years +
First dose requests may take longer to process and the decision to administer the first dose parenteral medication is made by the Service Provider.

Formscentralforms
Parenteral Therapy Referral (Orders)

Nursing services are primarily provided in clinics, with in-home care only by exception. Prescribers must ensure therapy is appropriate and safe; first dose requests may take longer and are at the nursing provider’s discretion. Patients receive self-management teaching and follow-up, and services are not duplicated. Ineligible medications include blood products, naturopathic, and experimental treatments.

Formssouth-eastforms
First Dose Parenteral Medication Screener

For Adults 18 years +
First dose requests may take longer to process and the decision to administer the first dose parenteral medication is made by the Service Provider.

Formsnorth-eastforms
Parenteral Therapy Referral (Orders)

Nursing services are primarily provided in clinics, with in-home care only by exception. Prescribers must ensure therapy is appropriate and safe; first dose requests may take longer and are at the nursing provider’s discretion. Patients receive self-management teaching and follow-up, and services are not duplicated. Ineligible medications include blood products, naturopathic, and experimental treatments.

Formsnorth-simcoe-muskokaforms
Parenteral Therapy Referral (Orders)

Nursing services are primarily provided in clinics, with in-home care only by exception. Prescribers must ensure therapy is appropriate and safe; first dose requests may take longer and are at the nursing provider’s discretion. Patients receive self-management teaching and follow-up, and services are not duplicated. Ineligible medications include blood products, naturopathic, and experimental treatments.

Formsmississauga-haltonforms
Parenteral Therapy Referral (Orders)

Nursing services are primarily provided in clinics, with in-home care only by exception. Prescribers must ensure therapy is appropriate and safe; first dose requests may take longer and are at the nursing provider’s discretion. Patients receive self-management teaching and follow-up, and services are not duplicated. Ineligible medications include blood products, naturopathic, and experimental treatments.

Formsnorth-eastforms
Parenteral Therapy Referral (Orders)

Nursing services are primarily provided in clinics, with in-home care only by exception. Prescribers must ensure therapy is appropriate and safe; first dose requests may take longer and are at the nursing provider’s discretion. Patients receive self-management teaching and follow-up, and services are not duplicated. Ineligible medications include blood products, naturopathic, and experimental treatments.

Formscentral-westforms
Parenteral Therapy Referral (Orders)

Nursing services are primarily provided in clinics, with in-home care only by exception. Prescribers must ensure therapy is appropriate and safe; first dose requests may take longer and are at the nursing provider’s discretion. Patients receive self-management teaching and follow-up, and services are not duplicated. Ineligible medications include blood products, naturopathic, and experimental treatments.

Formshamilton-niagara-haldimand-brantforms
First Dose Parenteral Medication Screener

For Adults 18 years +
First dose requests may take longer to process and the decision to administer the first dose parenteral medication is made by the Service Provider.

Formsnorth-simcoe-muskokaforms
Parenteral Therapy Referral (Orders)

Nursing services are primarily provided in clinics, with in-home care only by exception. Prescribers must ensure therapy is appropriate and safe; first dose requests may take longer and are at the nursing provider’s discretion. Patients receive self-management teaching and follow-up, and services are not duplicated. Ineligible medications include blood products, naturopathic, and experimental treatments.

Formschamplainforms
First Dose Parenteral Medication Screener

For Adults 18 years +
First dose requests may take longer to process and the decision to administer the first dose parenteral medication is made by the Service Provider.

Formssouth-westforms
First Dose Parenteral Medication Screener

For Adults 18 years +
First dose requests may take longer to process and the decision to administer the first dose parenteral medication is made by the Service Provider.

Formshamilton-niagara-haldimand-brantforms
Community Adult Flushing and Vascular Access Maintenance Protocol

Reference Document: Community Adult Flushing and Vascular Access Maintenance Protocol for Central Venous Access Devices (CVAD) and Peripheral Intravenous Catheters (PIVC)

, , , , , , , , , , , , , Information Sheetcentral central-east central-west champlain erie-st-clair hamilton-niagara-haldimand-brant mississauga-halton north-east north-simcoe-muskoka north-west south-east south-west toronto-central waterloo-wellingtoninformation-sheet
First Dose Parenteral Medication Screener

For Adults 18 years +
First dose requests may take longer to process and the decision to administer the first dose parenteral medication is made by the Service Provider.

Formswaterloo-wellingtonforms
Parenteral Therapy Referral (Orders)

Nursing services are primarily provided in clinics, with in-home care only by exception. Prescribers must ensure therapy is appropriate and safe; first dose requests may take longer and are at the nursing provider’s discretion. Patients receive self-management teaching and follow-up, and services are not duplicated. Ineligible medications include blood products, naturopathic, and experimental treatments.

Formscentralforms
First Dose Parenteral Medication Screener

For Adults 18 years +
First dose requests may take longer to process and the decision to administer the first dose parenteral medication is made by the Service Provider.

Formsmississauga-haltonforms
First Dose Parenteral Medication Screener

For Adults 18 years +
First dose requests may take longer to process and the decision to administer the first dose parenteral medication is made by the Service Provider.

Formstoronto-centralforms
First Dose Parenteral Medication Screener

For Adults 18 years +
First dose requests may take longer to process and the decision to administer the first dose parenteral medication is made by the Service Provider.

Formssouth-eastforms
First Dose Parenteral Medication Screener

For Adults 18 years +
First dose requests may take longer to process and the decision to administer the first dose parenteral medication is made by the Service Provider.

Formschamplainforms
Parenteral Therapy Referral (Orders)

Nursing services are primarily provided in clinics, with in-home care only by exception. Prescribers must ensure therapy is appropriate and safe; first dose requests may take longer and are at the nursing provider’s discretion. Patients receive self-management teaching and follow-up, and services are not duplicated. Ineligible medications include blood products, naturopathic, and experimental treatments.

Formscentral-eastforms
First Dose Parenteral Medication Screener

For Adults 18 years +
First dose requests may take longer to process and the decision to administer the first dose parenteral medication is made by the Service Provider.

Formscentral-eastforms
Parenteral Therapy Referral (Orders)

Nursing services are primarily provided in clinics, with in-home care only by exception. Prescribers must ensure therapy is appropriate and safe; first dose requests may take longer and are at the nursing provider’s discretion. Patients receive self-management teaching and follow-up, and services are not duplicated. Ineligible medications include blood products, naturopathic, and experimental treatments.

Formstoronto-centralforms
First Dose Parenteral Medication Screener

For Adults 18 years +
First dose requests may take longer to process and the decision to administer the first dose parenteral medication is made by the Service Provider.

Formsnorth-westforms
First Dose Parenteral Medication Screener

For Adults 18 years +
First dose requests may take longer to process and the decision to administer the first dose parenteral medication is made by the Service Provider.

Formserie-st-clairforms
First Dose Parenteral Medication Screener

For Adults 18 years +
First dose requests may take longer to process and the decision to administer the first dose parenteral medication is made by the Service Provider.

Formscentral-westforms
Parenteral Therapy Referral (Orders)

Nursing services are primarily provided in clinics, with in-home care only by exception. Prescribers must ensure therapy is appropriate and safe; first dose requests may take longer and are at the nursing provider’s discretion. Patients receive self-management teaching and follow-up, and services are not duplicated. Ineligible medications include blood products, naturopathic, and experimental treatments.

Formswaterloo-wellingtonforms
Parenteral Therapy Referral (Orders)

Nursing services are primarily provided in clinics, with in-home care only by exception. Prescribers must ensure therapy is appropriate and safe; first dose requests may take longer and are at the nursing provider’s discretion. Patients receive self-management teaching and follow-up, and services are not duplicated. Ineligible medications include blood products, naturopathic, and experimental treatments.

Formserie-st-clairforms
Parenteral Therapy Referral (Orders)

Nursing services are primarily provided in clinics, with in-home care only by exception. Prescribers must ensure therapy is appropriate and safe; first dose requests may take longer and are at the nursing provider’s discretion. Patients receive self-management teaching and follow-up, and services are not duplicated. Ineligible medications include blood products, naturopathic, and experimental treatments.

Formssouth-westforms
Short-Term Transitional Care Unit (TCU)- Application for Admission

Fax form to CBA team at 519-742-0635

Highland Retirement Home
20 Fieldgate St, Kitchener, ON

Stone Lodge Retirement Residence
165 Cole Rd, Guelph, ON

Coordinated Bed Access, Formswaterloo-wellingtoncba forms
Short Stay Visit, Long-Term Care Home

If you have received information directly from the long-term care home where you are staying, please use in conjunction with this information.

Information Sheetsouth-westinformation-sheet
Executive Leadership Expense Report: Q2 2025/26

Ontario Health atHome Posting of Travel, Meal and Hospitality.
Executive Expense Report for Designated Individuals for Quarter 2 – Fiscal Year 2025-26

BPSAA, Expense Reportsglobalbpsaa expense-reports
Board Expense Report: Q2 2025/26

Ontario Health atHome Posting of Travel, Meal and Hospitality Board of Directors Expense for Quarter 2 – Fiscal Year 2025/26

BPSAA, Expense Reportsglobalbpsaa expense-reports
Medical Order Form – Protocol for Central Vascular Devices (CVAD)

Pediatric Patients at McMaster Children’s Hospital (MCH) Hamilton
Toll Free Phone Number: 1-800-810-0000

Formshamilton-niagara-haldimand-brantforms
Patient Bill of Rights – Punjabi

ਇੱੱਕ ਮਰੀੀਜ਼, ਪਰਿਰੀਵਾਾਰੀਕ ਮਂਬਰੀ, ਬਦਲਵਾਂ ਫੈੈਸਲੇ ਲੈ ਣ ਵਾਾਲੇ ਜਾਂਾ� ਦੇਖਭਾਾਲ ਕਰੀਨ ਵਾਾਲੇ ਦੇ ਤੌੌਰੀ ‘ਤੌੇ, ਤੌੁਹਾਾਨ� ੰ ਇੱਹਾ ਉਮੀਦ ਕਰੀਨ ਦਾ ਅਰਿ�ਕਾਰੀ ਹਾੈ ਰਿਕ ਹਾਰੀ ਓਨਟਾਾਰੀੀਓ ਹਾੈਲਥ ਐਟਾ ਹਾੋਮ ਕਰੀਮਚਾਾਰੀੀ, ਬੋਰੀਡ ਮਂਬਰੀ ਅਤੌੇ ਇੱਕਰੀਾਰੀਨਾਮੇ ਵਾਾਲੇ ਰਿਸਹਾਤੌ ਸੇਵਾਾਵਾਾ� ਦੇਣ ਵਾਾਲਾ ਤੌੁਹਾਾਡੇ ਅਰਿ�ਕਾਰੀਾ� ਦਾ ਸਰਿਤੌਕਾਰੀ ਅਤੌੇ ਪਰਚਾਾਰੀ ਕਰੀੇਗਾਾ ਰਿਜਾਂਵਾਂ ਰਿਕ

Information Sheetglobalinformation-sheet
Patient Bill of Rights – Polish

Jako pacjent, członek rodziny lub opiekun, masz prawo oczekiwać, że każdy pracownik Ontaryjskiej Służby Zdrowia w Domu ( Ontario Health at Home), członek zarządu lub kontraktor świadczący usługi medyczne będzie szanować i promować Twoje prawa. Jako konsument masz prawo

Information Sheetglobalinformation-sheet
Patient Bill of Rights – Chinese (Traditional)

身為病患、家屬、替代決策者或照護人員,您有權期望每位安大略居家保健員工、董事會成員和簽約醫療服務提供者尊重並促進您的以下權利

Information Sheetglobalinformation-sheet
Home Pronouncement Plan (HPP) for Expected Death

Form ONC 537 E MR22 for Service Providers
Nursing Agency to fax the completed and/or reviewed HPP to the appropriate Primary Health Care Provider(s) and Funeral Director (if consent obtained).
Nursing Agency to send completed and/or revised HPP to Ontario Health atHome via Health Partner Gateway (HPG).
When HPG is unavailable, fax to:
Chatham: 519-351-5842
Windsor: 519-258-6288
Sarnia: 519-337-4331

Forms, HPGerie-st-clairforms hpg
Patient Bill of Rights – Vietnamese

Quyền của Bệnh nhân
Là bệnh nhân, thành viên gia đình, người ra quyết định thay thế hoặc người chăm sóc, bạn có quyền mong đợi mọi nhân viên, thành viên Hội đồng Quản trị và nhà cung cấp dịch vụ y tế theo hợp đồng của Sức khỏe tại nhà Ontario sẽ tôn trọng và thúc đẩy các quyền của bạn như sau:

Information Sheetglobalinformation-sheet
Patient Bill of Rights – Hindi

रोगी अधिकार विधेयक

एक रोगी, परिवार के सदस्य, वैकल्पिक निर्णयकर्ता या देखभालकर्ता के रूप में, आपको यह अपेक्षा करने का अधिकार है कि ओंटारियो हेल्थ एटहोम का प्रत्येक कर्मचारी, बोर्ड सदस्य और अनुबंधित स्वास्थ्य सेवा प्रदाता आपके निम्नलिखित अधिकारों का सम्मान और संवर्धन करेगा:

Information Sheetglobalinformation-sheet
Expérience et rétroaction de patients et patientes

Nous veillons à la prestation de services de soins exceptionnels à tous les patients et patientes de Santé à domicile Ontario. Suivant votre point de vue, nous renforçons les services, améliorant l’expérience des patients.

Fiche d’informationglobal-frinformation-sheet-fr
Patient Experience and Feedback

We strive to provide outstanding care to all Ontario Health atHome patients. Hearing from you helps us strengthen services and patient experiences.

Information Sheetglobalinformation-sheet
Formulaire du rapport de consultation en soins palliatifs (RCSP)

Veuillez télécopier les demandes pour les soins palliatifs en hospice et les RCSP eShift, car elles sont considérées comme urgentes.
Veuillez noter : le formulaire est en anglais.

Formulaireerie-st-clair-frformulaire
Palliative Care Consultation Report (PCCR) Form

Please Fax Hospice applications and eShift PCCRs as these are considered Urgent.

Formserie-st-clairforms
551B Change of Status Update Form

Completed by a Coordinated Bed Access Coordinator (Ontario Health atHome staff) for transfers in the rehab bed program.
Please fax completed form and updated letter of understanding to Ontario Health atHome (519) 742-0635
For Neurobehavioural and Geriatric Assessment Units fax to (519) 749-4326

Coordinated Bed Access, Formswaterloo-wellingtoncba forms
553D – Lettre d’entente la réadaptation en tant que niveau de soins approprié

Soins à domicile WW assure la coordination des renvois. L’hôpital transmettra vos renseignements médicaux et personnels au Soins à domicile WW, qui ajoutera votre nom à la liste d’attente. D’autres hôpitaux partenaires du Soins à domicile WW pourront connaître vos initiales et votre sexe. L’hôpital et Soins à domicile WW transmettront vos renseignements médicaux et personnels au responsable du programme de réadaptation.

Accès coordonné aux lits, Formulairewaterloo-wellington-fracces-coordonne-aux-lits formulaire
High or Low Intensity Rehabilitative Referral Form

Form 550 B – Fax Completed form to 519-742-0635

Referrals are coordinated by Ontario Health atHome Waterloo Wellington. Your health care team will be sharing your medical and personal information with Ontario Health atHome WW and the rehabilitative care program. Ontario Health atHome WW will add your name to the waiting list. Your initials and gender will be accessible to Ontario Health atHome WW’s other hospital partners.

Coordinated Bed Access, Formswaterloo-wellingtoncba forms
Service Providers Sale of Business Process

Info for Service Providers

Information Sheet, Partnersglobalinformation-sheet partners
Guidelines Service Providers Sale of Business

Info for Services Providers

Guide, Partnersglobalguide partners
Medical Supplies Order Form – Ostomy Supply

Fax: 1-855-697-7358

*Hospital: Use hospital Ontario Health atHome fax number

Forms, Medical Equipment and Suppliesnorth-eastforms medical-equipment-and-supplies
Medical Supplies Order Form – Wound Care and General Supply

Effective September 30, 2025
Fax: 1-855-697-7358

*Hospital: Use hospital Ontario Health atHome fax number

Forms, Medical Equipment and Suppliesnorth-eastforms medical-equipment-and-supplies
Medical Supplies Order Form – Infusion and Enteral Supplies

Effective May 2026
Fax: 1-855-697-7358
*Hospital: Use hospital Ontario Health atHome fax number

Forms, Medical Equipment and Suppliesnorth-eastforms medical-equipment-and-supplies
Medical Supplies Order Form – Urinary Continence

Fax: 1-855-697-7358

*Hospital: Use hospital Ontario Health atHome fax number

Forms, Medical Equipment and Suppliesnorth-eastforms medical-equipment-and-supplies
Medical Supplies Order Form – Respiratory Therapy

Effective September, 2025
Fax: 1-855-697-7358

*Hospital: Use hospital Ontario Health atHome fax number

Forms, Medical Equipment and Suppliesnorth-eastforms medical-equipment-and-supplies
2024-25 États financiers

États financiers de Santé à domicile Ontario Le 31 mars 2025
Responsabilité de la direction à l’égard de l’information financière La direction de Santé à domicile Ontario est responsable d’assurer l’intégrité, l’uniformité, l’objectivité
et la fiabilité des états financiers. En conformité avec les Normes comptables pour le secteur public du Canada, y compris la série SP 4200 qui traite des organismes sans but lucratif du gouvernement, la direction a élaboré les présents états financiers, suivant ses meilleurs jugements et estimations, le cas échéant. Les estimations et hypothèses se fondent sur les données historiques, les conditions actuelles et d’autres hypothèses jugées raisonnables dans les circonstances.

États financiers vérifiésglobal-fretats-financiers-verifies
2024-25 Audited Financial Statements

Statement of financial position for Ontario Health atHome as at March 31, 2025
Management of Ontario Health atHome is responsible for the integrity, consistency, objectivity and reliability of the financial statements. These financial statements have been prepared by management in accordance with Canadian public sector accounting standards including the 4200 series for government not-for-profit organizations and, where appropriate, include amounts based on management’s best estimates and judgements. Estimates and assumptions are based on historical experience, current conditions and various other assumptions believed to be reasonable in the circumstances.

Audited Financial Statementsglobalaudited-financial-statements
Palliative SRK – Temiskaming District – Kirkland Lake Area Prescriber Order Form

Palliative Symptom Relief Kit (SRK) – Temiskaming District – Kirkland Lake Area Prescriber Order Form
NOTE: This form must be faxed to Ontario Health atHome at 705-567-9407

Formsnorth-eastforms
Palliative SRK – Sudbury Prescriber Order Form

Palliative Symptom Relief Kit (SRK) – Sudbury Prescriber Order Form
Please fax to Ontario Health atHome Care Coordinator @ 705-522-3855
The Ontario Health atHome Care Coordinator will send a copy of the form to:
• Robinson’s Pharmacy Sudbury
• Community Nursing Provider

Formsnorth-eastforms
Palliative SRK – Sault Ste. Marie Prescriber Order Form

Palliative Symptom Relief Kit (SRK) – Sault Ste. Marie Prescriber Order Form
FAX to: Ontario Health at Home 705-949-1663

Formsnorth-eastforms
Palliative SRK – Parry Sound Prescriber Order Form

Palliative Symptom Relief Kit (SRK) – Parry Sound Prescriber Order Form
ONLY a Ontario Health atHome Healthcare Provider may access kit for first dose. To be dispensed with Supply kit (SIV 0220).
Please fax to 1-855-773-4056.The Care Coordinator will send a copy of the form to: Pharmasave Lane Family Pharmacy & Community Nursing Provider

Formsnorth-eastforms
Palliative SRK – North Bay Prescriber Order Form

Palliative Symptom Relief Kit (SRK) – North Bay Prescriber Order Form
Please fax completed form to Robinson’s Pharmasave
• North Bay Location (705) 495-4059 (Nipissing Region/Sturgeon Falls/Burk’s Falls/New Liskeard)
• Sudbury Location (705) 560-6751 (Sudbury/Parry Sound/Port Loring)

Formsnorth-eastforms
Palliative SRK – Manitoulin Island Prescriber Order Form

Palliative Symptom Relief Kit (SRK) – Manitoulin Island Prescriber Order Form
1. Prescribers: Fax to patients pharmacy of choice:
I. Guardian Pharmacy – Gore Bay (705-282-0792), Little Current (705-368-2077),
Manitowaning (705-859-2280), or Mindemoya (705-377-5310)
II. Edgewater Pharmacy – Little Current (705-368-3131)
AND
2. Pharmacists: Fax to Ontario Health atHome (705-522-3855) to ensure CC can order supplies to
patients pharmacy of choice

Formsnorth-eastforms
Palliative SRK – Cochrane District – Kapuskasing Branch Order Form

Palliative Symptom Relief Kit (SRK) – Cochrane District – Kapuskasing Prescriber Order Form
Procedure:
1. Place your initials and ✪dosing in the column of the table for any medications to be included in the SRK.
2. Fax to Ontario Health atHome at (705-267-7795)
3. Fax to patient’s participating pharmacy of choice:
i. Wal-Mart (855-983-1050)
ii. Shopper’s Drug Mart (705-337-1661)
iii. Rexall (705-337-1877)
4. Family to pick-up SRK & Supplies at dispensing pharmacy.
5. SRK is for short term use only. Prescriptions must be sent for ongoing use for specific medications needed.

Formsnorth-eastforms
Protocole d’entente entre le MSSLD, Santé Ontario et Soins à domicile Ontario

Protocole d’entente entre le ministre de la Santé, le président de Santé Ontario; le président de Santé à domicile Ontario
Le présent Protocole d’entente (PE) tripartite vise à :

  • définir les rapports de responsabilisation entre le ministre de la Santé, le président de Santé Ontario et le président de Santé à domicile Ontario;
  • préciser les rôles et les responsabilités du ministre, du président du conseil d’administration de l’Agence, du président du conseil d’administration de l’entité auxiliaire, du sous-ministre, du président-directeur général de l’Agence, du conseil d’administration de l’Agence, du directeur général de l’entité auxiliaire et du conseil d’administration de l’entité auxiliaire;
  • préciser les modalités opérationnelles, administratives, financières, de dotation en personnel, de vérification et d’établissement de rapports entre Santé à domicile Ontario, Santé Ontario et le ministère de la Santé.
Protocole d’ententeglobal-frprotocole-dentente
MOU among MOH, Ontario Health and Ontario Health atHome

Memorandum of Understanding among Minister of Health, Chair of Ontario Health and Chair of Ontario Health atHome
The purpose of this tripartite Memorandum of Understanding (MOU) is to:

  • Establish the accountability relationships among the Minister of Health, the Chair of Ontario Health and the Chair of Ontario Health atHome;
  • Clarify the roles and responsibilities of the Minister, the Agency Chair, the Subsidiary Chair, the Deputy Minister, the Agency CEO, the Agency’s Board, the Subsidiary CEO and the Subsidiary’s Board.
  • Clarify the operational, administrative, financial, staffing, auditing and reporting arrangements among Ontario Health atHome, Ontario Health and the Ministry of Health.
Memorandum of Understandingglobalmemorandum-of-understanding
Services in Waterloo Wellington Palliative Care Units

* Note: Medical conditions must be stable, managed in an RN/RPN scope, not require daily MD assessment.

Coordinated Bed Accesswaterloo-wellingtoncba
Soins de longue durée en Ontario

Comment se préparer pour soumettre une demande de placement en foyer de soins de longue durée
Il peut être difficile de déménager, voire de décider d’emménager dans un foyer de soins de longue durée.
Nous sommes là pour vous aider, vous et votre famille, à comprendre votre situation et à prendre la bonne décision au sujet de votre état de préparation et de votre admissibilité au placement dans un foyer de soins de longue durée.

Fiche d’informationglobal-frinformation-sheet-fr
Long-Term Care in Ontario

Information on planning and applying for long-term care
Relocating from one home to another can be challenging – and this includes deciding whether to move into a long-term care home.
We are here to help you and your family understand and make the right decision about your readiness and eligibility for long-term care.

Information Sheetglobalinformation-sheet
Board Expense Report: Q1 2025/26

Ontario Health atHome Posting of Travel, Meal and Hospitality Board of Directors Expense for Quarter 1 – Fiscal Year 2025/26

BPSAA, Expense Reportsglobalbpsaa expense-reports
Executive Leadership Expense Report: Q1 2025/26

Ontario Health atHome Posting of Travel, Meal and Hospitality.
Executive Expense Report for Designated Individuals for Quarter 1 – Fiscal Year 2025-26

BPSAA, Expense Reportsglobalbpsaa expense-reports
Palliative Complex Continuing Care & Residential Hospice Care Program

*Patients requiring palliative care can be admitted from any sending facility in the system, including Home (admissions from LTC will be considered on a case-by-case basis after a palliative pain an symptom managing consult is completed).

Coordinated Bed Accesswaterloo-wellingtoncba
Guide to Placement in Long-Term Care Homes – Traditional Chinese

當您在家獨立生活變得困難時,長期護理院是讓您安全、舒適和有尊嚴地生活的地方。長期護理 院有時被稱為療養院。
長期護理院提供:
• 24小時院內護理服務
• 由長期護理醫療團隊提供初級保健護理
• 所有膳食(包括對飲食的醫療限制)
• 個人護理方面的日常協助 – 例如洗澡、穿衣和飲食
• 住宿配備基本家具,包括床、椅子和床單
• 洗衣和家務
• 宗教和心靈服務
• 個人衛生用品
• 藥房服務和護理協助,以管理您的藥物和臨床用品
• 社交和娛樂項目
• 安全可靠的環境
• 一些長期護理院還提供短期住宿床位選擇,例如暫托和康復護理
• 社工服務
• 治療服務

Guide, Information Sheetglobalguide information-sheet
Welcome booklet – Traditional Chinese

我們隨時為您提供幫助。「安省家居保健」組織每個月為全省各地超過400,000名患者協調家居 和社區護理。
我們的使命是通過互聯、便利、以患者為中心的護理,幫助每個人在家裡改善健康。
我們評估患者的護理需求,並提供以家居和社區為基礎的服務以支持您的健康和福祉。我們還提 供社區其他服務的獲取和轉介,並管理安大略省長期護理院的申請和入院流程。
我們與安大略省衛生團隊、家庭醫生、醫院和許多其他衛生系統合作夥伴合作,以支持高質 量、綜合性的護理規劃和服務。

Information Sheetglobalinformation-sheet
Rapport annuel intégré de Services de soutien à domicile et en milieu communautaire pour l’exercice financier 2023-2024 et le 1er trimestre de 2024-2025

Rapport annuel intégré de Services de soutien à domicile et en milieu communautaire pour l’exercice financier 2023-2024 et le 1er trimestre de 2024-2025En 2023-2024 et au premier trimestre de 2024-2025, Services de soutien à domicile et en milieu communautaire s’est concentré sur l’exécution de son mandat, tout en réalisant des progrès pour atteindre les objectifs fixés dans son plan d’activités annuel. En prévision de la transition vers un organisme unifié, nous avons simplifié et amélioré les processus.

Rapport annuelglobal-frrapport-annuel
Consolidated HCCSS Annual Report, 2023/24 + Q1 2024/25

Consolidated Home and Community Care Support Services Annual Report, 2023/24 + Q1 2024/25
In 2023/24 and Q1 2024/25, Home and Community Care Support Services focused on delivering on our mandate, while making progress in achieving our Annual Business Plan goals. We refined and streamlined processes in anticipation of our amalgamation to form a unified organization.

Annual Reportsglobalannual-reports
Request for School Health Support Services

356 Oxford Street West London, ON N6H 1T3
Telephone: 1-877-900-5667 Fax: 519-657-4578

Formulairesud-ouestformulaire
Request for School Health Support Services

356 Oxford Street West London, ON N6H 1T3
Telephone: 1-877-900-5667 Fax: 519-657-4578

Formssouth-westforms
Medical Supplies Order Form – Hospice

Last Update: May 2026
Fax: 1-855-697-7358

*Hospital: Use hospital Ontario Health atHome fax number

Forms, Medical Equipment and Suppliesnorth-eastforms medical-equipment-and-supplies
Programme d’autotraitement des plaies – Votre Passeport Santé

Votre Passeport santé sert à vous, à votre famille ou à la personne qui vous aide. Il contient des informations importantes pour votre santé, votre problème médical et vos traitements alors que vous commencez à traiter votre plaie. Ci-après, vous trouverez des formulaires et des tableaux qui deviendront votre
registre quotidien des soins que vous apporterez progressivement à votre plaie. N’oubliez pas d’apporter ce passeport avec vous à tous vos rendez-vous médicaux et à toutes vos séances de traitement

Fiche d’information, Guidenord-estinformation-sheet-fr guide-fr
Ulcère veineux de la jambe

Cette brochure vous aidera à :
• vous occuper de votre plaie chez vous;
• rehausser et conserver votre santé et votre qualité de vie;
• prévenir de nouvelles plaies.
Vous pouvez utiliser cette brochure et le passeport qui l’accompagne pour :
• noter les informations au sujet de vos soins;
• guider les soins quotidiens que vous apportez à votre plaie;
• savoir quand vous devriez téléphoner à votre équipe; et
• vous assurer que vous recevez les meilleurs soins possible pour votre plaie.

Fiche d’information, Guidenord-estinformation-sheet-fr guide-fr
Plaie chirurgicale

Cette brochure vous aidera à :
• vous occuper de votre plaie chez vous;
• rehausseret conserver votre santé et votre qualité de vie;
• prévenir de nouvelles plaies.
Vous pouvez utiliser cette brochure et le passeport qui l’accompagne pour :

• noter les informations au sujet de vos soins;
• guider les soins quotidiens que vous apportez à votre plaie;
• savoir quand vous devriez téléphoner à votre équipe;
• vous assurer que vous recevez les meilleurs soins possible pour votre plaie.

Fiche d’informationnord-estinformation-sheet-fr
Guide des placements à court terme dans les foyers de soins de longue durée

Si vous ou un être cher avez besoin de soins de convalescence, de soins de répit ou de soins intérimaires et que vous envisagez un placement à court terme dans un foyer de soins de longue durée, ce guide pourra répondre à plusieurs de vos questions et vous aider à prendre la meilleure décision pour vous et votre famille.
Votre coordonnateur ou coordonnatrice de soins est là pour vous aider pendant le processus d’évaluation, de demande et d’admission.
Certains foyers de soins de longue durée offrent des programmes de séjour à court terme aux personnes qui ont besoin d’aide pour un certain temps.

Fiche d’information, Guidenord-estinformation-sheet-fr guide-fr
Soutenir la communauté par la sensibilisation et la prévention de la maltraitance des personnes âgées.

Senior Support Team de la Waterloo Region – La Senior Support Team respecte et valorise la dignité de toutes les personnes. Nous sommes sensibles aux questions de diversité d’origine, de statut social, de capacités et d’orientation sexuelle.

Fiche d’informationwaterloo-wellington-frinformation-sheet-fr
Supporting the community through elder abuse awareness and prevention

The senior support team respects and values the dignity of all persons. We are sensitive to issues of diversity in background, social status, abilities and sexual orientations. waterloo wellington

Information Sheetwaterloo-wellingtoninformation-sheet
Guide des placements à court terme dans les foyers de soins de longue durée

Si vous ou un être cher avez besoin de soins de convalescence, de soins de répit ou de soins intérimaires et que vous envisagez un placement à court terme dans un foyer de soins de longue durée, ce guide pourra répondre à plusieurs de vos questions et vous aider à prendre la meilleure décision pour vous et votre famille.
Votre coordonnateur ou coordonnatrice de soins est là pour vous aider pendant le processus d’évaluation, de demande et d’admission.
Certains foyers de soins de longue durée offrent des programmes de séjour à court terme aux personnes qui ont besoin d’aide pour un certain temps.

Guidenord-estguide-fr
Kyste pilonidal

Cette brochure vous aidera à :
• vous occuper de votre plaie chez vous;
• rehausseret conserver votre santé et votre qualité de vie;
• prévenir de nouvelles plaies.
Vous pouvez utiliser cette brochure et le passeport qui l’accompagne pour :

• noter les informations au sujet de vos soins;
• guiderles soins quotidiens que vous apportez à votre plaie;

• savoir quand vous devriez téléphoner à votre équipe;

• vous assurer que vous recevez les meilleurs soins possible pour votre plaie.

Fiche d’informationnord-estinformation-sheet-fr
Executive Leadership Expense Report: Q4 2024/25

Ontario Health atHome Posting of Travel, Meal and Hospitality.
Executive Expense Report for Designated Individuals for Quarter 4 – Fiscal Year 2024-25

BPSAA, Expense Reportsglobalbpsaa expense-reports
Board Expense Report: Q4 2024/25

Ontario Health atHome Posting of Travel, Meal and Hospitality Board of Directors Expense for Quarter 4 – Fiscal Year 2024/25

BPSAA, Expense Reportsglobalbpsaa expense-reports
Expected Death in the Home – EDITH – Checklist

The Expected Death in the Home (EDITH) protocol supports end-of-life care based on an individual’s expressed wish to die at home and not to be resuscitated when they stop breathing or their heart stops. An expected death refers to when, in the opinion of a health care team, the patient is irreversibly and irreparably terminally ill; that is, there is no available treatment to restore health, or the patient refuses the available treatment.

Formsnorth-eastforms
Short-Term Transitional Care Unit (TCU) Program

The Short-Term Transitional Care Unit (TCU) Program is a collaborative initiative co-developed with the clinical leadership of Ontario Health atHome and CareKW. Our shared objective is to provide patients with a supportive environment where they can receive the necessary care to facilitate their transition to an alternative living arrangement that aligns with their care needs.

Information Sheetwaterloo-wellingtoninformation-sheet
Medical Assistance in Dying (MAiD) – Referral and Attestation

The submission of this completed form for nursing and supplies facilitates the delivery of the MAiD kit (i.e., supplies only and no medications) to the location you identify below, where the MAID procedure will take place.

Formschamplainforms
Expected Death in The Home (E.D.I.T.H) Program Protocol

The Expected Death in the Home (EDITH) protocol supports end-of-life care based on an individual’s expressed wish to die at home and not to be resuscitated when they stop breathing or their heart stops. An expected death refers to when, in the opinion of a health care team, the patient is irreversibly and irreparably terminally ill; that is, there is no available treatment to restore health, or the patient refuses the available treatment.

Guide, Information Sheetcentral-westguide information-sheet
STRATÉGIE RELATIVE AU PERSONNEL 2025-2026

En louant les personnes extraordinaires, on fait avancer les soins exceptionnels.

À Santé à domicile Ontario, les employés sont le plus grand atout. Fondée sur une mission, une vision et des valeurs, la Stratégie relative au personnel est actualisée une fois par année pour refléter les nouvelles priorités stratégiques de l’organisme.

Guideglobal-frguide-fr
People Strategy 2025-26

Elevating extraordinary people, Advancing exceptional care

At Ontario Health atHome, our people are our greatest asset. Rooted in
our mission, vision and values, our People Strategy is refreshed annually to reflect evolving priorities.

global
Medical Equipment Vendor Order Trackers

Medical Equipment Vendor Order Trackers allow you to track orders with:
Medigas: Central, Central West, Mississauga Halton, North Simcoe Muskoka, Toronto Central, North East and North West
Ontario Medical Supply: Central East, Champlain and South East
Rexall: Erie St. Clair, Hamilton Niagara Haldimand Brant, South West and Waterloo Wellington

Revised: June 5, 2025

global
Ontario Medical Supply (OMS) Medical Equipment Catalogue: CE, Champlain and SE

Ontario Medical Supply (OMS) Medical Equipment Catalogue for the following areas: Cental East, Champlain and South East
March 2025

, , , Medical Equipment and Suppliescentral-east champlain global south-eastmedical-equipment-and-supplies
Medigas Medical Equipment Catalogue: North East and North West

Medigas Medical Equipment Catalogue for the following areas: North East and North West
Updated: August 2026

, Medical Equipment and Suppliesnorth-east north-westmedical-equipment-and-supplies
Medigas Medical Equipment Catalogue: Central, CW, MH, NSM and TC

Medigas Medical Equipment Catalogue for the following areas: Central, Central West, Mississauga Halton, North Simcoe Muskoka, and Toronto Central
August 2026

, , , , Medical Equipment and Suppliescentral central-west global mississauga-halton toronto-centralmedical-equipment-and-supplies
La sécurité des lits Feuille de renseignements

La sécurité des patients est notre priorité absolue. La présente feuille de renseignements a pour objet d’aider les patients, leur famille et leurs soignants à comprendre l’importance de la sécurité des lits ainsi que les risques qui s’y rattachent, notamment le piégeage.
Si vous avez des questions ou des préoccupations au sujet de la sécurité des lits, parlez-en à votre coordonnateur ou coordonnatrice de soins.

Information Sheetglobalinformation-sheet
Bed Safety Information Sheet

Patient safety is our top priority. This information sheet is to help patients, families and caregivers understand bed safety and risks, including entrapment.
If you have any bed safety questions or concerns, please speak with your Care Coordinator.

Information Sheetglobalinformation-sheet
Provincial Formulary – Medical Equipment

Effective August 18, 2026
This document provides a formulary listing of medical equipment categorized by vendor, item code, item description, product category and manufacturer name.

For information on extended manufacturer medical equipment and supply outages, please refer to the MES Manufacturer Backorder Report.

Medical Equipment and Suppliesglobalmedical-equipment-and-supplies
Foire aux questions destinée aux partenaires du système de santé

Mise en oeuvre des contrats liés aux Équipements médicaux
Foire aux questions destinée aux partenaires du système de santé

équipement et des fournitures médicalesglobal-frmedical-equipment-and-supplies-fr
Medical Equipment FAQs for Health System Partners

Contract Stream Implementation for Medical Equipment
Frequently Asked Questions for Health System Partners

Medical Equipment and Suppliesglobalmedical-equipment-and-supplies
Community Orders for Medical Assistance in Dying (MAiD)

356 Oxford Street West London, ON N6H 1T3
Telephone: 1-855-474-5754 Fax: 519-472-3257
** Orders with less than 48 hours notice require a call to 519-474-5754 to confirm**
For support, or to ensure receipt of a new order sent between 2:00 pm Friday and 8:00 am Monday (and holidays), please call 519-474-5754

Formssouth-westforms
Executive Leadership Expense Report: Q3 2024/25

Ontario Health atHome Posting of Travel, Meal and Hospitality.
Executive Expense Report for Designated Individuals for Q3 2024-25

BPSAA, Expense Reportsglobalbpsaa expense-reports
Board Expense Report: Q3 2024/25

Ontario Health atHome Posting of Travel, Meal and Hospitality Board of Directors Expense for Quarter 3 – Fiscal Year 2024/25

BPSAA, Expense Reportsglobalbpsaa expense-reports
External Portal – Multi-factor Authentication (MFA)

Multi-factor authentication (MFA; two-factor authentication, or 2FA, along with similar terms) is an electronic authentication method in which a user is granted access to a website or application only after successfully presenting two or more pieces of evidence (or factors). MFA helps protect personal data from being accessed by an unauthorized party by adding an additional layer of protection to traditional passwords. This guide covers how to use one method of MFA, Microsoft Authenticator.

Guideglobalguide
Services auxiliaires de santé dans les écoles

Permettre aux élèves ayant besoin de soins médicaux de réussir à l’école
Le programme de Services auxiliaires de santé dans les écoles de Santé à domicile Ontario a été conçu pour soutenir les enfants ayant besoin de soins médicaux en raison d’une maladie de courte ou de longue durée, d’un handicap physique ou d’un problème de santé complexe et ceux qui ont besoin d’aide après une blessure ou une hospitalisation récente.

Fiche d’informationglobal-frinformation-sheet-fr
School Health Support Services Fact Sheet

Enabling students with medical needs to succeed in education
Ontario Health atHome’s School Health Support Services program is designed to support children with medical needs – whether a short or long-term illness, physical disability, medically complex condition or requiring assistance following an injury or hospital stay.

Information Sheetglobalinformation-sheet
Infusion And Medical Supply Kits

Effective May 12, 2026
This document provides a list of infusion and supply kit contents categorized by kit name and component items within each kit.

Medical Equipment and Suppliesglobalmedical-equipment-and-supplies
Programme de reconnaissance de soignants « Au-delà du devoir » Foire aux questions

Dans le cadre du Programme de reconnaissance de soignants « Au-delà du devoir », on célèbre et honore une fois par année les soignants (membres de la famille, amis et voisins, entre autres) dont la gentillesse, le dévouement et le soutien permettent aux gens de vivre à la maison, malgré les problèmes liés à la vieillesse, à une maladie ou à un handicap. L’objectif du programme est de reconnaître les soignants en Ontario qui incarnent les valeurs de Santé à domicile Ontario, soit la collaboration, le respect, l’intégrité et l’excellence.

Fiche d’informationglobal-frinformation-sheet-fr
Above and Beyond Caregiver Recognition Program FAQ

The annual Above and Beyond Caregiver Recognition Program celebrates and honours caregivers (family members, friends, neighbours, etc.) whose kindness, dedication, and support enables people to live at home despite the impacts of age, illness or disability. The program is designed to recognize caregivers that live the Ontario Health atHome Values of collaboration, respect, integrity and excellence.

Information Sheetglobalinformation-sheet
Restez en sécurité dans la communauté à l’automne et à l’hiver

Veuillez utiliser la liste de vérification qui suit pour bien gérer votre santé et savoir où aller pour obtenir des soins au cours de l’automne, de l’hiver et de la période des Fêtes.

Fiche d’informationglobal-frinformation-sheet-fr
Staying safe in the community in the fall and winter

Please use the following checklist to help you be prepared to manage your health and know where to get care during the fall, winter and holiday periods.

Information Sheetglobalinformation-sheet
Home Parenteral Nutrition Order Form

Parenteral Nutrition Order (Adult or Pediatric)
Complete and fax to Ontario Health atHome at 1-519-472-4045 or 1-855-223-2847
Orders are processed between 8:00 am – 8:00 pm (7days/week). Please allow 48 hours for orders to be processed. Referral form must be completed in full to permit processing. Incomplete orders will be returned.

Formssouth-westforms
Executive Leadership Expense Report: Q2 2024/25

Ontario Health atHome Posting of Travel, Meal and Hospitality Executive Leadership Expense for Quarter 2 – Fiscal Year 2024/25

BPSAA, Expense Reportsglobalbpsaa expense-reports
Board Expense Report: Q2 2024/25

Ontario Health atHome Posting of Travel, Meal and Hospitality Board of Directors Expense for Quarter 2 – Fiscal Year 2024/25

BPSAA, Expense Reportsglobalbpsaa expense-reports
Nouvelle entente contractuelle de Santé àdomicile Ontario relative aux soins àdomicile gérés par la famille

Santé àdomicile Ontario signe une entente contractuelle avec tous les patients du Programme de soins àdomicile gérés par la famille. Dans cette entente, on présente les détails les plus importants tels que le plan de soins du patient, les exigences en matière de présentation de rapports mensuels ainsi que des données financières.

  • La nouvelle entente contractuelle comporte le versementd’un dépôt le premier jour de chaque mois.
  • Les patients n’ont plus àpayer de leur poche pour lesservices de soins àdomicile.
  • Ils doivent présenter des rapports mensuels.
Fiche d’informationglobal-frinformation-sheet-fr
Family-Managed Home Care New Ontario Health atHome Contract

Every patient on Family-Managed Home Care has a contract with Ontario Health atHome that outlines key details like the patient care plan, monthly reporting requirements and financial details.

  • The new contract features pre-flowed funding on thefirst day of each month
  • Patients no longer need to pay out-of-pocket for homecare services
  • Required to submit monthly reporting documents
Information Sheetglobalinformation-sheet
Service Provider Organizations (SPO) Listing

Service Provider Organizations must provide services in French. The availability of bilingual staff may vary depending on the patient needs and health care.

Les organismes fournisseurs de services doivent offrir des services en français. La disponibilité d’employés bilingues peut varier en fonction des besoins du patient et des soins de santé.

Last update: July 2026

Information Sheetglobalinformation-sheet
Medical Supplies Order Form – Ostomy Supply

Fax: 905-855-8989 / 1-877-298-8989

*Hospital: Use hospital Ontario Health atHome fax number

Forms, Medical Equipment and Suppliesmississauga-haltonforms medical-equipment-and-supplies
Medical Supplies Order Form – Respiratory Therapy

Fax: 905-855-8989 / 1-877-298-8989

*Hospital: Use hospital Ontario Health atHome fax number

Forms, Medical Equipment and Suppliesmississauga-haltonforms medical-equipment-and-supplies
Medical Supplies Order Form – Urinary Continence

Fax: 905-855-8989 / 1-877-298-8989

*Hospital: Use hospital Ontario Health atHome fax number

Forms, Medical Equipment and Suppliesmississauga-haltonforms medical-equipment-and-supplies
Medical Supplies Order Form – Wound Care and General Supply

Fax: 905-855-8989 / 1-877-298-8989

*Hospital: Use hospital Ontario Health atHome fax number

Forms, Medical Equipment and Suppliesmississauga-haltonforms medical-equipment-and-supplies
Santé Ontario – Accord de responsabilisation de services de Santé à domicile Ontario

Le présent accord a pour but d’établir les conditions générales selon lesquelles Santé Ontario fournira un financement à Santé à domicile Ontario, afin de lui permettre de s’acquitter de ses obligations en vertu du présent Accord et de remplir ses obligations légales en vertu de la Loi pour des soins de santé connectés (CCA). Le présent Accord constitue un accord de responsabilisation de service tel que défini dans la Loi pour des soins de santé connectés (CCA).

Ententes de responsabilisation des servicesglobal-frententes-de-responsabilisation-des-services
Ontario Health – Ontario Health atHome Service Accountability Agreements

The purpose of this agreement is to set out the terms and conditions on which Ontario Health will provide funding to Ontario Health atHome, to enable Ontario Health atHome to perform its obligations under this Agreement and fulfills its statutory obligations under the Connection Care Act. This Agreement is a service accountability agreement as defined in the Connecting Care Act.

Service Accountability Agreementsglobalservice-accountability-agreements
Résumé de Programme de soins à domicile gérés par la famille

Sommaire du processus de demande au Programme de soins à domicile gérés par la famille
Grâce au Programme de soins à domicile gérés par la famille, les patients et les mandataires spéciaux admissibles reçoivent du financement pour embaucher des fournisseurs de services de soins et payer leurs services de soins à domicile. L’équipe peut, à tout moment, répondre aux questions que vous pouvez avoir au sujet du programme ou de votre admissibilité.
Si vous voulez en savoir plus, visitez la page web : Soins à domicile gérés par la famille.

Fiche d’informationglobal-frinformation-sheet-fr
Summary of Family-Managed Home Care

Through the Family-Managed Home Care program, eligible patients or their substitute decision makers, receive funding to purchase home care services or employ care providers. The team can answer any questions you may have about the program or your eligibility at any time.
To learn more, please visit Family-Managed Home Care

Information Sheetglobalinformation-sheet
April 1 – June 27, 2024 – Audited Financial Statements

Statement of financial position for Central East as at June 27, 2024

Audited Financial Statementscentral-eastaudited-financial-statements
April 1 – June 27, 2024 – Audited Financial Statements

Statement of financial position for Central as at June 27, 2024

Audited Financial Statementscentralaudited-financial-statements
April 1 – June 27, 2024 – Audited Financial Statements

Statement of financial position for Champlain as at June 27, 2024

Audited Financial Statementschamplainaudited-financial-statements
April 1 – June 27, 2024 – Audited Financial Statements

Statement of financial position for Central West as at June 27, 2024

Audited Financial Statementscentral-westaudited-financial-statements
April 1 – June 27, 2024 – Audited Financial Statements

Statement of financial position for Erie St. Clair as at June 27, 2024

Audited Financial Statementserie-st-clairaudited-financial-statements
April 1 – June 27, 2024 – Audited Financial Statements

Statement of financial position for Hamilton Niagara Haldimand Brant as at June 27, 2024

Audited Financial Statementshamilton-niagara-haldimand-brantaudited-financial-statements
April 1 – June 27, 2024 – Audited Financial Statements

Statement of financial position for Mississauga Halton as at June 27, 2024

Audited Financial Statementsmississauga-haltonaudited-financial-statements
April 1 – June 27, 2024 – Audited Financial Statements

Statement of financial position for North East as at June 27, 2024

Audited Financial Statementsnorth-eastaudited-financial-statements
April 1 – June 27, 2024 – Audited Financial Statements

Statement of financial position for North Simcoe Muskoka as at June 27, 2024

Audited Financial Statementsnorth-simcoe-muskokaaudited-financial-statements
April 1 – June 27, 2024 – Audited Financial Statements

Statement of financial position for North West as at June 27, 2024

Audited Financial Statementsnorth-westaudited-financial-statements
April 1 – June 27, 2024 – Audited Financial Statements

Statement of financial position for South East as at June 27, 2024

Audited Financial Statementssouth-eastaudited-financial-statements
April 1 – June 27, 2024 – Audited Financial Statements

Statement of financial position for South West as at June 27, 2024

Audited Financial Statementssouth-westaudited-financial-statements
April 1 – June 27, 2024 – Audited Financial Statements

Statement of financial position for Toronto Central as at June 27, 2024

Audited Financial Statementstoronto-centralaudited-financial-statements
April 1 – June 27, 2024 – Audited Financial Statements

Statement of financial position for Waterloo Wellington as at June 27, 2024

Audited Financial Statementswaterloo-wellingtonaudited-financial-statements
Enteral Feeding Order Form – Adult

Note: A signed prescription for feed including type and rate, as well as a completed Nutrition Products
Form from the physician must be faxed to the pharmacy providing the feed.
Fax: 519-472-4045

Forms, Medical Equipment and Suppliessouth-westforms medical-equipment-and-supplies
Enteral Feeding Order Form – Pediatric

Note: A signed prescription for feed including type and rate, as well as a completed Nutrition Products Form
from the physician must be faxed to the pharmacy providing the feed.
Fax: 519-472-4045

Forms, Medical Equipment and Suppliessouth-westforms medical-equipment-and-supplies
Medical Supplies Order Form – Ostomy Supply

Fax: 1-844-858-3546/ Toll Free

*Hospital: Use hospital Ontario Health atHome fax number

Forms, Medical Equipment and Supplieserie-st-clairforms medical-equipment-and-supplies
Medical Supplies Order Form – Respiratory Therapy

Fax: 1-844-858-3546/ Toll Free

*Hospital: Use hospital Ontario Health atHome fax number

Forms, Medical Equipment and Supplieserie-st-clairforms medical-equipment-and-supplies
Medical Supplies Order Form – Infusion and Enteral Feed

Fax: 1-844-858-3546/ Toll Free

*Hospital: Use hospital Ontario Health atHome fax number

Forms, Medical Equipment and Supplieserie-st-clairforms medical-equipment-and-supplies
Medical Supplies Order Form – Urinary Continence

Fax: 1-844-858-3546/ Toll Free

*Hospital: Use hospital Ontario Health atHome fax number

Forms, Medical Equipment and Supplieserie-st-clairforms medical-equipment-and-supplies
Medical Supplies Order Form – Wound Care and General Supply

Fax: 1-844-858-3546/ Toll Free

*Hospital: Use hospital Ontario Health atHome fax number

Forms, Medical Equipment and Supplieserie-st-clairforms medical-equipment-and-supplies
Medical Supplies Order Form – Wound Care and General

Wound Care and General Supply Order Form for Central West area

Forms, Medical Equipment and Suppliescentral-westforms medical-equipment-and-supplies
Medical Supplies Order Form – Urinary Continence

Urinary Continence Supply Order Form for Central West area

Forms, Medical Equipment and Suppliescentral-westforms medical-equipment-and-supplies
Medical Supplies Order Form – Respiratory Therapy

Respiratory Therapy Supply Order Form for Central West area

Forms, Medical Equipment and Suppliescentral-westforms medical-equipment-and-supplies
Medical Supplies Order Form – Ostomy

Ostomy Supply Order Form for Central West area

Forms, Medical Equipment and Suppliescentral-westforms medical-equipment-and-supplies
Medical Supplies Order Form – Infusion and Enteral Supplies

Infusion and Enteral Supplies Order Form for Central West area

Forms, Medical Equipment and Suppliescentral-westforms medical-equipment-and-supplies
Provincial Fulfillment Formulary – Medical Supplies

Effective August 18, 2026
This document provides a formulary listing of Fulfilment supplies available to order categorized by Vendor Contract Type, Master Item Code, Description, and Product Type.
For information on extended manufacturer medical equipment and supply outages, please refer to the MES Manufacturer Backorder Report.

Medical Equipment and Suppliesglobalmedical-equipment-and-supplies
Provincial Infusion Formulary – Infusion and Enteral Feeding Supplies

Effective August 18, 2026
This document provides a formulary listing of Infusion and Enteral therapy supplies by geography available to order categorized by Vendor Contract Type, Master Item Code, Description, and Item Unit Type.
For information on extended manufacturer medical equipment and supply outages, please refer to the MES Manufacturer Backorder Report.

Medical Equipment and Suppliesglobalmedical-equipment-and-supplies
Palliative Care – Hospice Bed Referral Form

For out of region referrals, fax to Ontario Health atHome (OHaH) at:
London Middlesex: 519-472-3257
Elgin: 519-631-6968
Oxford: 519-539-6351
Huron Perth: 519-273-6454
Grey Bruce: 519-881-1425
If admission to Parkwood PCU is urgent, please fax to 519-685-4804 as well as Ontario Health atHome.

Formssouth-westforms
Negative Pressure Wound Therapy Supplies and Equipment Order Form

Order form for supplies and equipment needed for Negative Pressure Wound Therapy in the Central West area

Forms, Medical Equipment and Suppliescentral-westforms medical-equipment-and-supplies
Hospice Referral Form

To refer a patient to (apply for) hospice and hospice-type services

Formshamilton-niagara-haldimand-brantforms
Palliative Care and You

Useful Links for Caregivers and Families
The following resources are available to help you learn more about home and community care services and palliative care.

Information Sheettoronto-centralinformation-sheet
Infirmières et infirmiers en santé mentale et en toxicomanie dans les écoles

Aider les élèves à s’épanouir, à composer avec leurs difficultés et à réussir Vivre avec un problème de santé mentale ou de dépendance est difficile, peu importe l’âge de la personne. Lorsqu’on ajoute les pressions sociales et scolaires, la vie peut parfois sembler insupportable pour l’élève.
Les infirmières et infirmiers en santé mentale et toxicomanie offrent une intervention précoce, un soutien psychoéducatif et des stratégies thérapeutiques afin de répondre aux besoins particuliers des enfants et des jeunes en matière de santé mentale et de lutte contre les dépendances.

Fiche d’information, Guidemississauga-halton-frinformation-sheet-fr guide-fr
Mental Health and Addictions Nurses in School (MHAN) Fact Sheet

Helping students thrive, cope and succeed:
Living with mental health issues and/or an addiction is difficult for anybody of any age. When you add in the social and academic pressures of being a student, life can sometimes feel unbearable.
Mental Health and Addictions Nurses provide early intervention, psycho-educational support and therapeutic strategies that addresses specific mental health and addiction needs for children and youth.

Guide, Information Sheetmississauga-haltonguide information-sheet
Dépliant pour les patients – Infirmières en santé mentale et en dépendances dans les écoles

Vous avez besoin de soutien en matière de santé mentale ou de toxicomanie?
NOUS SOMMES ICI POUR VOUS AIDER Les in rmières et in rmiers en santé mentale et en toxicomanie sont à votre disposition durant toute la semaine pour vous o rir le soutien dont vous avez besoin.

Fiche d’informationmississauga-halton-frinformation-sheet-fr
Mental Health and Addictions Nurses in Schools Patient Flyer

Need Mental Health and Addictions Support?
WE’RE HERE TO HELP … Mental Health and Addictions Nurses are available throughout the week to support you.

Information Sheetmississauga-haltoninformation-sheet
Évaluation de l’état de santé – Santé à domicile Ontario

Ce formulaire doit être utilisé pour effectuer l’évaluation de l’état de santé exigée en vertu de la Loi de 2021 sur le redressement des soins de longue durée lorsqu’une personne présente une demande de détermination de l’admissibilité à l’admission à un foyer de soins de longue durée. L’évaluation exigée porte sur la santé physique et mentale du demandeur ainsi que sur ses besoins en matière de traitements médicaux et de soins de santé. Cette évaluation doit être faite par un médecin ou un infirmier autorisé.

, , , , , , , , , , , , , Formulairecentre centre-est centre-ouest centre-toronto champlain-fr erie-st-clair-fr global-fr hamilton-niagara-haldimand-brant-fr mississauga-halton-fr nord-est nord-ouest simcoe-nord-muskoka sud-est waterloo-wellington-frformulaire
LTC Health Assessment – Ontario Health atHome

This form is to be used for completion of the assessment required under the Fixing Long-Term Care Act, 2021 when a person applies for a determination of eligibility for long-term care home admission. The required assessment is of the applicant’s physical and mental health, and the applicant’s requirements for medical treatment and health care. This assessment must be made by a physician or registered nurse.

, , , , , , , , , , , , , Formscentral central-east central-west champlain erie-st-clair global hamilton-niagara-haldimand-brant mississauga-halton north-east north-west south-east south-west toronto-central waterloo-wellingtonforms
2023-24 États financiers

L’état de la situation financière au 31 mars 2024 de Waterloo Wellington

Audited Financial Statementswaterloo-wellingtonaudited-financial-statements
2023-24 États financiers

L’état de la situation financière au 31 mars 2024 du Centre-Toronto

Audited Financial Statementstoronto-centralaudited-financial-statements
2023-24 États financiers

L’état de la situation financière au 31 mars 2024 de du Sud-Ouest

Audited Financial Statementssouth-westaudited-financial-statements
2023-24 États financiers

L’état de la situation financière au 31 mars 2024 du Sud-Est

Audited Financial Statementssouth-eastaudited-financial-statements
2023-24 États financiers

L’état de la situation financière au 31 mars 2024 du Nord-Ouest

Audited Financial Statementsnorth-westaudited-financial-statements
2023-24 États financiers

L’état de la situation financière au 31 mars 2024 du Centre-Ouest

Audited Financial Statementscentral-westaudited-financial-statements
2023-24 États financiers

L’état de la situation financière au 31 mars 2024 de de Simcoe Nord Muskoka

Audited Financial Statementsnorth-simcoe-muskokaaudited-financial-statements
2023-24 États financiers

L’état de la situation financière au 31 mars 2024 du Nord-Est

Audited Financial Statementsnorth-eastaudited-financial-statements
2023-24 États financiers

L’état de la situation financière au 31 mars 2024 de Mississauga Halton

Audited Financial Statementsmississauga-haltonaudited-financial-statements
2023-24 États financiers

L’état de la situation financière au 31 mars 2024 de Hamilton Niagara Haldimand Brant

Audited Financial Statementshamilton-niagara-haldimand-brantaudited-financial-statements
2023-24 États financiers

L’état de la situation financière au 31 mars 2024 d’Érié St-Clair

Audited Financial Statementserie-st-clairaudited-financial-statements
2023-24 États financiers

L’état de la situation financière au 31 mars 2024 de Champlain

Audited Financial Statementschamplainaudited-financial-statements
2023-24 États financiers

L’état de la situation financière au 31 mars 2024 du Centre

Audited Financial Statementscentralaudited-financial-statements
2023-24 États financiers

L’état de la situation financière au 31 mars 2024 du Centre-Est

Audited Financial Statementscentral-eastaudited-financial-statements
2023-24 Audited Financial Statements

Statement of financial position for Waterloo Wellington as at March 31, 2024

Audited Financial Statementswaterloo-wellingtonaudited-financial-statements
2023-24 Audited Financial Statements

Statement of financial position for Toronto Central as at March 31, 2024

Audited Financial Statementstoronto-centralaudited-financial-statements
2023-24 Audited Financial Statements

Statement of financial position for South West as at March 31, 2024

Audited Financial Statementssouth-westaudited-financial-statements
2023-24 Audited Financial Statements

Statement of financial position for South East as at March 31, 2024

Audited Financial Statementssouth-eastaudited-financial-statements
2023-24 Audited Financial Statements

Statement of financial position for North West as at March 31, 2024

Audited Financial Statementsnorth-westaudited-financial-statements
2023-24 Audited Financial Statements

Statement of financial position for North Simcoe Muskoka as at March 31, 2024

Audited Financial Statementsnorth-simcoe-muskokaaudited-financial-statements
2023-24 Audited Financial Statements

Statement of financial position for North East as at March 31, 2024

Audited Financial Statementsnorth-eastaudited-financial-statements
2023-24 Audited Financial Statements

Statement of financial position for Mississauga Halton as at March 31, 2024

Audited Financial Statementsmississauga-haltonaudited-financial-statements
2023-24 Audited Financial Statements

Statement of financial position for Hamilton Niagara Haldimand Brant as at March 31, 2024

Audited Financial Statementshamilton-niagara-haldimand-brantaudited-financial-statements
2023-24 Audited Financial Statements

Statement of financial position for Erie St. Clair as at March 31, 2024

Audited Financial Statementserie-st-clairaudited-financial-statements
2023-24 Audited Financial Statements

Statement of financial position for Central West as at March 31, 2024

Audited Financial Statementscentral-westaudited-financial-statements
2023-24 Audited Financial Statements

Statement of financial position for Champlain as at March 31, 2024

Audited Financial Statementschamplainaudited-financial-statements
2023-24 Audited Financial Statements

Statement of financial position for Central area as at March 31, 2024

Audited Financial Statementscentralaudited-financial-statements
2023-24 Audited Financial Statements

Statement of financial position for Central East as at March 31, 2024

Audited Financial Statementscentral-eastaudited-financial-statements
2024-25 Lettre de priorités du gouvernement

Priorités du gouvernement pour les organismes de services de soutien à domicile et en milieu communautaire pour 2024-2025.

Lettres de mandatglobal-frlettres-de-mandat
2024-2025 – Letter of Direction

Letter of mandate outlining government’s 2024-25 priorities for Home and Community Care Support Services organizations.

Mandate Lettersglobalmandate-letters
Plan d’activités 2024-25

Le quatrième plan d’activités annuel donne suite aux efforts réalisés depuis notre création en juillet 2021, mettant en valeur la transition vers un organisme et un rôle
nouveaux dans le système de soins de santé.

Annual Business Plansglobalannual-business-plans
2024-2025 Annual Business Plan

Our fourth Annual Business Plan, since our inception in July of 2021, builds on our accomplishments to date, while also focusing on our future transition into a new organization and role within the health care system.

Annual Business Plansglobalannual-business-plans
Board Expense Report: Q1 2024/25

Home and Community Care Support Services Board of Directors Expense Report for Q1 2024/25 Fiscal Year

BPSAA, Expense Reportsglobalbpsaa expense-reports
Executive Leadership Expense Report: Q1 2024/25

Home and Community Care Support Services Posting of Travel, Meal and Hospitality Executive Leadership Expense for Quarter 1 – Fiscal Year 2024/25

BPSAA, Expense Reportsglobalbpsaa expense-reports
Accès Soins, Renseignements pour les patients et les familles

Cherchez-vous un médecin ou un infirmier praticien?
Vous pouvez trouver un fournisseur de services de soins de santé familiale en un seul coup de fil. Notre
équipe de coordonnateurs de soins identifie des médecins et des infirmiers praticiens dans votre
communauté qui acceptent de nouveaux patients, et elle les met en contact avec des personnes qui
cherchent un fournisseur de services de soins de santé.

, Fiche d’informationcentre global-frinformation-sheet-fr
Health Care Connect, Information for patients and families

Need a family doctor or nurse practitioner?
Your new family health care provider might be just a phone call away. Our team of Care Coordinators identifies doctors and nurse practitioners in your community who are accepting patients and links them with people who are looking for a health care provider.

, Information Sheetcentral globalinformation-sheet
Soins de convalescence

En quoi consiste le Programme de soins de convalescence?
Après une intervention chirurgicale ou une maladie grave, certaines personnes n’ont plus besoin d’être soignées à l’hôpital, mais elles ne sont pas prêtes à rentrer à la maison, pour y vivre en toute sécurité.
Le Programme de soins de convalescence fournit des soins 24 heures sur 24 aux personnes qui ont besoin de services médicaux et thérapeutiques particuliers, dans un environnement de soutien. Grâce à ce programme, vous pouvez reprendre vos forces, votre énergie et vos fonctions avant de rentrer à la maison.

, , , , , , , , , , , , , , Fiche d’informationcentre centre-est centre-ouest centre-toronto champlain-fr erie-st-clair-fr global-fr hamilton-niagara-haldimand-brant-fr mississauga-halton-fr nord-est nord-ouest simcoe-nord-muskoka sud-est sud-ouest waterloo-wellington-frinformation-sheet-fr
Convalescent Care

What is the Convalescent Care Program?
Following surgery or serious illness, you may no longer need in-hospital care but you may not be ready to return home safely.
The Convalescent Care Program provides 24-hour care to people who require specific medical and therapeutic services in a supportive environment. The program will help you recover your strength, energy and functioning before returning home.

, , , , , , , , , , , , , , Information Sheetcentral central-east central-west champlain erie-st-clair global hamilton-niagara-haldimand-brant mississauga-halton north-east north-simcoe-muskoka north-west south-east south-west toronto-central waterloo-wellingtoninformation-sheet
Infirmières et infirmiers en santé mentale et en toxicomanie | Affiche

Vous avez besoin de soutien en matière de santé mentale ou de toxicomanie?
NOUS SOMMES ICI POUR VOUS AIDER Les in rmières et in rmiers en santé mentale et en toxicomanie sont à votre disposition durant toute la semaine pour vous o rir le soutien dont vous avez besoin.

Fiche d’information, Guidecentre-estinformation-sheet-fr guide-fr
Mental Health and Addictions Nurses in Schools Patient Flyer

Need Mental Health and Addictions Support?
WE’RE HERE TO HELP … Mental Health and Addictions Nurses are available throughout the week to support you.

Guide, Information Sheetcentral-eastguide information-sheet
Infirmières et infirmiers en santé mentale et en toxicomanie dans les écoles

Aider les élèves à s’épanouir, à
composer avec leurs difficultés et à
réussir Vivre avec un problème de santé mentale ou de dépendance est difficile, peu importe l’âge de la personne. Lorsqu’on ajoute les pressions sociales et scolaires, la vie peut parfois sembler insupportable pour l’élève.
Les infirmières et infirmiers en santé mentale et toxicomanie offrent une intervention précoce, un soutien psychoéducatif et des stratégies thérapeutiques afin de répondre aux besoins particuliers des enfants et des jeunes en matière de santé mentale et de lutte contre les dépendances.

Fiche d’informationerie-st-clair-frinformation-sheet-fr
Mental Health and Addictions Nurses in School (MHAN) Fact Sheet

Helping students thrive, cope and succeed:
Living with mental health issues and/or an addiction is difficult for anybody of any age. When you add in the social and academic pressures of being a student, life can sometimes feel unbearable.
Mental Health and Addictions Nurses provide early intervention, psycho-educational support and therapeutic strategies that addresses specific mental health and addiction needs for children and youth.

Information Sheeterie-st-clairinformation-sheet
Infirmières et infirmiers en santé mentale et en toxicomanie dans les écoles

Aider les élèves à s’épanouir, à composer avec leurs difficultés et à réussir
Les infirmières et infirmiers en santé mentale et en toxicomanie offrent une intervention précoce, un soutien psycho-éducationnel et des stratégies thérapeutiques afin de répondre aux besoins particuliers des enfants et des jeunes en matière de santé mentale et de lutte contre les dépendances.

Fiche d’informationsud-ouestinformation-sheet-fr
Mental Health and Addictions Nurses in Schools – Fact Sheet

Helping students thrive, cope and succeed:
Mental Health and Addictions Nurses provide early intervention, psycho-educational support and therapeutic strategies that addresses specific mental health and addiction needs for children and youth.

Information Sheetsouth-westinformation-sheet
Infirmières et infirmiers en santé mentale et en toxicomanie dans les écoles

Vous avez besoin de soutien en matière de santé mentale ou de toxicomanie?
Nous sommes ici pour vous aider: Les infirmières et infirmiers en santé mentale et en toxicomanie sont à votre disposition durant toute la semaine pour vous offrir le soutien dont vous avez besoin.

Fiche d’informationsud-ouestinformation-sheet-fr
Mental Health and Addictions Nurses in Schools Patient Flyer

Need Mental Health and Addictions Support?
We’re here to help: Mental Health and Addictions Nurses are available throughout the week to support you.

Information Sheetsouth-westinformation-sheet
Negative Pressure Wound Therapy Formulary

Effective August 18, 2026
This document provides a formulary listing of Negative Pressure Wound Therapy equipment and supplies available to order categorized by Vendor Contract Type, Master Item Code, Description, and Product Type.
For information on extended manufacturer medical equipment and supply outages, please refer to the MES Manufacturer Backorder Report.

Medical Equipment and Suppliesglobalmedical-equipment-and-supplies
Negative Pressure Wound Therapy – Supplies & Equipment Order Form

Fax: 613-650-2996
*Hospital: Use hospital Ontario Health atHome fax number

Forms, Medical Equipment and Suppliessouth-eastforms medical-equipment-and-supplies
Negative Pressure Wound Therapy Referral Form

Note: NPWT will continue to be assessed in the community, and settings may be reviewed based on exudate and patient tolerance. Continuation of NPWT is dependent on wound healing goals being met. Maximum treatment time for NPWT is 8 weeks.

Forms, Medical Equipment and Suppliessouth-westforms medical-equipment-and-supplies
Negative Pressure Wound Therapy – Supplies & Equipment Order Form

Medical Equipment and Supply Fax Number: 1-855-697-7358

*Hospital: Use hospital Ontario Health atHome fax number

Forms, Medical Equipment and Suppliesnorth-eastforms medical-equipment-and-supplies
CKHA-Inpatient Referral and Treatment Plan Form

Chatham-Kent Health Alliance inpatient referral and treatment form – fillable

Formserie-st-clairforms
WRH-Met-Inpatient Referral and Treatment Form

Windsor Regional Hospital – Met Campus inpatient referral and treatment form – fillable

Formserie-st-clairforms
Negative Pressure Wound Therapy Referral Form

Note: NPWT will continue to be assessed in the community, and settings may be reviewed based on exudate and patient tolerance. Continuation of NPWT is dependent on wound healing goals being met. Maximum treatment time for NPWT is 8 weeks.

Forms, Medical Equipment and Suppliessouth-eastforms medical-equipment-and-supplies
HDGH-Inpatient Referral and Treatment Form

Hôtel-Dieu Grace Healthcare inpatient referral and treatment form – fillable

Formserie-st-clairforms
ESHC-Inpatient Referral and Treatment Form

Erie Shores HealthCare inpatient referral and treatment form – fillable

Formserie-st-clairforms
Negative Pressure Wound Therapy Referral Form

Note: NPWT will continue to be assessed in the community, and settings may be reviewed based on exudate and patient tolerance. Continuation of NPWT is dependent on wound healing goals being met. Maximum treatment time for NPWT is 8 weeks.

Forms, Medical Equipment and Suppliescentralforms medical-equipment-and-supplies
Negative Pressure Wound Therapy Referral Form

Note: This form will be effective on July 23, 2024.

NPWT will continue to be assessed in the community, and settings may be reviewed based on exudate and patient tolerance. Continuation of NPWT is dependent on wound healing goals being met. Maximum treatment time for NPWT is 8 weeks.

Forms, Medical Equipment and Supplieshamilton-niagara-haldimand-brantforms medical-equipment-and-supplies
Negative Pressure Wound Therapy Referral Form

Note: NPWT will continue to be assessed in the community, and settings may be reviewed based on exudate and patient tolerance. Continuation of NPWT is dependent on wound healing goals being met. Maximum treatment time for NPWT is 8 weeks.

Forms, Medical Equipment and Supplieswaterloo-wellingtonforms medical-equipment-and-supplies
Negative Pressure Wound Therapy Referral Form

Note: NPWT will continue to be assessed in the community, and settings may be reviewed based on exudate and patient tolerance. Continuation of NPWT is dependent on wound healing goals being met. Maximum treatment time for NPWT is 8 weeks.

Forms, Medical Equipment and Suppliesnorth-westforms medical-equipment-and-supplies
Negative Pressure Wound Therapy Referral Form

Note: NPWT will continue to be assessed in the community, and settings may be reviewed based on exudate and patient tolerance. Continuation of NPWT is dependent on wound healing goals being met. Maximum treatment time for NPWT is 8 weeks. Form CS 570 OC 24

Forms, Medical Equipment and Supplieserie-st-clairforms medical-equipment-and-supplies
Negative Pressure Wound Therapy Referral Form

Note: NPWT will continue to be assessed in the community, and settings may be reviewed based on exudate and patient tolerance. Continuation of NPWT is dependent on wound healing goals being met. Maximum treatment time for NPWT is 8 weeks.

Forms, Medical Equipment and Suppliescentral-westforms medical-equipment-and-supplies
Negative Pressure Wound Therapy Supplies Order Form

Fax: 905-855-8989 / 1-877-298-8989
*Hospital: Use hospital Ontario Health atHome fax number

Forms, Medical Equipment and Suppliesmississauga-haltonforms medical-equipment-and-supplies
Negative Pressure Wound Therapy Referral Form

Note: NPWT will continue to be assessed in the community, and settings may be reviewed based on exudate and patient tolerance. Continuation of NPWT is dependent on wound healing goals being met. Maximum treatment time for NPWT is 8 weeks.

Forms, Medical Equipment and Suppliesmississauga-haltonforms medical-equipment-and-supplies
Negative Pressure Wound Therapy Referral Form

Note: NPWT will continue to be assessed in the community, and settings may be reviewed based on exudate and patient tolerance. Continuation of NPWT is dependent on wound healing goals being met. Maximum treatment time for NPWT is 8 weeks.

Forms, Medical Equipment and Suppliesnorth-simcoe-muskokaforms medical-equipment-and-supplies
Negative Pressure Wound Therapy Referral Form

Note: NPWT will continue to be assessed in the community, and settings may be reviewed based on exudate and patient tolerance. Continuation of NPWT is dependent on wound healing goals being met. Maximum treatment time for NPWT is 8 weeks.

Forms, Medical Equipment and Suppliescentral-eastforms medical-equipment-and-supplies
Negative Pressure Wound Therapy Referral for patients in the Toronto Central area

Note: NPWT will continue to be assessed in the community, and settings may be reviewed based on exudate and patient tolerance. Continuation of NPWT is dependent on wound healing goals being met. Maximum treatment time for NPWT is 8 weeks.

Forms, Medical Equipment and Suppliestoronto-centralforms medical-equipment-and-supplies
Negative Pressure Wound Therapy Referral Form

Note: NPWT will continue to be assessed in the community, and settings may be reviewed based on exudate and patient tolerance. Continuation of NPWT is dependent on wound healing goals being met. Maximum treatment time for NPWT is 8 weeks.

Forms, Medical Equipment and Suppliesnorth-eastforms medical-equipment-and-supplies
ESHC-Outpatient Referral and Treatment Form – EN

Erie Shores HealthCare outpatient referral and treatment form – fillable

Formserie-st-clairforms
WRH-Ouellette-ER Referral and Treatment Form – EN

Windsor Regional Hospital – Ouellette Campus emergency referral and treatment form – fillable

Formserie-st-clairforms
WRH Met Campus Outpatient Referral and Treatment Form – EN

Windsor Regional Hospital – Met Campus outpatient referral and treatment form – fillable

Formserie-st-clairforms
WRH-Ouellette Campus Outpatient Referral and Treatment Form – EN

Windsor Regional Hospital – Ouellette Campus outpatient referral and treatment form – fillable

Formserie-st-clairforms
WRH-Met-ER Referral and Treatment Form – EN

Windsor Regional Hospital – Met Campus emergency referral and treatment form – fillable

Formserie-st-clairforms
Hamilton Palliative Care Outreach Team (PCOT) Referral Form

The Hamilton Palliative Care Outreach Team (PCOT) is a group of specialist providers from multiple organizations who practice as an interprofessional team.
Eligibility Criteria:
Patients, along with their families/caregivers, are eligible for the Palliative Care Outreach Team services if they meet most of the following criteria:
• Live in the Greater Hamilton area
• Diagnosed with a life-limiting progressive disease
• Complex symptoms
• Meets the Gold Standard Framework “surprise” question:
o Would you be surprised if this person were to die within the next 12 months?
o Are there general signs of decline?
• Complex needs (e.g., social determinants of health)
• Challenges with goals of care discussions/care planning
• Declining functional status
• Complex or potentially complex psychosocial/spiritual needs for the patient and/or family/caregiver

Formshamilton-niagara-haldimand-brantforms
Symptom Response Kit Request Order Form (Windsor ONLY) – EN

Symptom Response Kit (SRK) Request Order Form Windsor

Formserie-st-clairforms
COPD & Heart Failure Telehomecare Referral Form

If required, Telehomecare staff will fax the referral form to the Primary Care Provider to verify and/or provide any relevant information.
Chatham Branch: Fax: 519-351-5842
Sarnia Branch: Fax: 519-337-4331
Windsor Branch: Fax: 519-258-6288

Formserie-st-clairforms
Providers Cupboard Usage Order Form

Cupboard Usage (Provider and Flex Clinics)
Please Submit This Order Through HPG To Supplies Chatham: 519-351-7080 Ext. 7400

Formserie-st-clairforms
Referral and Treatment Form

Best practice/evidenced based practice will be initiated unless otherwise written. Wound care outside of evidenced based practice may not be eligible for Ontario Health atHome services. Treatment will be taught and service reduced when appropriate.

Formserie-st-clairforms
Medical Update Request Form – Wound​ – EN

Medical update request form – wound

Formserie-st-clairforms
Medical Update Request Form

Physician use only. Applicable billing as outlined in the Schedule of Benefits for Physician Services under the Health Insurance Act.

Formserie-st-clairforms
ESHC-ER Referral and Treatment Form – EN

Erie Shores HealthCare emergency referral and treatment form – fillable

Formserie-st-clairforms
Offloading Shoe Assessment Form – EN

Offloading assessment form – fillable

Formserie-st-clairforms
Negative Pressure Wound Therapy – Supplies & Equipment Order Form

Office Location: 180 Riverview Dr, Chatham
Fax: 1-519-258-6288

Forms, Medical Equipment and Supplieserie-st-clairforms medical-equipment-and-supplies
Electrical Stimulation (eSTIM) Referral Assessment – EN

Electrical Stimulation (eSTIM) referral assessment form – fillable

Formserie-st-clairforms
Electrical Stimulation (eSTIM) Non-Formulary Order Form

Electrical Stimulation (eSTIM) non-formulary order form – fillable

Formserie-st-clairforms
CKHA-Outpatient Referral and Treatment Form – EN

Chatham-Kent Health Alliance outpatient referral and treatment form – fillable

Formserie-st-clairforms
CKHA-ER Referral and Treatment Plan Form – EN

Chatham-Kent Health Alliance emergency referral and treatment form – fillable

Formserie-st-clairforms
Demande de renvoi – Programme de services de santé pour enfants en milieu scolaire

Bureau de Chatham : Tél : 519 351-5677
Téléc : 519-351-5842

Bureau de Chatham : Tél : 519-337-1000
Téléc : 519-337-4331

Bureau de Windsor : Tél : 519-258-8211
Téléc : 519-258-6288

Formulaireerie-st-clair-frformulaire
Children’s Health School Services Program – Referral

Chatham Branch: Tel: 519 351-5677
Fax: 519-351-5842

Sarnia Branch: Tel: 519-337-1000
Fax: 519-337-4331

Windsor Branch: Tel: 519-258-8211
Fax: 519-258-6288

Formserie-st-clairforms
BWH-Inpatient Referral and Treatment Form – EN

Bluewater Water Health inpatient referral and treatment form – fillable

Formserie-st-clairforms
BWH-Outpatient Referral and Treatment Form – EN

Bluewater Water Health outpatient referral and treatment form – fillable

Formserie-st-clairforms
BWH-ER Referral and Treatment Form – EN

Bluewater Water Health emergency referral and treatment form – fillable

Formserie-st-clairforms
Assessment & Service Plan Authorization Private/In-Home School – EN

Assessment service plan form – fillable

Formserie-st-clairforms
HDGH-Inpatient Referral and Treatment Form – EN

Hôtel-Dieu Grace Healthcare inpatient referral and treatment form – fillable

Formserie-st-clairforms
Walker Assessment Form – EN

Walker assessment eligibility form

Formserie-st-clairforms
Symptom Response Kit Request Order Form – Chatham and Sarnia Only

Ontario Health atHome end of life SRK is intended to facilitate timely access to a range of medications to relieve a client’s symptoms in the home on an urgent basis; thereby; potentially avoiding an emergency department and/or acute care admission. Physician orders are indicated below and authorized (signed) by the most responsible
physician (MRP). The nurse can only administer those medications in the kit that have valid signed orders noted on this order form.

Formserie-st-clairforms
Midline Catheter Form

Medical Order Form
Care and Maintenance of Midline Catheter – Contact Ontario Health atHome at 1-800-810-0000

Formshamilton-niagara-haldimand-brantforms
Protocol for Vascular Access Devices Medical Order Form – EN

To order care relating to vascular access devices in adults (in accordance with the Vascular Access Maintenance Protocol)

Formshamilton-niagara-haldimand-brantforms
First Dose – IV Medications Form – EN

To order first dose IV medications to be administered to patients in the community. First dose requests may take longer to process and are not appropriate for urgent requirements.

Formshamilton-niagara-haldimand-brantforms
Influenza Vaccine Form

Medical Order for the Administration of Influenza Vaccine

Contact Ontario Health atHome at 1-800-810-0000

Formshamilton-niagara-haldimand-brantforms
Protocol Parenteral Nutrition Medical Order Form – Adult Population – EN

To order care relating to the Protocol for Home Parenteral Nutrition (PPN or TPN) for adult patients

Formshamilton-niagara-haldimand-brantforms
Burlington Palliative Care Outreach Team (PCOT) Referral Form

Complete the Burlington PCOT referral form and fax supporting documents to: 905-574-6335
– Medical summary/ health history
– Pertinent diagnostic tests
– Current medication lists
– Pharmacy information
– Consult/ progress notes
– Other notes

Formshamilton-niagara-haldimand-brantforms
Milrinone Home Infusion Order Form for Adult Patients – EN

To order Milrinone Infusion Therapy for adult patients

Formshamilton-niagara-haldimand-brantforms
Community Paramedicine Communication Form

Paramedic Services will communicate back to Home and Community Care Support Services using the HNHB Community Paramedicine Communication Form.

Formshamilton-niagara-haldimand-brantforms
Palliative Care Outreach Team (PCOT) Referral Form – Haldimand Norfolk & Brant

Serving the Haldimand, Norfolk, Brant, Brantford, Six Nations and Mississaugas of the Credit First Nations
For Stedman & Six Nations Outreach Team (all areas) – Fax: 519-751-7527
For OHaH Nurse Practitioners (Haldimand and Norfolk areas only) – Fax: 1-833-305-1947
For Norfolk Haldimand Community Hospice – Fax: 519-751-7527

Formshamilton-niagara-haldimand-brantforms
Referral, Request for Services

Complete the Request for Ontario Health atHome, Hamilton Niagara Haldimand Brant area, services and fax it to the appropriate location. Refer to page 2 of the form for fax numbers.

Primary Care Partners: in addition to using the form above, you may also connect directly with the Care Coordinator aligned with your office/practice.

Formshamilton-niagara-haldimand-brantforms
MHAN Referral Form

Mental Health and Addictions Nursing Program Referral Form.

To request the services of the Mental Health & Additions Nurse, the patient must be:

1. A student registered in school and who is no older than 21 years of age (may include home instruction)
2. In need of services or related treatment to an identified and/or suspected mental health and/or addictions issue
3. Aware of and consenting to the referral

Additionally, there must be a clearly defined role for the Mental Health & Addictions Nurse

Formshamilton-niagara-haldimand-brantforms
Long-Term Care Home Referral for Service

For Long-Term Care Partners in HNHB. Please complete and fax the Long-Term Care Home Referral for Service form to request one or more of the following services for residents:

  • Nursing for teaching of IV Administration
  • Speech Language Pathology for Swallowing Assessment
Formshamilton-niagara-haldimand-brantforms
Cliniques de soins infirmiers communautaires

Les consultations dans nos cliniques se font sur rendez-vous seulement. Les cliniques sont situées dans des endroits accessibles et bon nombre d’entre elles offrent des heures d’ouverture prolongées.
Les cliniques de soins infirmiers communautaires fournissent des soins infirmiers spécialisés de grande qualité qui sont financés par les fonds publics et axés sur le patient.

Fiche d’information, Guidesud-ouestinformation-sheet-fr guide-fr
Community Nursing Clinics

Ontario Health atHome operates over 135 community nursing clinics to provide free, high-quality, specialized nursing care. All of our clinics are by appointment only, in accessible locations, and many have extended operating hours.

Guide, Information Sheetsouth-westguide information-sheet
Margaret’s Place Palliative Overnight Respite Referral Form – EN

To be completed and signed by an HCCSS Care Coordinator to refer a patient to Margaret’s Place for Palliative Overnight Respite care

Formshamilton-niagara-haldimand-brantforms
Pediatric Milrinone Infusion Therapy – EN

To order Milrinone Infusion Therapy for pediatric patients

Formshamilton-niagara-haldimand-brantforms
Respiratory Therapy Referral Form

For patients being discharged home from hospital with a new tracheostomy and laryngectomy care for patients being discharged home from hospital
Contact the Ontario Health atHome at 1-800-810-0000

Formshamilton-niagara-haldimand-brantforms
HPG User Access Authorization Form

For hospital partners who use Health Partner Gateway to receive patient referrals.

Formshamilton-niagara-haldimand-brantforms
Ceftriaxone Protocol Medical Referral Form

To order the administration of ceftriaxone to patients being discharged from the Brantford Community Healthcare System (BCHS)

Formshamilton-niagara-haldimand-brantforms
Palliative Symptom Response Form

For the management of rapid-onset, unanticipated symptoms for patients nearing end–of-life and no longer able to swallow oral medications. The medication on this order form is limited to support short duration of symptom management (48 hours) until further medications are ordered. Note: See Palliative Care Symptom Response Guidelines for more info on how to use the form.

Formshamilton-niagara-haldimand-brantforms
Plan of CPR Treatment Form – Palliative Care

To clearly communicate a patient’s plan of care relating to the provision of CPR.
A copy of this form is to be kept with the patient and a copy is to be sent to the Ontario Health atHome and
shared with all service providers. This plan of treatment can be reviewed and revoked at any time.

Formshamilton-niagara-haldimand-brantforms
Letter of Understanding – Pronouncement and Certification Death

To identify who will complete pronouncement and certification of death for an expected death at home
Contact Ontario Health atHome at 1-800-810-0000

Formshamilton-niagara-haldimand-brantforms
Mental Health And Addictions Nursing Program (MHAN) Referral Form

Ontario Health atHome Child and Youth Mental Health & Addictions Nursing Program
Fax: 1 (519) 571-3957
A mental health nurse will connect with student, parent and/or guardian to confirm consent and finalize eligibility.

Formswaterloo-wellingtonforms
Parenteral Nutrition (TPN) Referral Form 311A

Completed by a Primary Care Physician or Registered Dietician

Formswaterloo-wellingtonforms
Retirement Home Service Information Form 150

Completed by Retirement Home(RH) or HCCSS staff to outline services that a patient is currently receiving or may require if moving to a Retirement Home setting

Formswaterloo-wellingtonforms
Renvoi vers des soins palliatifs offerts dans un centre ou en milieu hospitalier – 279

ENVOYER LE FORMULAIRE DÛMENT REMPLI AU RLISS PAR TÉLÉCOPIEUR AU 519 742-0635.
Qu’entend-on par « situation de crise »?
On considère qu’un patient est en « situation de crise » dans les cas suivants :
1. La sécurité du patient ou celle de son soignant est à risque ou il existe un risque de problème de santé important ou de symptômes de fin de vie pénibles qu’on ne pourra pas gérer dans le milieu actuel.
2. Le patient risque de devoir être admis à l’urgence ou en soins actifs.
3. On a épuisé les ressources communautaires et la famille et les soignants sont incapables de répondre à tous les besoins du patient en
matière de soins.
4. Il existe un risque que les services nécessaires pour atteindre les objectifs établis dans le plan de soins de fin de vie du patient ne soient
pas disponibles dans le milieu actuel.
5. Le patient risque de ne pas avoir accès à l’endroit où il veut mourir (compte tenu de la trajectoire récente du score à l’échelle PPS).

Accès coordonné aux lits, Formulairewaterloo-wellington-fracces-coordonne-aux-lits formulaire
Palliative Care In-Patient Referral – Form 279

FAX COMPLETED FORM TO Ontario Health atHome: 519-742-0635
How is Crisis defined?
A patient is considered to be “In Crisis” if:
1. Patient and/or caregiver safety is at risk and/or there is a risk that a significant health event and/or challenging end-of-life symptoms cannot be managed in their current setting
2. Patient at risk of requiring ED or acute care admission
3. Community resources have been exhausted and family/ caregivers are unable to cope with the patient’s care needs
4. There is a risk that the services required to meet the patient’s end-of-life care plan goals may not be available in their current setting
5. Patient at risk of not accessing their preferred place of death (considering recent trajectory of the PPS score).

Coordinated Bed Access, Formswaterloo-wellingtoncba forms
Your Guide to Palliative Approach to Care

A Palliative Approach to Care – Ontario Health atHome in the area of Hamilton Niagara Haldimand Brant and Burlington provides home and community care and services including care coordination for people who are living with a progressive, life limiting illness.

Guidehamilton-niagara-haldimand-brantguide
Information about Palliative Symptom Response Medication

Information sheet for patients and families.

Forms, Information Sheethamilton-niagara-haldimand-brantforms information-sheet
Complex Medical and Long-Term Vent Referral Form

Form 550A – Fax completed form to 519-742-0635
Referrals are coordinated by Ontario Health atHome Waterloo Wellington. Your health care team will be sharing your medical and personal information with Ontario Health atHome WW and the rehabilitative care program. Ontario Health atHome WW will add your name to the waiting list. Your initials and gender will be accessible to Ontario Health atHome WW’s other hospital partners.

Coordinated Bed Access, Formswaterloo-wellingtoncba forms
Long-Term Care Homes in Chatham-Kent

Home and Community Care Support Services Erie St. Clair care coordinators assist you and your family in the long-term care home admission process.

Information Sheeterie-st-clairinformation-sheet
Long-Term Care Homes in Windsor Essex – EN

Home and Community Care Support Services Erie St. Clair care coordinators assist you and your family in the long-term care home admission process.

Information Sheeterie-st-clairinformation-sheet
Feedback Complaints Appeals

Ontario Health atHome welcomes feedback from our patients, their families, and caregivers. Compliments, concerns, complaints, and other inquiries help us measure our performance, enhance the patient experience, and continually improve our Home and Community Care programs and services. To provide feedback, please contact your Care Coordinator.

Information Sheeterie-st-clairinformation-sheet
Services de santé mentale pour adultes

Pour obtenir des services de santé mentale pour adultes Il y a de nombreux services de santé mentale qui peuvent vous aider dans notre communauté. Vous ne savez pas trop par où commencer? Appelez Here 24/7, n’importe quand, au 1 844 437-3247 pour vous renseigner sur les services communautaires offerts à vous et à votre famille.

Fiche d’informationwaterloo-wellington-frinformation-sheet-fr
Adult Mental Health Services

Accessing Adult Mental Health services
There are many mental health services available to support you in our community.
Not sure where to start? Call Here 24/7 anytime at 1-844-437-3247 to learn about community services available for you and your family.

Information Sheetwaterloo-wellingtoninformation-sheet
Palliative Care Services Info Sheet

Ontario Health atHome connects, supports, and cares for patients who have a life-limiting illness. Our skilled team helps patients and families understand their options and provides support for their choices.

Information Sheeterie-st-clairinformation-sheet
Going Home – Discharge from Hospital

Your Recovery at Home
Ask your health care team to help you identify the changes you can expect to your routine and the support you will need.
You may require help with your personal care, taking medication, using equipment, housekeeping, getting to medical appointments and other daily activities.

Your health care team will help connect you to care you need in the community.

Information Sheetwaterloo-wellingtoninformation-sheet
Rapid Recovery Therapy Program – EN

WW Rapid Recovery Therapy Program_ENG

Information Sheetwaterloo-wellingtoninformation-sheet
Rapid Response Nurses Waterloo Wellington

Ontario Health atHome Rapid Response Nurses (RRNs) provide complex patients with an intensive level of assessment to ensure medications are taken as instructed; follow-up doctors’ visits are made and kept, and ongoing clinical assessments continue through constant monitoring for up to 30 days after leaving hospital or after referral from a community service agency

Information Sheetwaterloo-wellingtoninformation-sheet
Managing Total Parenteral Nutrition – EN

WW Managing Total Parenteral Nutrition_ENG

Information Sheetwaterloo-wellingtoninformation-sheet
Clinique d’évaluation orthopédique

Vous avez été dirigé vers la Clinique régionale d’évaluation orthopédique de Waterloo Wellington, qui se spécialise dans l’évaluation de l’arthrose de la hanche et du genou. Le service d’admission centralisée pour l’orthopédie coordonnera votre rendez-vous. On communiquera avec vous pour -xer une date et heure. Les temps d’attente pour un rendez-vous varient entre 12 et 16 semaines.

Fiche d’informationwaterloo-wellington-frinformation-sheet-fr
Orthopedic Assessment Clinics

Your Assessment Visit You have been referred to the Waterloo Wellington Regional Orthopedic Assessment Clinic (OAC). The OAC is a specialized clinic that assesses hip and knee osteoarthritis. Your appointment will be coordinated by Orthopedic Central Intake. You will be called to schedule an appointment. Your wait time could be anywhere from 12-16 weeks for an appointment.

Information Sheetwaterloo-wellingtoninformation-sheet
Centre de soins de physiothérapie CarePartners

Vous avez été adressé au Centre de soins de physiothérapie pour appuyer votre rétablissement après une arthroplastie totale. Vous aurez accès à des physiothérapeutes hautement qualifiés ainsi que des assistants en
physiothérapie qui vous aideront à optimiser votre rétablissement. Les services de physiothérapie sont entièrement gratuits.

Pour prendre rendez-vous :
Veuillez appeler le Centre de soins de
physiothérapie pour fixer votre premier rendez
vous. Fixez un rendez-vous en composant le : 519 804-1154

Fiche d’informationwaterloo-wellington-frinformation-sheet-fr
CarePartners Physiotherapy Care Centre for Hip-Knee Replacement

You’ve been referred to the Physiotherapy Care Centre to support your recovery from a total joint replacement. You will have access to highly qualified physiotherapists and physiotherapist assistants who will help you optimize your recovery. There is no cost to you for your physiotherapy.

How to schedule your appointment:
Please call the Physiotherapy Care Centre to schedule your first appointment. Call to book your appointment: 519-804-1154

Information Sheetwaterloo-wellingtoninformation-sheet
MAID Referral Form

South West MAID referral form

Formssouth-westforms
Mental Health and Addictions Nursing Program (MHAN) Referral Form

Please FAX Completed Referral to: Ontario Health atHome School Health Support Services Team VIP Fax Line: Toll Free 1-844-800-4578
Ontario Health atHome School Health Support Services Team VIP Line: Toll Free 1-877-900-5667
An Ontario Health atHome MHAN will contact the student or parent/guardian to determine/confirm consent for appropriate referrals.

Formssouth-westforms
Long-Term Care Home Listing

Long-Term Care Home Listing in Cambridge, Guelph, Waterloo Region and Wellington County

Information Sheetwaterloo-wellingtoninformation-sheet
Supporting you to live at home – The Integrated Assisted Living Program for Seniors

The Integrated Assisted Living Program for seniors will help you live independently at home with the support you need.

  • A care coordinator can connect you to the help you need for personal care and everyday tasks.
  • If you are returning home following a hospital stay, a care coordinator can also help you get the personal care and community support you need.
  • There is no cost to you for the personal support services that are arranged through Ontario Health atHome.
Information Sheetwaterloo-wellingtoninformation-sheet
Foyer de soins de longue durée – London et dans le comté de Middlesex

Les coordonnateurs des soins vous aident, vous et votre famille, dans le processus d’admission en foyer de soins de longue durée. Lorsque vous faites une demande d’admission, nous vous encourageons à choisir cinq maisons. On vous proposera le premier disponible.

Guidesud-ouestguide-fr
Long-Term Care Homes – London and Middlesex County

Care coordinators assist you and your family in the long-term care home admission process. When you apply for admission, you are encouraged to choose five homes. You will be offered the first one available.

Guidesouth-westguide
Foyer de soins de longue durée le comtés d’Oxford et de Norfolk

Les coordonnateurs des soins vous aident, vous et votre famille, dans le processus d’admission en foyer de soins de longue durée. Lorsque vous faites une demande d’admission, nous vous encourageons à choisir cinq maisons. On vous proposera le premier disponible.

Fiche d’information, Guidesud-ouestinformation-sheet-fr guide-fr
Long-Term Care Homes, Oxford and Norfolk Counties

Care coordinators assist you and your family in the long-term care home admission process. When you apply for admission, you are encouraged to choose five homes. You will be offered the first one available.

Guide, Information Sheetsouth-westguide information-sheet
Long Term Care Area Lists, Huron

Care coordinators assist you and your family in the long-term care home admission process. When you apply for admission, you are encouraged to choose five homes. You will be offered the first one available.

Guidesouth-westguide
Foyer de soins de longue durée Le comté de Grey

Les coordonnateurs des soins vous aident, vous et votre famille, dans le processus d’admission en foyer de soins de longue durée. Lorsque vous faites une demande d’admission, nous vous encourageons à choisir cinq maisons. On vous proposera le premier disponible.
Avant de présenter votre demande, assurez-vous de visiter les maisons qui vous intéressent. C’est à vous de faire des arrangements de visite en contactant directement les maisons. Des visites vidéo des foyers de soins de longue durée peuvent être visionnées à l’adresse www.lignesantesud-ouest.ca (S’ouvre dans un nouvel onglet) .

Guidesud-ouestguide-fr
Long Term Care Area Lists Grey

Care coordinators assist you and your family in the long-term care home admission process. When you apply for admission, you are encouraged to choose five homes. You will be offered the first one available.
Before you apply, be sure to tour the homes that interest you. It’s up to you to make tour arrangements by contacting the homes directly. Video tours of long-term care homes can be viewed at www.southwesthealthline.ca (opens in a new tab) . Ask your care coordinator for information about long-term care homes in other counties in South West Ontario.

Guidesouth-westguide
Foyer de soins de longue durée dans le comté d’Elgin

Les coordonnateurs des soins vous aident, vous et votre famille, dans le processus d’admission en foyer de soins de longue durée. Lorsque vous faites une demande d’admission, nous vous encourageons à choisir cinq maisons. On vous proposera le premier disponible.
Demandez à votre coordonnateur des soins des renseignements sur les foyers de soins de longue durée dans d’autres comtés du Sud-Ouest de

Guidesud-ouestguide-fr
Long Term Care Area Lists Elgin County

Care coordinators assist you and your family in the long-term care home admission process. When you apply for admission, you are encouraged to choose five homes. You will be offered the first one available. Ask your care coordinator for information about long-term care homes in other counties in South West Ontario.

Guidesouth-westguide
Cliniques de soins in rmiers communautaires

Santé à domicile Ontario exploite plus de 135 cliniques de soins in rmiers communautaires, fournissant des soins in rmiers spécialisés de haute qualité, sans frais.
Nos cliniques sont à des endroits accessibles, sur rendez-vous seulement, mais nombreuses parmielles ont des heures d’ouverture prolongées

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Community Nursing Clinics

Ontario Health atHome operates over 135 community nursing clinics to provide free, high-quality, specialized nursing care.
All of our clinics are by appointment only, in accessible locations, and many have extended operating hours.

Information Sheeterie-st-clairinformation-sheet
Cliniques de soins infirmiers communautaires

Santé à domicile Ontario exploite plus de 135 cliniques de soins infirmiers communautaires, fournissant des soins infirmiers spécialisés de haute qualité, sans frais. Nos cliniques sont à des endroits accessibles, sur rendez-vous seulement, mais nombreuses parmi elles ont des heures d’ouverture prolongées.

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Community Nursing Clinics

Ontario Health atHome operates over 135 community nursing clinics to provide free, high-quality, specialized nursing care.
All of our clinics are by appointment only, in accessible locations, and many have extended operating hours. Community nursing clinics provide publicly-funded, patient-centred, high-quality, specialized nursing care.

Information Sheethamilton-niagara-haldimand-brantinformation-sheet
Wound Consult Request – Virtual

A referral form to request a virtual wound consult with an NSWOC/WCS/ET or Nurse Practitioner from the South West Regional Wound Care Program.

Formssouth-westforms
Pain and Symptom Management Orders

Please complete and fax order form to Ontario Health atHome: 519-472-4045 or 1-855-539-6970
For any additional inquiries please call Ontario Health atHome at 1-855-474-5754

Formssouth-westforms
Niagara Palliative Care Outreach Team (PCOT) Referral Form

The Niagara Palliative Care Outreach Team (PCOT) is a group of specialists, including Nurse Practitioners, Palliative Care Clinician, Navigator and Psychosocial Counsellors.
The services available are:

  • Complex pain & symptom management support for end-of-life issues
  • Psychosocial-spiritual support, including bereavement follow-up
  • Mentorship & coaching
Formshamilton-niagara-haldimand-brantforms
Symptom Response Kit Prescription Form

SRK is a temporary or short term solution only.

  • The SRK are MD/NP orders to be implemented by a nurse (RN, RPN) when symptoms require urgent intervention to manage acute symptoms and facilitate a comfortable death at home.
  • The MRP/NP is to be notified as soon as possible regarding changes in condition necessitating the initiation of orders.
  • ALL requested medications must be checked off in the form.
Formulairesud-ouestformulaire
Symptom Response Kit Prescription Form

SRK is a temporary or short term solution only.

  • The SRK are MD/NP orders to be implemented by a nurse (RN, RPN) when symptoms require urgent intervention to manage acute symptoms and facilitate a comfortable death at home.
  • The MRP/NP is to be notified as soon as possible regarding changes in condition necessitating the initiation of orders.
  • ALL requested medications must be checked off in the form.
Formssouth-westforms
Adult Parenteral Antibiotic Therapy Order Form

Orders are processed between 8 am– 8pm, 7days/week and require a minimum 4-hour turn around window.
Ontario Health atHome uses a Clinic First Approach to service delivery.

Formulaireformulaire
Foyer de soins de longue durée – Le comté de Bruce

Les coordonnateurs des soins vous aident, vous et votre famille, dans le processus d’admission en foyer de soins de longue durée. Lorsque vous faites une demande d’admission, nous vous encourageons à choisir cinq maisons. On vous proposera le premier disponible.

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Long-Term Care Homes – Bruce County

Care coordinators assist you and your family in the long-term care home admission process. When you apply for admission, you are encouraged to choose five homes. You will be offered the first one available.

Guidesouth-westguide
Centralized Diabetes Intake Referral Form

For Access to Diabetes Education Programs and the Centre for Complex Diabetes Care
Phone: 1-888-997-9996
Fax: 1-905-444-2544
Toll-Free Fax: 1-844-731-2161

Formscentral-eastforms
Programme de soins de convalescence

Que sont les soins de convalescence?
Dans le cadre de ce programme de séjour de courte durée, des soins sont fournis jour et nuit dans des foyers de soins de longue durée aux personnes provenant de l’hôpital ou de la communauté qui ont besoin de services médicaux et de services de thérapie particuliers pour retrouver leurs forces, leur endurance et leur mobilité. Le but consiste à permettre aux patients de recouvrer la capacité fonctionnelle nécessaire pendant qu’ils reçoivent des soins de convalescence pour assurer leur sécurité et leur confort dans leur communauté.

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Convalescent Care Program

What is Convalescent Care?
This short stay program provides 24-hour care in long-term care homes for people from hospitals or the community who need specific medical and therapy services to regain their strength, endurance and mobility. The goal is for patients to regain significant function during their time in convalescent care to return safely and comfortably to their community.

Formschamplainforms
Lignesanté Sud-Est – Fiche d’information

LignesantéSud-Est.ca (S’ouvre dans un nouvel onglet)
est une base de données générale qui contient des renseignements sur les services de santé et qui permet aux utilisateurs de naviguer plus facilement dans un système de soins de santé complexe.
Renfermant près de 2 500 services, cette source d’information fiable et facile d’accès aide les gens à trouver les services dont ils ont besoin au sein de leur communauté locale.

Fiche d’informationsud-estinformation-sheet-fr
South East Healthline Fact Sheet

SouthEasthealthline.ca (opens in a new tab)
is a consolidated database and resource tool that provides health service information and helps users better navigate a complex health care system. With nearly 2,500 service listings, this source of easily accessible, reliable information connects people with health services in their local community.

Information Sheetsouth-eastinformation-sheet
Programme de relève et de réduction de la détresse des soignants

Qu’est-ce que le Programme de relève et de réduction de la détresse des soignants?
Votre coordonnateur de soins a déterminé que vous êtes admissible au Programme de relève et de réduction de la détresse des soignants. Le programme prévoit un soutien supplémentaire fourni par les préposés aux services de soutien à la personne (PSSP) pour assurer un répit temporaire aux soignants, réduire le fardeau de ces derniers et/ou éviter l’épuisement professionnel.

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Caregiver Distress Program

What is the Caregiver Distress Respite Program?
Your Care Coordinator has determined that you are eligible for this program that offers support to caregivers. To give caregivers temporary respite, the program provides the patient with additional support from personal support workers (PSWs). The aim is to reduce caregiver burden and/or avoid burnout.

Formschamplainforms
Program d’infirmières praticiennes et d’infirmiers praticiens en soins palliatifs

Dans le cadre du programme, une équipe d’infirmières praticiennes et d’infirmiers praticiens dévoués fournit des soins cliniques directs aux patients qui ont des besoins complexes en soins palliatifs, y compris la gestion des douleurs et des symptômes.

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Hospice Palliative Care Nurse Practitioner Program

Ontario Health atHome’s HPCNP Program is comprised of a dedicated team of nurse practitioners (NPs) providing direct clinical care to patients with complex palliative needs, including pain and symptom management.

Information Sheetsouth-eastinformation-sheet
Personnel infirmier d’intervention rapide

Le Programme d’intervention rapide en soins infirmiers offre aux patients ayant des problèmes de santé complexes et à leur famille un soutien direct durant la transition de l’hôpital au domicile.

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Rapid Response Nurses

The Rapid Response Nursing program provides direct support between hospital discharge and home, for some patients and families dealing with complex conditions.

Information Sheetsouth-eastinformation-sheet
Physician Notification of Concern or Compliment – EN

Formssouth-westforms
Carte des cliniques de soins infirmiers communautaires

Trouvez une clinique de soins infirmiers dans la région du Sud-Ouest (février 2026).

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Community Nursing Clinics Map

Find a nursing clinic near in the South West region as of July 2026.

Information Sheetsouth-westinformation-sheet
ARCHES – Short-Term Transitional Care Program

Through our Available Retirement Care Home Enhanced Supports (ARCHES) to Care Beds Program, we are able to help you move from the hospital to a retirement residence with enhanced supports where you can make important decisions about your future care and living arrangements.

Information Sheetsouth-westinformation-sheet
Wound Care Program

Integrated Skin and Wound Care in the Central East Area
Ontario Health atHome advocates and leads an integrated, evidence-informed Wound Care program that spans the continuum of care and drives improvement in the outcomes for people with skin and wound care issues in the Central East area.

Information Sheetcentral-eastinformation-sheet
Rapid Response Nurses Fact Sheet

Rapid Response Nurses Fact Sheet. Rapid Response Nursing (RRN) Program. Effective transitions between hospital and home are recognized as critical to achieving good outcomes for individuals and avoiding rehospitalization. The RRN Program is committed to providing services that help to ensure your transition from hospital to home is successful.

Information Sheetcentral-eastinformation-sheet
Telehomecare Fact Sheet for Doctors

Remote monitoring and intensive health coaching program for COPD & heart failure.
Telehomecare is a six-month program that links patients with COPD or heart failure to Registered Nurses who provide remote monitoring and regular health coaching.
Patients become partners in their own care – right in their own homes.

Information Sheetcentral-eastinformation-sheet
Community Palliative Care Nurse Practitioner Program Fact Sheet

Community Palliative Care Nurse Practitioner (CPCNP) Program. The CPCNP will provide expert palliative care to patients with complex needs. Patients will be supported to live comfortably at home at the end of their lives, and if wished, to die at home. The CPCNP Program is part of the Ontario governments’ 9000 Nurses commitment, a key component of Ontario’s health human resources strategy.

Information Sheetcentral-eastinformation-sheet
Service d’accueil central en matière de diabète Feuille de renseignements

Le Service d’accueil central en matière de diabète est un service de renvoi simplifié et intégré pour les personnes qui vivent avec le diabète ou sont à risque de développer cette maladie.

Santé à domicile Ontario offre un Service d’accueil central en ma?ère de diabète pour permetre aux patients vivant avec le diabète ou à risque de développer cete maladie d’accéder à des programmes d’éducation en matière de diabète (PED) ou au Centre de soins complexes aux diabétiques (CSCD).

Fiche d’informationcentre-estinformation-sheet-fr
Centralized Diabetes Intake Fact Sheet

The Centralized Diabetes Intake is a streamlined and integrated referral service for people living with or at risk of developing diabetes.
Centralized Diabetes Intake (CDI) is provided by Ontario Health atHome to link patients living with or at risk of developing diabetes to Diabetes Education Programs (DEP) or the Central East Centre for Complex Diabetes Care (CCDC).

Information Sheetcentral-eastinformation-sheet
Form 552 CBA Bed Vacancy Notification

Form 552, Notification of Rehabilitative Care, Palliative Care, Transitional Care or Residential Hospice Bed Vacancy

Formswaterloo-wellingtonforms
People Strategy 2024/25 French

Home and Community Care Support Services’ People Strategy is our roadmap to help shape the way we lead, engage and develop our people to enhance our organization.

Guideglobalguide
People Strategy 2024/25

Home and Community Care Support Services’ People Strategy is our roadmap to help shape the way we lead, engage and develop our people to enhance our organization.

Guideglobalguide
Board Expense Report: Q4 2023/24

Home and Community Care Support Services Board of Directors Expense Report for Q4 2023/24 Fiscal Year

BPSAA, Expense Reportsglobalbpsaa expense-reports
Executive Leadership Expense Report: Q4 2023/24

Home and Community Care Support Services Executive Leadership Expense Report for Q4 2023/24 Fiscal Year

BPSAA, Expense Reportsglobalbpsaa expense-reports
Home Parenteral Nutrition Order Form

To order care relating to Home Parenteral Nutrition in the South East. NOTE: Minimum 48-72 hours notice required.

Formssouth-eastforms
Long-Term Care Homes Sarnia-Lambton – EN

Home and Community Care Support Services Erie St. Clair care coordinators assist you and your family in the long-term care home admission process.

Information Sheeterie-st-clairinformation-sheet
LRSP Attestation – T2 2022

Waterloo Wellington Attestation en vertu de la Loi sur la responsabilisation du secteur parapublic (LRSP) | 2021-2022 T2

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LRSP Attestation – T2 2022

Centre-Toronto Attestation en vertu de la Loi sur la responsabilisation du secteur parapublic (LRSP) | 2021-2022 T2

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LRSP Attestation – T2 2022

Sud-Ouest Attestation en vertu de la Loi sur la responsabilisation du secteur parapublic (LRSP) | 2021-2022 T2

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LRSP Attestation – T2 2022

Sud-Est Attestation en vertu de la Loi sur la responsabilisation du secteur parapublic (LRSP) | 2021-2022 T2

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LRSP Attestation – T2 2022

Nord-Ouest Attestation en vertu de la Loi sur la responsabilisation du secteur parapublic (LRSP) | 2021-2022 T2

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LRSP Attestation – T2 2022

Simcoe Nord Muskoka Attestation en vertu de la Loi sur la responsabilisation du secteur parapublic (LRSP) | 2021-2022 T2

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LRSP Attestation – T2 2022

Nord-Est Attestation en vertu de la Loi sur la responsabilisation du secteur parapublic (LRSP) | 2021-2022 T2

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LRSP Attestation – T2 2022

Mississauga Halton Attestation en vertu de la Loi sur la responsabilisation du secteur parapublic (LRSP) | 2021-2022 T2

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LRSP Attestation – T2 2022

Attestation en vertu de la Loi sur la responsabilisation du secteur parapublic (LRSP) | 2021-2022 T2

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LRSP Attestation – T2 2022

Erie St. Clair Attestation en vertu de la Loi sur la responsabilisation du secteur parapublic (LRSP) | 2021-2022 T2

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LRSP Attestation – T2 2022

Central West Attestation en vertu de la Loi sur la responsabilisation du secteur parapublic (LRSP) | 2021-2022 T2

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LRSP Attestation – T2 2022

Champlain Attestation en vertu de la Loi sur la responsabilisation du secteur parapublic (LRSP) | 2021-2022 T2

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LRSP Attestation – T2 2022

Attestation en vertu de la Loi sur la responsabilisation du secteur parapublic (LRSP) | 2021-2022 T2

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LRSP Attestation – T2 2022

Centre-Est Attestation en vertu de la Loi sur la responsabilisation du secteur parapublic (LRSP) | 2021-2022 T2

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LRSP Attestation – T2 2023

Waterloo Wellington Attestation en vertu de la Loi sur la responsabilisation du secteur parapublic (LRSP) | 2022-2023 T2

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LRSP Attestation – T2 2023

Centre-Toronto Attestation en vertu de la Loi sur la responsabilisation du secteur parapublic (LRSP) | 2022-2023 T2

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LRSP Attestation – T2 2023

Sud-Ouest Attestation en vertu de la Loi sur la responsabilisation du secteur parapublic (LRSP) | 2022-2023 T2

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LRSP Attestation – T2 2023

Sud-Est Attestation en vertu de la Loi sur la responsabilisation du secteur parapublic (LRSP) | 2022-2023 T2

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LRSP Attestation – T2 2023

Nord-Ouest Attestation en vertu de la Loi sur la responsabilisation du secteur parapublic (LRSP) | 2022-2023 T2

BPSAAnorth-westbpsaa
LRSP Attestation – T2 2023

Simcoe Nord Muskoka Attestation en vertu de la Loi sur la responsabilisation du secteur parapublic (LRSP) | 2022-2023 T2

BPSAAnorth-simcoe-muskokabpsaa
LRSP Attestation – T2 2023

North East Attestation en vertu de la Loi sur la responsabilisation du secteur parapublic (LRSP) | 2022-2023 T2

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LRSP Attestation – T2 2023

Mississauga Halton Attestation en vertu de la Loi sur la responsabilisation du secteur parapublic (LRSP) | 2022-2023 T2

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LRSP Attestation – T2 2023

Hamilton Niagara Haldimand Brant Attestation en vertu de la Loi sur la responsabilisation du secteur parapublic (LRSP) | 2022-2023 T2

BPSAAhamilton-niagara-haldimand-brantbpsaa
LRSP Attestation – T2 2023

Erie St. Clair Attestation en vertu de la Loi sur la responsabilisation du secteur parapublic (LRSP) | 2022-2023 T2

BPSAAerie-st-clairbpsaa
LRSP Attestation – T2 2023

Centre-Ouest Attestation en vertu de la Loi sur la responsabilisation du secteur parapublic (LRSP) | 2022-2023 T2

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LRSP Attestation – T2 2023

Champlain Attestation en vertu de la Loi sur la responsabilisation du secteur parapublic (LRSP) | 2022-2023 T2

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LRSP Attestation – T2 2023

Centre Attestation en vertu de la Loi sur la responsabilisation du secteur parapublic (LRSP) | 2022-2023 T2

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LRSP Attestation – T2 2023

Centre-Est Attestation en vertu de la Loi sur la responsabilisation du secteur parapublic (LRSP) | 2022-2023 T2

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BPSAA Attestation – Q2 2022

Waterloo Wellington Broader Public Sector Accountability Act (BPSAA) Attestation | 2021-2022 – Q2

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BPSAA Attestation – Q2 2022

Toronto Central Broader Public Sector Accountability Act (BPSAA) Attestation | 2021-2022 – Q2

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BPSAA Attestation – Q2 2022

South West Broader Public Sector Accountability Act (BPSAA) Attestation | 2021-2022 – Q2

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BPSAA Attestation – Q2 2022 – English

South East Broader Public Sector Accountability Act (BPSAA) Attestation | 2021-2022 – Q2

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BPSAA Attestation – Q2 2022

North West Broader Public Sector Accountability Act (BPSAA) Attestation | 2021-2022 – Q2

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BPSAA Attestation – Q2 2022 – English

North Simcoe Muskoka Broader Public Sector Accountability Act (BPSAA) Attestation | 2021-2022 – Q2

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BPSAA Attestation – Q2 2022

North East Broader Public Sector Accountability Act (BPSAA) Attestation | 2021-2022 – Q2

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BPSAA Attestation – Q2 2022

Mississauga Halton Broader Public Sector Accountability Act (BPSAA) Attestation | 2021-2022 – Q2

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BPSAA Attestation – Q2 2022

Hamilton Niagara Haldimand Brant Hamilton Niagara Haldimand Brant Broader Public Sector Accountability Act (BPSAA) Attestation | 2021-2022 – Q2

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BPSAA Attestation – Q2 2022 – English

Erie St. Clair Broader Public Sector Accountability Act (BPSAA) Attestation | 2021-2022 – Q2

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BPSAA Attestation – Q2 2022

Central West Broader Public Sector Accountability Act (BPSAA) Attestation | 2021-2022 – Q2

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BPSAA Attestation – Q2 2022

Champlain Broader Public Sector Accountability Act (BPSAA) Attestation | 2021-2022 – Q2

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BPSAA Attestation – Q2 2022

Central Broader Public Sector Accountability Act (BPSAA) Attestation | 2021-2022 – Q2

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BPSAA Attestation – Q2 2022

Central East Broader Public Sector Accountability Act (BPSAA) Attestation | 2021-2022 – Q2

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BPSAA Attestation – Q2 2023

Waterloo Wellington Broader Public Sector Accountability Act (BPSAA) Attestation | 2022-2023 – Q2

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BPSAA Attestation – Q2 2023

Toronto Central Broader Public Sector Accountability Act (BPSAA) Attestation | 2022-2023 – Q2

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BPSAA Attestation – Q2 2023

South West Broader Public Sector Accountability Act (BPSAA) Attestation | 2022-2023 – Q2

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BPSAA Attestation – Q2 2023

South East Broader Public Sector Accountability Act (BPSAA) Attestation | 2022-2023 – Q2

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BPSAA Attestation – Q2 2023

North West Broader Public Sector Accountability Act (BPSAA) Attestation | 2022-2023 – Q2

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BPSAA Attestation – Q2 2023

North Simcoe Muskoka Broader Public Sector Accountability Act (BPSAA) Attestation | 2022-2023 – Q2

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BPSAA Attestation – Q2 2023

North East Broader Public Sector Accountability Act (BPSAA) Attestation | 2022-2023 – Q2

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BPSAA Attestation – Q2 2023

Mississauga Halton Broader Public Sector Accountability Act (BPSAA) Attestation | 2022-2023 – Q2

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BPSAA Attestation – Q2 2023

Hamilton Niagara Haldimand Brant Hamilton Niagara Haldimand Brant Broader Public Sector Accountability Act (BPSAA) Attestation | 2022-2023 – Q2

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BPSAA Attestation – Q2 2023

Broader Public Sector Accountability Act (BPSAA) Attestation | 2022-2023 – Q2

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BPSAA Attestation – Q2 2023

Central West Broader Public Sector Accountability Act (BPSAA) Attestation | 2022-2023 – Q2

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BPSAA Attestation – Q2 2023

Broader Public Sector Accountability Act (BPSAA) Attestation | 2022-2023 – Q2

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BPSAA Attestation – Q2 2023

Central Broader Public Sector Accountability Act (BPSAA) Attestation | 2022-2023 – Q2

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BPSAA Attestation – Q2 2023

Central East Broader Public Sector Accountability Act (BPSAA) Attestation | 2022-2023 – Q2

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Board Expense Report: Q1 2022/23

Board Expense Report for Q1 2022/23 Fiscal Year

BPSAA, Expense Reportsglobalbpsaa expense-reports
Board Expense Report: Q4 2022/23

Board Expenses Report for Q4 2022-23 Fiscal Year

BPSAA, Expense Reportsglobalbpsaa expense-reports
Board Expense Report: Q1 2023/24

Board Expense Report for Q1 2023/24 Fiscal Year

BPSAA, Expense Reportsglobalbpsaa expense-reports
Board Expense Report: Q4 2021/22

Board Expense Report for Q4 2021/22 Fiscal Year

BPSAA, Expense Reportsglobalbpsaa expense-reports
Board Expense Report: Q2 2023/24

Board Expense Report for Q2 2023/24 Fiscal Year

BPSAA, Expense Reportsglobalbpsaa expense-reports
Board Expense Report: Q3 2023/24

Board Expense Report for Q3 2023/24 Fiscal Year

BPSAA, Expense Reportsglobalbpsaa expense-reports
Executive Leadership Expense Report: Q3 2023/24

Executive Leadership Expense Report for Q3 2023/24 Fiscal Year

BPSAA, Expense Reportsglobalbpsaa expense-reports
Programme de soins à domicile gérés par la famille

Fiche d’information pour les patients et les familles
En quoi consiste le Programme de soins à domicile gérés par la famille?
Le Programme de soins à domicile gérés par la famille, également connu sous le nom de soins autogérés, fournit aux patients admissibles ou à leur mandataire spécial un financement pour acheter des services de soins infirmiers et de soutien à la personne ou pour retenir les services de fournisseurs de services de soins à domicile, tel que décrit dans le plan de soins du ou de la patient.e élaboré par Santé à domicile Ontario.

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Family-Managed Home Care – Fact Sheet for Patients & Families

The Family-Managed Home Care (FMHC) program (also known as Self-Directed Care) provides eligible patients or their substitute decision-maker (SDM) with funding
they can use to purchase services, such as personal support and nursing, or employ care providers to deliver the home care services set out in the patient’s care plan
developed by Ontario Health atHome.

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Telehomecare Covid-19 Pathway Referral Form

Patients enrolled in the COVID-19 Remote Monitoring Program use an app on their smartphone to report their symptoms to their nurse.

Formsnorth-simcoe-muskokaforms
COVID-19 Remote Monitoring Program Referral Form

Patients enrolled in the COVID-19 Remote Monitoring Program use an app on their smartphone to report their symptoms to their nurse.

Formssouth-eastforms
WRH-Ouellette Campus Inpatient Referral and Treatment Form

Windsor Regional Hospital – Ouellette Campus inpatient referral and treatment form

Chatham Site – Fax: 519-351-5842
Sarnia Site – Fax: 519-337-4331
Windsor Site – Fax: 519-258-6288

Formserie-st-clairforms
COVID-19 Remote Monitoring Program Referral Form

Patients enrolled in the COVID-19 Remote Monitoring Program use an app on their smartphone to report their symptoms to their nurse.

Formsnorth-westforms
Infusion Therapy – IV Remdesivir Referral Form

North East – Referral form for administering COVID-19 antivirals in North East community nursing clinics.

Formsnorth-eastforms
Application for School Health Support Services

Application for School Health Support Services for the PDSB, DPCDSB, UGDSB, YRDSB, YRCDSB, TDSB, TCDSB, and other school boards

Formscentral-westforms
Telehomecare Patient Information

Telehomecare is a six-month program designed to support patients with self management of congestive heart failure and chronic obstructive pulmonary disease through remote monitoring, coaching, and education provided by specially trained nurses.

Information Sheetsouth-westinformation-sheet
Le programme de soins de relève de courte durée, Soins de relève de courte liste de vérification vérification des conseils

Le programme de soins de relève de courte durée offert dans des foyers de soins de longue durée comprend des caractéristiques importantes que les participants ou leur représentant doivent comprendre. Lors de la consultation, le coordonnateur de soins suit la présente liste de vérification afin de s’assurer que le patient capable, le procureur ou le mandataire spécial comprenne bien en quoi consiste le programme.

Formulairechamplain-frformulaire
Short-Stay Respite Counselling Checklist for Community Patients

The Short-Stay Respite in Long-Term Care Homes (SSR-LTCH) program includes important features that participants or their designate need to understand. During the required counselling, the Care Coordinator uses this checklist to ensure the capable patient (patient), Power of Attorney (POA), or Substitute Decision Maker (SDM) fully understands the program.

Formschamplainforms
Liste de foyers de soins de longue durée offrant des soins de relève de courte durée

Le présent document s’adresse aux patients qui envisagent un séjour pour soins de relève de courte durée dans un foyer de soins de longue durée ainsi qu’à leurs aidants. Les renseignements ci-après vous aideront à prendre une décision, car ils indiquent ce qu’offrent aux résidents les différents programmes de soins de relève de courte durée.
Nous encourageons fortement les patients et les aidants à effectuer des recherches sur les foyers qui les intéressent et à les visiter. Il est important d’obtenir tous les renseignements pour aider vous et votre famille à prendre des décisions éclairées concernant les foyers qui peuvent répondre aux besoins de votre être cher.
Le Programme de soins de relève de courte durée offre un répit aux aidants en leur donnant l’assurance que leur être cher reçoit les soins nécessaires, sur une base temporaire, dans l’un des foyers nommés ci-après. Santé à domicile Ontario gère et confirme les séjours en fonction de la disponibilité des lits.

Fiche d’informationchamplain-frinformation-sheet-fr
Short Stay Respite Home List

This document is for patients who are considering Short Stay Respite in long-term care homes and their caregivers. This information is provided to help with your decision-making and provide basic information about what different Short Stay Respite programs have to offer their residents.
We strongly encourage patients and caregivers to research and visit each home the patient is considering staying in. It is important to gather any and all information that would help your family make sound decisions on which homes would be suitable for your loved one.
Short-stay respite offers a break for caregivers and gives them peace of mind knowing that their loved one is being temporarily taken care of in one of the homes below. Ontario Health atHome manages and confirms bookings, based on availability.

Information Sheetchamplaininformation-sheet
Rapport annuel intégré 2022-2023

Services de soutien à domicile et en milieu communautaire – Rapport annuel intégré 2022-2023

Annual Reportsglobalannual-reports
HCCSS Annual Report 2022-2023

Home and Community Care Support Services – Consolidated Annual Report: 2022/23

Annual Reportsglobalannual-reports
PrVEKLURY® Remdesivir Infusion Referral Form

Central East, PrVEKLURY® Remdesivir Infusion Referral Form. Please ensure form is completed for accuracy.

Formscentral-eastforms
SPO Risk Assessment Addendum

Information Sheetglobalinformation-sheet
SPO Risk Assessment – FAQ

Received Questions and Answers on Risk Assessment – December 8, 2023

Information Sheetglobalinformation-sheet
Request for Release of Personal Health Information

Request for Release of Personal Health Information under the Personal Health Information Protection Act, 2004

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Personnes-ressources clés – dossiers et protection de la vie privée

Trouver les coordonnées de votre région par:

  • Dossiers de santé
  • Bureau de la protection de la vie privée
  • Freedom of Information Coordinator
Fiche d’informationglobal-frinformation-sheet-fr
Key Contacts – Privacy and Records

Find contact information for your local:

  • Health Records
  • Privacy Office
  • Freedom of Information Coordinator
Information Sheetglobalinformation-sheet
Above and Beyond, Caregiver Recognition Program – FAQ

The Above and Beyond -Caregiver Recognition Program celebrates and honours caregivers (family members, friends, neighbours, etc.) whose kindness, dedication, and support enables people to live at home despite the impacts of age, illness or disability.

Information Sheetglobalinformation-sheet
COVID-19 formulaire de renvoi vers le programme de surveillance

Les patients inscrits au programme de surveillance à distance utilisent une application sur leur téléphone intelligent pour communiquer leurs symptômes à l’infirmière.

Formscentral-eastforms
COVID-19 Remote Monitoring Program Referral Form

Patients enrolled in the COVID-19 Remote Monitoring Program use an app on their smartphone to report their symptoms to their nurse.

Formscentral-eastforms
Liste de choix de foyers de soins de longue durée

Le présent document s’adresse aux patients qui envisagent un placement dans un foyer de soins de longue durée ainsi qu’à leurs soignants. Les renseignements
ci-après vous aideront à prendre une décision, car ils indiquent ce qu’offrent aux résidents les différents foyers.
Nous encourageons fortement les patients et les soignants à effectuer des recherches sur les foyers qui les intéressent et à les visiter. Il est important d’obtenir
tous les renseignements pour aider vous et votre famille à prendre des décisions éclairées concernant les foyers qui peuvent répondre aux besoins de votre être
cher.

Fiche d’informationchamplain-frinformation-sheet-fr
Long-Term Care Home List

This document is for patients who are considering placement in long-term care homes and their caregivers. This information is provided to help you with decision-making and provides basic information about what different long-term care homes have to offer their residents.
We strongly encourage patients and caregivers to research and visit each home the patient is considering living in. It is important to gather all the information that would help your family make sound decisions on which homes would be suitable for your loved one.

Information Sheetchamplaininformation-sheet
Transitioning from Hospital to LTCH (Punjabi)

Patient Information – Transitioning from Hospital to LTCH (Punjabi)

Information Sheetglobalinformation-sheet
Transitioning from Hospital to LTCH (Farsi)

Patient Information – Transitioning from Hospital to LTCH (Farsi)

Information Sheetglobalinformation-sheet
Executive Leadership Expense Report: Q2 2023/24

Executive Leadership Expense Report for Q2 2023/24 Fiscal Year

Expense Reportsglobalexpense-reports
Diabetes Type 1 Request Treatment Order – EN

Request for Type 1 Diabetes Treatment Order

Formssouth-westforms
Palliative Care – Community Services Assessment Request

Hospital referrers, please contact the Ontario Health atHome hospital care coordinator prior to discharge for an assessment to inform service planning.
Please complete the referral form in its entirety and fax completed form to Ontario Health atHome: 519-472-3257
** The referral will be triaged based on the information provided in this form **

Formssouth-westforms
Patients dans la communauté – Liste de vérification des conseils pour admission en soins de longue durée

La liste de vérification qui suit est un outil de référence conçu pour aider les coordonnateurs de soins de Santé à domicile Ontario, les personnes qui soumettent une demande de placement en foyer de soins de longue durée ainsi que leurs mandataires spéciaux.
Vous trouverez ci dessous les points clés se rapportant au processus de demande de placement. Il faut les
cocher une fois que la coordonnatrice de soins aura communiqué les renseignements au demandeur ou à son mandataire spécial.

Formulairechamplain-frformulaire
Long-term Care Counselling Checklist for Community Patients

The following checklist is a reference tool for Ontario Health atHome care coordinators, individuals applying to long-term care and their substitute decision maker(s).
Key items related to the application process are listed below and are to be checked off after the information is provided by the care coordinator to the applicant and/or their substitute decision maker.

Formschamplainforms
Behavioural Support Outreach Team ED Program Information

The Behavioural Support Outreach Team-Emergency Department (BSOT-ED) program works in partnership with Behaviour Support Ontario (BSO) services led by Baycrest Health Sciences. The BSOT-ED program connects patients and families with the broader BSO programs in addition to responding to ED referrals.

Information Sheettoronto-centralinformation-sheet
Behavioural Specialized Units Quick Guide

Behavioural Specialized Units (BSU) serve patients who have a primary diagnosis of dementia and/or significant behavioural disturbances that cannot be managed in the community or a regular long-term care home.

Guidecentral-eastguide
Integrated Bruyere Outpatient and Community Stroke Rehabilitation Referral Form

Integrated Bruyere Outpatient and Community Stroke Rehabilitation Referral Form. Complete and fax to 613-745-8243
If patient requires only a physiatry consult, please use a standard medical consultation form instead

Formschamplainforms
Adult Infusion Therapy Intravenous Remdesivir Referral Form

Referral form for administering COVID-19 antivirals in North West community.

Formsnorth-westforms
Remdesivir Infusion Referral Forms and Procedures

Access to Remdesivir in the Community
Remdesivir is available to patients in the community through Ontario Health atHome. Prescribers in hospitals or in the community can refer a patient to their local Ontario Health atHome office for a nurse to administer Remdesivir infusions. Prescribers must complete the appropriate referral form(s) and submit to their local Ontario Health atHome office. An Ontario Health atHome care coordinator will follow up with the patient.

Guide, Information Sheetglobalguide information-sheet
Champlain Acquired Brain Injury System Navigation Services – FR

Services d’intervenant-pivot pour les personnes atteintes d’une lésion cérébrale acquise dans la région de Champlain

Information Sheetchamplaininformation-sheet
Champlain Acquired Brain Injury System Navigation Services – EN

Champlain Acquired Brain Injury System Navigation Services

Information Sheetchamplaininformation-sheet
Financial Statements 2022-23

États financiers vérifiés 2022-2023 – Français

Audited Financial Statementswaterloo-wellingtonaudited-financial-statements
Financial Statements 2022-23

États financiers vérifiés 2022-2023 – Français

Audited Financial Statementstoronto-centralaudited-financial-statements
Financial Statements 2022-23

États financiers vérifiés 2022-2023 – Français

Audited Financial Statementssouth-westaudited-financial-statements
Financial Statements 2022-23

États financiers vérifiés 2022-2023 – Français

Audited Financial Statementssouth-eastaudited-financial-statements
Financial Statements 2022-23

États financiers vérifiés 2022-2023 – Français

Audited Financial Statementsnorth-westaudited-financial-statements
Financial Statements 2022-23

États financiers vérifiés 2022-2023 – Français

Audited Financial Statementsnorth-simcoe-muskokaaudited-financial-statements
Financial Statements 2022-23

États financiers vérifiés 2022-2023 – Français

Audited Financial Statementsnorth-eastaudited-financial-statements
Financial Statements 2022-23

États financiers vérifiés 2022-2023 – Français

Audited Financial Statementsmississauga-haltonaudited-financial-statements
Financial Statements 2022-23

États financiers vérifiés 2022-2023 – Français

Audited Financial Statementshamilton-niagara-haldimand-brantaudited-financial-statements
Financial Statements 2022-23

États financiers vérifiés 2022-2023 – Français

Audited Financial Statementserie-st-clairaudited-financial-statements
Financial Statements 2022-23

États financiers vérifiés 2022-2023 – Français

Audited Financial Statementscentral-westaudited-financial-statements
Financial Statements 2022-23

États financiers vérifiés 2022-2023 – Français

Audited Financial Statementschamplainaudited-financial-statements
Financial Statements 2022-23

États financiers vérifiés 2022-2023 – Français

Audited Financial Statementscentralaudited-financial-statements
Financial Statements 2022-23

États financiers vérifiés 2022-2023 – Français

Audited Financial Statementscentral-eastaudited-financial-statements
Financial Statements 2022-23

2022-2023 Audited Financial Statements – English

Audited Financial Statementscentral-eastaudited-financial-statements
Financial Statements 2022-23

2022-2023 Audited Financial Statements – English

Audited Financial Statementschamplainaudited-financial-statements
Financial Statements 2022-23

2022-2023 Audited Financial Statements – English

Audited Financial Statementscentral-westaudited-financial-statements
Financial Statements 2022-23

2022-2023 Audited Financial Statements – English

Audited Financial Statementserie-st-clairaudited-financial-statements
Financial Statements 2022-23

2022-2023 Audited Financial Statements – English

Audited Financial Statementshamilton-niagara-haldimand-brantaudited-financial-statements
Financial Statements 2022-23

2022-2023 Audited Financial Statements – English

Audited Financial Statementsnorth-eastaudited-financial-statements
Financial Statements 2022-23

2022-2023 Audited Financial Statements – English

Audited Financial Statementsnorth-simcoe-muskokaaudited-financial-statements
Financial Statements 2022-23

2022-2023 Audited Financial Statements – English

Audited Financial Statementsnorth-westaudited-financial-statements
Financial Statements 2022-23

2022-2023 Audited Financial Statements – English

Audited Financial Statementssouth-eastaudited-financial-statements
Financial Statements 2022-23

2022-2023 Audited Financial Statements – English

Audited Financial Statementssouth-westaudited-financial-statements
Financial Statements 2022-23

2022-2023 Audited Financial Statements – English

Audited Financial Statementstoronto-centralaudited-financial-statements
Financial Statements 2022-23

2022-2023 Audited Financial Statements – English

Audited Financial Statementswaterloo-wellingtonaudited-financial-statements
Financial Statements 2022-23

2022-2023 Audited Financial Statements – English

Audited Financial Statementscentralaudited-financial-statements
Financial Statements 2022-23

2022-2023 Audited Financial Statements – English

Audited Financial Statementsmississauga-haltonaudited-financial-statements
Executive Leadership Expense Report: Q1 2023/24

Executive Leadership Expense Report for Q1 2023/24 Fiscal Year

Expense Reportsglobalexpense-reports
MAID Prescription Order Form

Central East Medical Assistance in Dying Prescription Order Form

Formscentral-eastforms
Symptom Management Kit Prescription/Order Form

Mississauga Halton Symptom Management Kit Prescription/Order Form

Formsmississauga-haltonforms
Priorités stratégiques 2023-2024

Annual Business Plansglobalannual-business-plans
Strategic Priorities 2023-2024

Annual Business Plansglobalannual-business-plans
Cliniques de soins infirmiers communautaires

Santé à domicile Ontario exploite plus de 135 cliniques de soins infirmiers communautaires, fournissant des soins infirmiers spécialisés de haute qualité, sans frais.

Nos cliniques sont à des endroits accessibles, sur rendez-vous seulement, mais nombreuses parmi elles ont des heures d’ouverture prolongées.

Fiche d’informationcentre-estinformation-sheet-fr
Community Nursing Clinics

Ontario Health atHome operates over 135 community nursing clinics to provide free, high-quality, specialized nursing care. All of our clinics are by appointment only, in accessible locations, and many have extended operating hours.

Information Sheetcentral-eastinformation-sheet
Cliniques de soins infirmiers communautaires

Santé à domicile Ontario exploite plus de 135 cliniques de soins in rmiers communautaires, fournissant des soins in rmiers spécialisés de haute qualité, sans frais.
Nos cliniques sont à des endroits accessibles, sur rendez-vous seulement, mais nombreuses parmielles ont des heures d’ouverture prolongées

Fiche d’informationchamplain-frinformation-sheet-fr
Community Nursing Clinics

Ontario Health atHome operates over 135 community nursing clinics to provide free, high-quality, specialized nursing care.
All of our clinics are by appointment only, in accessible locations, and many have extended operating hours.

Information Sheetchamplaininformation-sheet
Lettre de mandat 2023-2024

Lettre de mandat 2023-2024 des Services de soutien à domicile et en milieu communautaire.

Mandate Lettersglobalmandate-letters
2023-2024 Mandate Letter

Home and Community Care Support Services’ 2023-2024 Mandate Letter.

Mandate Lettersglobalmandate-letters
Plan d’activités 2023-2024

Plan d’affaires annuel des services de soutien à domicile et en milieu communautaire pour l’exercice financier 2023-2024.

Annual Business Plansglobalannual-business-plans
2023-2024 Annual Business Plan

Home and Community Care Support Services’ Annual Business Plan for the 2023-24 fiscal year.

Annual Business Plansglobalannual-business-plans
Cliniques de soins infirmiers communautaires

Santé à domicile Ontario exploite plus de 135 cliniques de soins infirmiers communautaires, fournissant des soins infirmiers spécialisés de haute qualité, sans frais.

Nos cliniques sont à des endroits accessibles, sur rendez-vous seulement, mais nombreuses parmi elles ont des heures d’ouverture prolongées.

Fiche d’informationwaterloo-wellington-frinformation-sheet-fr
Community Nursing Clinics

Ontario Health atHome operates over 135 community nursing clinics to provide free, high-quality, specialized nursing care. All of our clinics are by appointment only, in accessible locations, and many have extended operating hours.

Information Sheetwaterloo-wellingtoninformation-sheet
Infusion Therapy – IV Remdesivir Referral Form

Referral form for administering COVID-19 antivirals in South East community nursing clinics.

Formssouth-eastforms
Behavioural Supports Outreach Programs (BSOT) Referral Form

Behavioural Supports Outreach Programs (BSOT) general referral form for Toronto Central

Formstoronto-centralforms
Fiche d’information – Trousse de gestion des symptômes

Quand faut-il commander une trousse de gestion des symptômes (TGS)

Information Sheetsouth-eastinformation-sheet
MHAN Referral Form (English)

Mental Health and Addictions Nursing Program Referral Form

Formscentral-westforms
MHAN Referral Form – Hospitals (English)

Mental Health and Addictions Nursing program referrals from hospitals

Formstoronto-centralforms
Programme d’infirmières en santé mentale & toxicomanie-MonAvenir

Formulaire de renvoi pour le programme d’infirmières et d’infirmiers en santé mentale et en toxicomanie pour le conseil scolaire catholique MonAvenir

Formstoronto-centralforms
Programme d’infirmières en santé mentale & toxicomanie-Viamonde

Formulaire de renvoi pour le programme d’infirmières et d’infirmiers en santé mentale et en toxicomanie – Viamonde

Formstoronto-centralforms
MHAN Referral Form – TDSB (English)

Mental Health and Addiction Nursing (MHAN) Program referral form – Toronto District School Board

Formstoronto-centralforms
MHAN Referral Form – TCDSB (English)

Mental Health and Addiction Nursing (MHAN) Program referral form – Toronto Catholic District School Board

Formstoronto-centralforms
MHAN Referral Form – Viamonde (English)

Mental Health and Addictions Nursing Program referral form – Viamonde School Board

Formstoronto-centralforms
Mental Health and Addictions Nursing (MHAN) Program Referral Form

This form is to be completed by the School Staff or Hospital Staff referring student. Submit the completed form (page 1) to the
fax number or email address listed on the form
Please Fax Completed Referral To: (905) 952-2407 or Email To: MHAN@ontariohealthathome.ca
Phone: 905-895-1240 or 416-222-2241 or 1-888-470-2222 Ext. 436525

Formscentralforms
Mental Health and Addiction Nursing Program (MHAN) Referral Form

Ontario Health atHome Child and Youth Mental Health & Addictions Nursing Program
Fax: 1 (519) 571-3957
A MH nurse will connect with student, parent and/or guardian to confirm consent and finalize eligibility.

Formsmississauga-haltonforms
Mental Health and Addictions Nurse (MHAN) Referral Form

To be eligible to receive Ontario Health atHome MHAN services the student must be:
– A Registered student (up to age 21) (can include home instruction)
– In need of services or related treatment to an identified and/or suspected mental health and/or addictions issue
– Aware and have consented to the referral

Formscentral-eastforms
Programme communautaire de réadaptation après un accident vasculaire cérébral

Le Programme communautaire de réadaptation après un accident vasculaire cérébral est conçu pour vous aider à vous rétablir, à adapter votre domicile selon vos nouveaux besoins et à obtenir d’autres services dont vous pourriez avoir besoin.

Information Sheetsouth-eastinformation-sheet
Community Stroke Rehabilitation Program

The Community Stroke Rehabilitation Program is designed to help you through recovery, ensure your home environment is adapted to meet your new needs and connect you to other services you may require.

Information Sheetsouth-eastinformation-sheet
MHAN Referral Form

Mental Health & Addiction (MHAN) Nurse Referral. Please fax to: 1-613-650-2992

Formssouth-eastforms
Transition des patients vers les soins communautaires : cliniques de soins infirmiers communautaires

Services de soutien à domicile et en milieu communautaire applique l’approche « la clinique d’abord » pour optimiser la capacité systémique et l’expérience de tous les patients admissibles aux services offerts par Services de soutien à domicile et en milieu communautaire.

Information Sheetsouth-eastinformation-sheet
Cliniques de soins infirmiers communautaires

Les consultations dans nos cliniques se font sur rendez-vous seulement. Les cliniques sont situées dans des endroits accessibles et bon nombre d’entre elles offrent des heures d’ouverture prolongées.
Les cliniques de soins infirmiers communautaires fournissent des soins infirmiers spécialisés de grande qualité qui sont financés par les fonds publics et axés sur le patient.

Fiche d’informationsud-estinformation-sheet-fr
Community Nursing Clinics

Ontario Health atHome operates over 135 community nursing clinics to provide free, high-quality, specialized nursing care. All of our clinics are by appointment only, in accessible locations, and many have extended operating hours.

Information Sheetsouth-eastinformation-sheet
Cliniques de soins infirmiers communautaires

Santé à domicile Ontario exploite plus de 135 cliniques de soins infirmiers communautaires, fournissant des soins infirmiers spécialisés de haute qualité, sans frais. Nos cliniques sont à des endroits accessibles, sur rendez-vous seulement, mais nombreuses parmi elles ont des heures d’ouverture prolongées. Les cliniques de soins infirmiers communautaires fournissent des soins infirmiers spécialisés de haute qualité qui sont financés par les fonds publics et centrés sur le patient.

Fiche d’informationcentre-torontoinformation-sheet-fr
Cliniques de soins infirmiers communautaires

Santé à domicile Ontario exploite plus de 135 cliniques de soins infirmiers communautaires, fournissant des soins infirmiers spécialisés de haute qualité, sans frais. Nos cliniques sont à des endroits accessibles, sur rendez-vous seulement, mais nombreuses parmi elles ont des heures d’ouverture prolongées. Les cliniques de soins infirmiers communautaires fournissent des soins infirmiers spécialisés de haute qualité qui sont financés par les fonds publics et centrés sur le patient.

Community Nursing Clinics

Ontario Health atHome operates over 135 community nursing clinics to provide free, high-quality, specialized nursing care. All of our clinics are by appointment only, in accessible locations, and many have extended operating hours.
Community nursing clinics provide publicly-funded, patient-centred, high-quality, specialized nursing care.
Clinic nurses will jointly design a care plan and schedule based on your needs and health goals. They provide specialized services – including wound care, intravenous therapy, catheter, diabetes, ostomy care – and health teaching to meet your needs.

Information Sheettoronto-centralinformation-sheet
Cliniques de soins infirmiers communautaires

Santé à domicile Ontario exploite plus de 135 cliniques de soins infirmiers communautaires, fournissant des soins infirmiers spécialisés de haute qualité, sans frais. Nos cliniques sont à des endroits accessibles, sur rendez-vous seulement, mais nombreuses parmi elles ont des heures d’ouverture prolongées

Fiche d’informationinformation-sheet-fr
Cliniques de soins infirmiers communautaires

Santé à domicile Ontario exploite plus de 135 cliniques de soins infirmiers communautaires, fournissant des soins infirmiers spécialisés de haute qualité, sans frais. Nos cliniques sont à des endroits accessibles, sur rendez-vous seulement, mais nombreuses parmi elles ont des heures d’ouverture prolongées

Fiche d’informationsimcoe-nord-muskokainformation-sheet-fr
Community Nursing Clinics

Ontario Health atHome operates over 135 community nursing clinics to provide free, high-quality, specialized nursing care. All of our clinics are by appointment only, in accessible locations, and many have extended operating hours.

Information Sheetnorth-simcoe-muskokainformation-sheet
Cliniques de soins infirmiers communautaires

Santé à domicile Ontario exploite plus de 135 cliniques de soins infirmiers communautaires, fournissant des soins infirmiers spécialisés de haute qualité, sans frais. Nos cliniques sont à des endroits accessibles, sur rendez-vous seulement, mais nombreuses parmi elles ont des heures d’ouverture prolongées

Fiche d’informationnord-estinformation-sheet-fr
Community Nursing Clinics

Ontario Health atHome operates over 135 community nursing clinics to provide free, high-quality, specialized nursing care. All of our clinics are by appointment only, in accessible locations, and many have extended operating hours.

Information Sheetnorth-eastinformation-sheet
Cliniques de soins infirmiers communautaires

Santé à domicile Ontario exploite plus de 135 cliniques de soins infirmiers communautaires, fournissant des soins infirmiers spécialisés de haute qualité, sans frais. Nos cliniques sont à des endroits accessibles, sur rendez-vous seulement, mais nombreuses parmi elles ont des heures d’ouverture prolongées

Fiche d’informationcentre-ouestinformation-sheet-fr
Community Nursing Clinics

Ontario Health atHome operates over 135 community nursing clinics to provide free, high-quality, specialized nursing care.
All of our clinics are by appointment only, in accessible locations, and many have extended operating hours.

Information Sheetcentral-westinformation-sheet
Memorandum of Understanding 2023 WW French

Memorandum of Understandingwaterloo-wellingtonmemorandum-of-understanding
Memorandum of Understanding 2023 WW

Memorandum of Understandingwaterloo-wellingtonmemorandum-of-understanding
Memorandum of Understanding 2023 SW French

Memorandum of Understandingsouth-westmemorandum-of-understanding
Memorandum of Understanding 2023 SW

Memorandum of Understandingsouth-westmemorandum-of-understanding
Memorandum of Understanding 2023 – French

Memorandum of Understandinghamilton-niagara-haldimand-brantmemorandum-of-understanding
Memorandum of Understanding 2023

Memorandum of Understandinghamilton-niagara-haldimand-brantmemorandum-of-understanding
Memorandum of Understanding 2023 ESC French

Memorandum of Understandingerie-st-clairmemorandum-of-understanding
Memorandum of Understanding 2023 ESC

Memorandum of Understandingerie-st-clairmemorandum-of-understanding
Memorandum of Understanding 2023 French

Memorandum of Understandingnorth-westmemorandum-of-understanding
Memorandum of Understanding 2023 French

Memorandum of Understandingnorth-simcoe-muskokamemorandum-of-understanding
Memorandum of Understanding 2023 French

Memorandum of Understandingnorth-eastmemorandum-of-understanding
Memorandum of Understanding 2023 English

Memorandum of Understandingnorth-westmemorandum-of-understanding
Memorandum of Understanding 2023 English

Memorandum of Understandingnorth-simcoe-muskokamemorandum-of-understanding
Memorandum of Understanding 2023 English

Memorandum of Understandingnorth-eastmemorandum-of-understanding
Memorandum of Understanding 2023 English

Memorandum of Understandingtoronto-centralmemorandum-of-understanding
Memorandum of Understanding 2023 English

Memorandum of Understandingmississauga-haltonmemorandum-of-understanding
Memorandum of Understanding 2023 English

Memorandum of Understandingcentral-westmemorandum-of-understanding
Memorandum of Understanding 2023 English

Memorandum of Understandingcentralmemorandum-of-understanding
Memorandum of Understanding 2023 French

Memorandum of Understandingtoronto-centralmemorandum-of-understanding
Memorandum of Understanding 2023 French

Memorandum of Understandingmississauga-haltonmemorandum-of-understanding
Memorandum of Understanding 2023 French

Memorandum of Understandingcentral-westmemorandum-of-understanding
Memorandum of Understanding 2023 French

Memorandum of Understandingcentralmemorandum-of-understanding
Executive Leadership Expense Report: Q4 2022/23

Executive Leadership Expense Report for Q4 2022/23 Fiscal Year

Expense Reportsglobalexpense-reports
Long-Term Care Home (LTCH) Short Stay Visit Information

Please take a moment to review some important information regarding your short stay visit at a long-term care home (LTCH).
If you have received information directly from the long-term care home please use that in conjunction with this information

Information Sheeterie-st-clairinformation-sheet
Basic Wound Care Kit Patient Information

While you are waiting for a nurse to assess your wound, Home and Community Support Services Erie St. Clair is providing you with supplies to help keep your wound clean, dry and protected.

Information Sheeterie-st-clairinformation-sheet
Medical Referral Form – Hospital – English

Central West – Hospital Medical Referral Form

Formscentral-westforms
Symptom Relief Kit (SRK) For Palliative Care ‐ Order Form

A Symptom Relief Kit is to provide emergency symptom management at the end of life (prognosis of 3 months or less). The kit will provide a small amount of frequently used medication intended to treat common symptoms that occur at the end of life.
Please fax back to ontario health athome 705‐792‐6270

Formsnorth-simcoe-muskokaforms
Votre lien aux soins

Nous sommes là pour vous aider. Chaque mois, Santé à domicile Ontario coordonne des soins à domicile et en milieu communautaire pour plus de 400 000 patients.Notre mission consiste à aider tous les gens à être en meilleure santé à la maison en leur offrant des soins interconnectés, accessibles et centrés sur le patient.
Nous évaluons les besoins des patients en matière de
soins et fournissons des services à domicile et en milieu communautaire pour favoriser votre santé et votre bien-être.
Nous assurons aussi l’accès à d’autres services communautaires et le renvoi vers ceux-ci, et nous gérons le processus de placement en foyer de soins de longue durée de l’Ontario.

, , , , , , , , , , , , , , Fiche d’information, Guidecentre centre-est centre-ouest centre-toronto champlain-fr erie-st-clair-fr global-fr hamilton-niagara-haldimand-brant-fr mississauga-halton-fr nord-est nord-ouest simcoe-nord-muskoka sud-est sud-ouest waterloo-wellington-frinformation-sheet-fr guide-fr
Connecting you with care

We’re here to help. Ontario Health atHome coordinates in-home and community-based care for over 400,000 patients every month.
Our mission is to help everyone be healthier at home through connected, accessible, patient-centred care.
We assess patient care needs and deliver in-home and community-based services to support your health and wellbeing. We also provide access and referrals to other community services and manage Ontario’s long-term care home placement process.

, , , , , , , , , , , , , , Guide, Information Sheetcentral central-east central-west champlain erie-st-clair global hamilton-niagara-haldimand-brant mississauga-halton north-east north-simcoe-muskoka north-west south-east south-west toronto-central waterloo-wellingtonguide information-sheet
Guide des services de soins à domicile et en milieu communautaire

Nous sommes là pour vous aider. Chaque mois, Santé à domicile Ontario coordonne des soins à
domicile et en milieu communautaire pour plus de 400 000 patients, partout dans la province. Notre mission consiste à aider tous les gens à être en meilleure santé à la maison en leur orant des
soins interconnectés, pratiques, accessibles et centrés sur le patient.
Le présent livret est un guide des services de soins à domicile et en milieu communautaire que nous orons et comprend d’autres renseignements importants sur vos soins. Nous encourageons les patients à les transmettre aux membres de la famille ou aux soignants qui participent à la prestation de leurs soins.

, , , , , , , , , , , , , , Guidecentre centre-est centre-ouest centre-toronto champlain-fr erie-st-clair-fr global-fr hamilton-niagara-haldimand-brant-fr mississauga-halton-fr nord-est nord-ouest simcoe-nord-muskoka sud-est sud-ouest waterloo-wellington-frguide-fr
Welcome Book – Guide to our Home and Community Care Services

We’re here to help. Ontario Health atHome coordinates in-home and community-based care for over 400,000 patients across the province every month.
Our mission is to help everyone be healthier at home through connected, convenient and accessible patient-centred care.
This booklet is a guide to our home and community care services and includes other important information related to patient care. Patients are encouraged to share this information with their family members or caregivers who will be involved in their care.

, , , , , , , , , , , , , , Guidecentral central-east central-west champlain erie-st-clair global hamilton-niagara-haldimand-brant mississauga-halton north-east north-simcoe-muskoka north-west south-east south-west toronto-central waterloo-wellingtonguide
HNHB Fondements dessoins palliatifs

Cours en ligne offerts au printemps 2023

hamilton-niagara-haldimand-brant
Sommaire du Cadre de la qualité

Santé à domicile Ontario s’engage à fournir les bons soins au bon moment et au bon endroit, et cherche sans relâche à assurer la prestation de soins exceptionnels, peu importe où les patients vivent.

Information Sheet, Quality Frameworkglobalinformation-sheet quality-framework
Rapport annuel intégré 2021-2022

Une revue consolidée des réalisations de Services de soutien à domicile et en milieu communautaire en 2021-2022.

Annual Reportsglobalannual-reports
Consolidated Annual Report: 2021-2022

A consolidated review of Home and Community Care Support Services’ accomplishments in 2021-22.

Annual Reportsglobalannual-reports
Quality Framework Summary

Ontario Health atHome is committed to delivering the right care, at the right time in the right place; a relentless pursuit of exceptional care, no matter where a person calls home.

Quality Frameworkglobalquality-framework
Quality Framework Diagram

Home and Commmunity Care Quality Framework circle diagram.

Information Sheetglobalinformation-sheet
Public Sector Expense Report – Q3 2022-2023: Beverley Kelley

Public Sector Expense Report – Q3 2022-2023: Beverley Kelley

Expense Reportsnorth-westexpense-reports
Public Sector Expense Report – Q3 2022-2023: Heidi Maanselka

Public Sector Expense Report – Q3 2022-2023: Heidi Maanselka

Expense Reportsnorth-eastexpense-reports
Public Sector Expense Report – Q3 2022-2023: Kerby Audet

Public Sector Expense Report – Q3 2022-2023: Kerby Audet

Expense Reportsnorth-eastexpense-reports
Public Sector Expense Report – Q3 2022-2023

Public Sector Expense Report – Q3 2022-2023: South East

Expense Reportssouth-eastexpense-reports
Public Sector Expense Report – Q2 2022-2023

Public Sector Expense Report – Q2 2022-2023: South East

Expense Reportssouth-eastexpense-reports
Public Sector Expense Report – Q1 2022-2023

Public Sector Expense Report – Q1 2022-2023: South East

Expense Reportssouth-eastexpense-reports
Public Sector Expense Report – Q3 2022-2023

Public Sector Expense Report – Q3 2022-2023: Champlain

Expense Reportschamplainexpense-reports
Public Sector Expense Report – Q2 2022-2023

Public Sector Expense Report – Q2 2022-2023: Champlain

Expense Reportschamplainexpense-reports
Public Sector Expense Report – Q1 2022-2023

Public Sector Expense Report – Q1 2022-2023: Champlain

Expense Reportschamplainexpense-reports
Public Sector Expense Report – Q3 2022-2023

Public Sector Expense Report – Q3 2022-2023: Central East

Expense Reportscentral-eastexpense-reports
Public Sector Expense Report – Q2 2022-2023

Public Sector Expense Report – Q2 2022-2023: Central East

Expense Reportscentral-eastexpense-reports
Public Sector Expense Report – Q1 2022-2023

Public Sector Expense Report – Q1 2022-2023: Central East

Expense Reportscentral-eastexpense-reports
Leadership Expense Report – Q2 – 2022-23 English

Expense Reportssouth-westexpense-reports
Public Sector Expense Report – Q3 2022-2023: Toronto Central

Public Sector Expense Report – Q3 2022-2023: Toronto Central

Expense Reportstoronto-centralexpense-reports
Public Sector Expense Report – Q3 2022-2023: Central

Public Sector Expense Report – Q3 2022-2023: Central

Expense Reportscentralexpense-reports
Public Sector Expense Report – Q3 2022-2023: Karen Taillefer

Public Sector Expense Report – Q3 2022-2023: Karen Taillefer

Expense Reportsnorth-simcoe-muskokaexpense-reports
Public Sector Expense Report – Q3 2022-2023: Debbie Roberts

Public Sector Expense Report – Q3 2022-2023: Debbie Roberts

Expense Reportsnorth-simcoe-muskokaexpense-reports
Nursing Services at School

Information Sheethamilton-niagara-haldimand-brantinformation-sheet
Palliative Early Identification and Prognostic Indicator Guide

Guidecentral-westguide
Déclaration des droits du patient

En tant que patient, membre de la famille, mandataire spécial ou soignant, vous avez le droit de vous
attendre à ce que chaque employé, membre du conseil d’administration et fournisseur de services de
santé retenu à contrat de Santé à domicile Ontario s’engage à respecter et à promouvoir vos droits, qui
sont les suivants…

Fiche d’informationglobal-frinformation-sheet-fr
Patient Bill of Rights

As a patient, family member, substitute decision maker or caregiver, you have the right to expect that every Ontario Health atHome employee, Board member and contracted health service provider shall respect and promote your rights as follows:

Information Sheetglobalinformation-sheet
Patient Bill of Rights – Tamil

வீடு மற்றும் சமூகப் பராமாிப்பு ஆதார உதவிச் சசவவகள் ச?ாயாளர் உாிவமகளுககான சட்டவவரவு

Information Sheetglobalinformation-sheet
Patient Bill of Rights – Tagalog

Bill of Rights ng Pasyente
Bilang isang pasyente, miyembro ng pamilya, kapalit na gumagawa ng desisyon o tagapag-alaga, may karapatan kang asahan na ang bawat empleyado ng Kalusugan saBahay ng Ontario, miyembro ng Lupon at nakakontratang tagapagbigay ng serbisyong pangkalusugan ay dapat igalang at itaguyod ang iyong mga karapatan tulad ng sumusunod:

Information Sheetglobalinformation-sheet
Patient Bill of Rights – Spanish

Declaración de derechos del pacientes
Como paciente, familiar, sustituto en la toma de decisiones o cuidador, tiene derecho a que todos los empleados de La salud en casa Ontario, los miembros de la Junta y los proveedores de servicios sanitarios contratados respeten y promuevan sus derechos de la siguiente manera::

Information Sheetglobalinformation-sheet
Patient Bill of Rights – Russian

Декларация о правах пациента
Содрудники Онтарио Health atHome , члены правления и поставщики медицинских услуг обязуются уважать и защищать права пациентов, членов семьи, лиц, принимающих решения, или опекунов следующим образом:

Information Sheetglobalinformation-sheet
Patient Bill of Rights – Portuguese

Declaração de Direitos do Paciente
Como paciente, familiar, tomador de decisões substituto ou cuidador, você tem o direito de esperar que todos os funcionários, membros do Conselho e prestadores de serviços de saúde contratados do Ontario Health atHome (Saúde em Casa Ontário) respeitem e promovam seus direitos da seguinte forma:

Information Sheetglobalinformation-sheet
Patient Bill of Rights – Italian

In qualità di paziente, familiare, tutore od operatore sanitario, Lei ha il diritto di aspettarsi che tutti i dipendenti del dipartimento Sanità a domicilio Ontario, i consiglieri e gli operatori sanitario a contratto rispettino e promuovano i Suoi diritti, di seguito enunciati.

Information Sheetglobalinformation-sheet
Patient Bill of Rights – Greek

Διακήρυξη Δικαιωμάτων Ασθενών
Ως ασθενής, συγγενής, αναπληρωτής υπεύθυνος λήψης αποφάσεων ή πάροχος φροντίδας, έχετε το δικαίωμα να περιμένετε από κάθε υπάλληλο, μέλος του διοικητικού συμβουλίου και συμβεβλημένο πάροχο υγειονομικής περίθαλψης του Περίθαλψη κατ’ οίκον Οντάριο να σέβεται και να προωθεί τα δικαιώματά σας ως εξής:

Information Sheetglobalinformation-sheet
Patient Bill of Rights – Chinese (Simplified)

患者权利法案
作为患者、家庭成员、替代决策者或护理人员,您有权期望每一位安大略居家保健员工、董事会成员和签约医疗服务提供者尊重并促进您的以下权利:

Information Sheetglobalinformation-sheet
Patient Bill of Rights – Arabic

ميثاق حقوق المريض
بصفتك ريضًًا، أو فر اًً ن أفراد أسرتك، أو مُُتخذ قرار بديل، أو مُُقدم رعاية، يحق لك توقع احترام وتعزيز محقوقك ن بِِل كل وظف، وع و جلس إدارة، ومُُقدم خد ات صحية مُُتعاقد عه في خد ات الرعاية
الصحية في المنزل في اونتاريو، على النحو التالي:

Information Sheetglobalinformation-sheet
Déclaration des droits du patient : Gros caractères

En tant que patient, membre de la famille, mandataire spécial ou
soignant, vous avez le droit de vous attendre à ce que chaque
employé, membre du conseil d’administration et fournisseur de
services de santé retenu à contrat de Santé à domicile Ontario
s’engage à respecter et à promouvoir vos droits, qui sont les suivants:

Fiche d’informationglobal-frinformation-sheet-fr
Patient Bill of Rights: Large print format

As a patient, family member, substitute decision maker or caregiver, you have the right to expect that every Ontario Health atHome employee, Board member and contracted health service provider shall respect and promote your rights as follows:

Information Sheetglobalinformation-sheet
Retour à la maison

Entamer la discussion

Information Sheetwaterloo-wellingtoninformation-sheet
Centralized Intake & Referral Application to Specialty Hospitals

Centralized Intake and Referral Application to Specialty Hospitals for the Toronto Central area

Formstoronto-centralforms
Module 5.1 – HPG Guide – eReferral to LTCH (managing referrals)

The eReferral to LTCH Referral process involves the placement of clients in Long Term Care Homes (LTCH). This process allows for accurate communication of information between Ontario Health at Home (OHaH) and LTC Homes. It also provides an electronic record of all major events encountered in the process of placing an OHaH client into a LTCH.
Also note that while HPG still uses Ontario Health at Home’s former ‘LHIN’ name, the Reference Guides generally use the current ‘OHAH’ name, but will use the term ‘LHIN’ where it applies specifically to a label in the HPG system.

HPGglobalhpg
Module 1 – HPG Introduction and Common Functions

The Health Partner Gateway (HPG) provides a single solution to securely exchange health information between Ontario Health at Home (OHaH) and its health partners. It was built to interoperate with longer term e-Health initiatives and to enable Health Partner access to client health information held within OHAH tools and applications such as the Client Health and Related Information System (CHRIS).

HPGglobalhpg
Foyer de soins de longue durée dans le comté de Perth

Foyer de soins de longue durée dans le comté de Perth

Guidesouth-westguide
Foyer de soins de longue durée dans le comté de Huron

Les coordonnateurs des soins vous aident, vous et votre famille, dans le processus d’admission en foyer de soins de longue durée. Lorsque vous faites une demande d’admission, nous vous encourageons à choisir cinq maisons. On vous proposera le premier disponible.

Guidesouth-westguide
Politique sur les services en français

La présente politique provinciale a préséance sur toutes les politiques locales qui dirigent des
activités énoncées dans la présente politique. Suivant les processus locaux, il faut archiver et
maintenir toutes les politiques locales qui ont été remplacées.
Même s’il est encore impossible de normaliser les différentes procédures locales liées à la présente
politique suivant une approche provinciale, la procédure locale tiendra compte de ces différences.

politiqueglobal-frpolitique
French Language Services Policy

This provincial policy supersedes any and all local policies directing activity covered in this policy. All local policies that are replaced must be archived and maintained per local processes. Where local differences in procedure tied to this policy cannot yet be fully standardized to a
provincial approach, these differences will be captured in the local procedure.

Policiesglobalpolicies
Infirmières et infirmiers en santé mentale et en toxicomanie dans les écoles

Aider les élèves à s’épanouir, à composer avec leurs difficultés et à réussir Les infirmières et infirmiers en santé mentale et en toxicomanie offrent une intervention précoce, un soutien psycho-éducationnel et des stratégies thérapeutiques afin de répondre aux besoins particuliers des enfants et des jeunes en matière de santé mentale et de lutte contre les dépendances.

Fiche d’informationsud-estinformation-sheet-fr
Mental Health and Addictions Nurses in Schools Fact Sheet

Helping students thrive, cope and succeed:
Living with mental health issues and/or an addiction is difficult for anybody of any age. When you add in the social and academic pressures of being a student, life can sometimes feel unbearable.

Information Sheetsouth-eastinformation-sheet
Infirmières et infirmiers en santé mentale et en toxicomanie | Affiche

Fonctions du personnel infirmier spécialisé pour aider un.e élève qui
des problèmes de santé mentale et de toxicomanie dans une école ou la
communauté :

  • évaluer et surveiller les préoccupations en matière de santé mentale et de
    toxicomanie
  • mettre l’élève en rapport avec des services dans la communauté
  • collaborer avec l’école, la famille et les partenaires de soins afin d’appuyer le
    plan de soins ainsi que les objectifs et les traitements qui s’y rattachent
  • évaluer la liste des médicaments en offrant le soutien et l’éducation
    appropriés
  • appuyer le transfert de l’hôpital ou d’un autre centre de soins à l’école
  • Support transitions back to school from hospitals or other care settings
Fiche d’informationsud-estinformation-sheet-fr
Mental Health and Addictions Nurses in Schools Patient Flyer

Our specialized nurses work in the community and in schools to assist

  • students with various mental health and addictions challenges.
  • Assess and monitor mental health and addictions concerns
  • Connect students with services within the community
  • Collaborate with schools, families and care partners, to support a
    student’s care plan, goals and treatments
  • Medication assessment, support and education
  • Support transitions back to school from hospitals or other care settings
Information Sheetsouth-eastinformation-sheet
La vie après un deuil

Information au sujet de la vie après un deuil

Information Sheetwaterloo-wellingtoninformation-sheet
Royal Drugs communications directory

Please identify yourself as an Ontario Health athome at South East business caller.
All voicemails will be returned promptly.

Directory/Contactssouth-eastdirectory-contacts
2021-22 Audited Financial Statement – French

2021-22 Champlain Audited Financial Statement – French

Audited Financial Statementschamplainaudited-financial-statements
2021-22 Audited Financial Statement – French

2021-22 Toronto Central Audited Financial Statement – French

Audited Financial Statementstoronto-centralaudited-financial-statements
2021-22 Audited Financial Statement – French

2021-22 Waterloo Wellington Audited Financial Statement – French

Audited Financial Statementswaterloo-wellingtonaudited-financial-statements
Lettre de mandat 2022-2023

Lettre de mandat 2022-2023 des Services de soutien à domicile et en milieu communautaire.

Mandate Lettersglobalmandate-letters
2022-2023 Mandate Letter

Home and Community Care Support Services’ 2022-2023 Mandate Letter.

Mandate Lettersglobalmandate-letters
Document intérimaire de planification des activités 2021-2022

Document de planification provisoire des activités des services de soutien des soins à domicile et communautaires pour 2021-2022.

Annual Business Plansglobalannual-business-plans
Infirmières et infirmiers en santé mentale et en toxicomanie dans les écoles

Vous avez besoin de soutien en matière de santé mentale ou de toxicomanie?
Nous sommes ici pour vous aider: Les infirmières et infirmiers en santé mentale et en toxicomanie sont à votre disposition durant toute la semaine pour vous offrir le soutien dont vous avez besoin.

Information Sheeterie-st-clairinformation-sheet
Télésoins à domicile : Programme de surveillance à distance

Formulaire de demande de services

Envoyez par fax au : 613 745-8243 ou 1 855 450-8569

Formschamplainforms
Télésoins à domicile : Programme de surveillance à distance

Envoyez par fax au : 613 745-8243 ou 1 855 450-8569
Les renseignements contenus dans la présente demande sont privés et confidentiels, visant uniquement
les destinataires nommés. Si vous avez reçu cette communication par erreur, veuillez informer
immédiatement l’expéditeur par téléphone et conserver l’information jusqu’à ce que cette personne
vous donne d’autres directives. Évitez de copier les renseignements et de les divulguer à d’autres
personnes.

Formulairechamplain-frformulaire
TelehomeCare Remote Monitoring Program Referral Form

Please fax to: 613.745.8243 or 1.855.450.8569
Information contained in this form is private and confidential, intended only for the named recipient(s).
If you received this in error, please notify the sender by phone immediately and secure the information until the sender provides you with more direction. Do not copy or disclose this information to anyone else.

Formschamplainforms
De l’aide pour vivre chez soi, Programme intégré d’aide à la vie autonome pour personnes âgées

Le programme intégré d’aide à la vie autonome pour personnes âgées vous permet d’obtenir le soutien dont vous avez besoin pour vivre de façon autonome chez vous.

  • Un coordonnateur de soins peut vous obtenir l’aide dont vous avez besoin pour vos soins personnels et vos tâches quotidiennes.
  • Si vous rentrez à la maison après une hospitalisation, un coordonnateur de soins peut aussi vous aider à obtenir les services de soutien à la personne et les services communautaires de soutien dont vous avez besoin.
  • Les services de soutien à la personne qui sont organisés par l’intermédiaire Services de soutien à domicile et en milieu communautaire Waterloo Wellington sont gratuits.
Information Sheetwaterloo-wellingtoninformation-sheet
Programme thérapeutique de rétablissement rapide

Information au sujet du programme thérapeutique de rétablissement rapide

Information Sheetwaterloo-wellingtoninformation-sheet
Services aux enfants & services auxiliaires de santé dans écoles

Votre lien vers les services aux enfants et les services auxiliaires de santé dans les écoles de la région de Waterloo Wellington

Information Sheetwaterloo-wellingtoninformation-sheet
Life Following Loss

When someone close to you dies, grief is a normal response to loss. Grief is unique to each person and may include different responses. Please use this guide to cope with grief.

Information Sheetwaterloo-wellingtoninformation-sheet
Services de santé mentale pour adultes

Information au sujet des services de santé mentale pour les adultes

Information Sheetwaterloo-wellingtoninformation-sheet
Gestion de la nutrition parentérale totale à la maison

Information au sujet de la gestion de la nutrition parentérale totale à la maison

Information Sheetwaterloo-wellingtoninformation-sheet
2021-2023 People Strategy

Home and Community Care Support Services’ People Strategy is our roadmap to help shape the way we lead, engage and develop our people to enhance our organization.

Guideglobalguide
Plan d’activités 2022-2023

Plan d’affaires annuel des services de soutien à domicile et en milieu communautaire pour l’exercice financier 2022-2023.

Annual Business Plansglobalannual-business-plans
HNHB Leadership Expenses Q2 22-2023 FR

Expense Reportshamilton-niagara-haldimand-brantexpense-reports
HNHB Leadership Expenses Q2 22-2023

Expense Reportshamilton-niagara-haldimand-brantexpense-reports
HNHB Leadership Expenses Q1 22-2023 FR

Expense Reportshamilton-niagara-haldimand-brantexpense-reports
HNHB Leadership Expenses Q1 2022-23

Expense Reportshamilton-niagara-haldimand-brantexpense-reports
RLISS de SNM – États financiers de 2017–2018

RLISS de SNM : effectué l’audit états financiers de 2017–2018

Audited Financial Statementsnorth-simcoe-muskokaaudited-financial-statements
2017–2018 NSM LHIN Audited Financial Statements

2017-2018 NSM LHIN Audited Financial Statements – English

Audited Financial Statementsnorth-simcoe-muskokaaudited-financial-statements
2017/18 NSM LHIN Annual Report

This report includes information about health system planning and funding functions that were transferred to Ontario Health on April 1, 2021.

Annual Reportsannual-reports
2021-2022 Interim Business Planning Document

Home and Community Care Support Services’ Interim Business Planning Document for 2021-2022.

Annual Business Plansglobalannual-business-plans
2022-23 Annual Business Plan

Home and Community Care Support Services’ Annual Business Plan for the 2022-2023 fiscal year.

Annual Business Plansglobalannual-business-plans
RLISS du NO Rapport Annuel 2017-2018

Ce rapport comprend des renseignements sur les fonctions de planification et de financement du système de santé qui ont été transférées à Santé Ontario le 1er avril 2021.

Annual Reportsnorth-westannual-reports
2017/18 NW LHIN Annual Report

This report includes information about health system planning and funding functions that were transferred to Ontario Health on April 1, 2021.

Annual Reportsnorth-westannual-reports
RLISS du NE Rapport Annuel 2017-2018

Ce rapport comprend des renseignements sur les fonctions de planification et de financement du système de santé qui ont été transférées à Santé Ontario le 1er avril 2021.

Annual Reportsnorth-eastannual-reports
2017/18 NE LHIN Annual Report

This report includes information about health system planning and funding functions that were transferred to Ontario Health on April 1, 2021.

Annual Reportsnorth-eastannual-reports
RLISS de SNM Rapport Annuel 2017-2018

Ce rapport comprend des renseignements sur les fonctions de planification et de financement du système de santé qui ont été transférées à Santé Ontario le 1er avril 2021.

Annual Reportsannual-reports
RLISS de Champlain Rapport Annuel 2017-2018

Ce rapport comprend des renseignements sur les fonctions de planification et de financement du système de santé qui ont été transférées à Santé Ontario le 1er avril 2021.

Annual Reportschamplainannual-reports
2017/18 Champlain LHIN Annual Report

This report includes information about health system planning and funding functions that were transferred to Ontario Health on April 1, 2021.

Annual Reportschamplainannual-reports
RLISS du SE Rapport Annuel 2017-2018

Ce rapport comprend des renseignements sur les fonctions de planification et de financement du système de santé qui ont été transférées à Santé Ontario le 1er avril 2021.

Annual Reportssouth-eastannual-reports
2017/18 SE LHIN Annual Report

This report includes information about health system planning and funding functions that were transferred to Ontario Health on April 1, 2021.

Annual Reportssouth-eastannual-reports
RLISS du CE Rapport Annuel 2017-2018

Ce rapport comprend des renseignements sur les fonctions de planification et de financement du système de santé qui ont été transférées à Santé Ontario le 1er avril 2021.

Annual Reportscentral-eastannual-reports
2017/18 CE LHIN Annual Report

This report includes information about health system planning and funding functions that were transferred to Ontario Health on April 1, 2021.

Annual Reportscentral-eastannual-reports
RLISS du Centre Rapport Annuel 2017-2018

Ce rapport comprend des renseignements sur les fonctions de planification et de financement du système de santé qui ont été transférées à Santé Ontario le 1er avril 2021.

Annual Reportscentralannual-reports
2017/18 Central LHIN Annual Report

This report includes information about health system planning and funding functions that were transferred to Ontario Health on April 1, 2021.

Annual Reportscentralannual-reports
RLISS du CT Rapport Annuel 2017-2018

Ce rapport comprend des renseignements sur les fonctions de planification et de financement du système de santé qui ont été transférées à Santé Ontario le 1er avril 2021.

Annual Reportstoronto-centralannual-reports
2017/18 TC LHIN Annual Report

This report includes information about health system planning and funding functions that were transferred to Ontario Health on April 1, 2021.

Annual Reportstoronto-centralannual-reports
RLISS de MH Rapport Annuel 2017-2018

Ce rapport comprend des renseignements sur les fonctions de planification et de financement du système de santé qui ont été transférées à Santé Ontario le 1er avril 2021.

Annual Reportsmississauga-haltonannual-reports
2017/18 MH LHIN Annual Report

This report includes information about health system planning and funding functions that were transferred to Ontario Health on April 1, 2021.

Annual Reportsmississauga-haltonannual-reports
RLISS du CO Rapport Annuel 2017-2018

Ce rapport comprend des renseignements sur les fonctions de planification et de financement du système de santé qui ont été transférées à Santé Ontario le 1er avril 2021.

Annual Reportscentral-westannual-reports
2017/18 CW LHIN Annual Report

This report includes information about health system planning and funding functions that were transferred to Ontario Health on April 1, 2021.

Annual Reportscentral-westannual-reports
RLISS de HNHB Rapport Annuel 2017-2018

Ce rapport comprend des renseignements sur les fonctions de planification et de financement du système de santé qui ont été transférées à Santé Ontario le 1er avril 2021.

Annual Reportshamilton-niagara-haldimand-brantannual-reports
2017/18 HNHB LHIN Annual Report

This report includes information about health system planning and funding functions that were transferred to Ontario Health on April 1, 2021.

Annual Reportshamilton-niagara-haldimand-brantannual-reports
RLISS de WW Rapport Annuel 2017-2018

Ce rapport comprend des renseignements sur les fonctions de planification et de financement du système de santé qui ont été transférées à Santé Ontario le 1er avril 2021.

Annual Reportswaterloo-wellingtonannual-reports
RLISS du SO Rapport Annuel 2017-2018

Ce rapport comprend des renseignements sur les fonctions de planification et de financement du système de santé qui ont été transférées à Santé Ontario le 1er avril 2021.

Annual Reportssouth-westannual-reports
2017/18 WW LHIN Annual Report

This report includes information about health system planning and funding functions that were transferred to Ontario Health on April 1, 2021.

Annual Reportswaterloo-wellingtonannual-reports
2017/18 SW LHIN Annual Report

This report includes information about health system planning and funding functions that were transferred to Ontario Health on April 1, 2021.

Annual Reportssouth-westannual-reports
RLISS d’Érié St. Clair Rapport Annuel 2017-2018

Ce rapport comprend des renseignements sur les fonctions de planification et de financement du système de santé qui ont été transférées à Santé Ontario le 1er avril 2021.

Annual Reportserie-st-clairannual-reports
2017/18 ESC LHIN Annual Report

This report includes information about health system planning and funding functions that were transferred to Ontario Health on April 1, 2021.

Annual Reportserie-st-clairannual-reports
Liste des foyers de soins de longue durée

Foyers de soins de longue durée situés dans la région du Centre

Information Sheetcentralinformation-sheet
Long-Term Care Home List – English

List of long-term care homes in the Central area

Information Sheetcentralinformation-sheet
Formulaire de demande pour la divulgation de renseignements personnels

Formulaire de demande pour la divulgation de renseignements personnels. En vertu de la Loi de 2004 sur la protection des renseignements personnels sur la santé Veuillez

, , , , , , , , , , , , , , Formscentral central-east central-west champlain erie-st-clair global hamilton-niagara-haldimand-brant mississauga-halton north-east north-simcoe-muskoka north-west south-east south-west toronto-central waterloo-wellingtonforms
Programme de soins de convalescence

Le Programme de soins de convalescence est offert dans les foyers de soins de longue durée partout en Ontario. Les soins de convalescence sont des soins de courte durée offerts jour et nuit aux personnes en provenance de l’hôpital ou de la communauté ayant besoin de services médicaux et de traitements particuliers pour les aider à retrouver leur force, leur endurance et leur mobilité avant de retourner à la maison.

Information Sheethamilton-niagara-haldimand-brantinformation-sheet
Rapport annuel 2020-21 consolidation des RLISS

Ce rapport comprend des renseignements sur les fonctions de planification et de financement du système de santé qui ont été transférées à Santé Ontario le 1er avril 2021.

Annual Reportsglobalannual-reports
2020/21 Consolidated LHIN Annual Report

This report includes information about health system planning and funding functions that were transferred to Ontario Health on April 1, 2021.

Annual Reportsglobalannual-reports
Rapport annuel 2019-20 consolidation des RLISS

Ce rapport comprend des renseignements sur les fonctions de planification et de financement du système de santé qui ont été transférées à Santé Ontario le 1er avril 2021.

Annual Reportsglobalannual-reports
2019/20 Consolidated LHIN Annual Report

This report includes information about health system planning and funding functions that were transferred to Ontario Health on April 1, 2021.

Annual Reportsglobalannual-reports
Rapport annuel 2018-19 consolidation des RLISS

Ce rapport comprend des renseignements sur les fonctions de planification et de financement du système de santé qui ont été transférées à Santé Ontario le 1er avril 2021.

Annual Reportsglobalannual-reports
2018/19 Consolidated LHIN Annual Report

This report includes information about health system planning and funding functions that were transferred to Ontario Health on April 1, 2021.

Annual Reportsglobalannual-reports
Expenses – Robert DelVecchio 2022-2023 Q2

Expenses – Robert DelVecchio 2022-2023 Q2

Expense Reportscentralexpense-reports
Expenses – Barbara Bell 2022-2023 Q2

Expenses – Barbara Bell 2022-2023 Q2

Expense Reportscentralexpense-reports
Expenses – Tini Le 2022-2023 Q2

Expenses – Tini Le 2022-2023 Q2

Expense Reportscentralexpense-reports
Expenses – Karin Dschankilic 2022-2023 Q2

Expenses – Karin Dschankilic 2022-2023 Q2

Expense Reportscentralexpense-reports
Behavioural Specialized Unit Patient Information Sheet

Behavioural Specialized Units (BSU) are designed for individuals expressing responsive behaviours generally associated with dementia. BSUs offer residents enhanced levels of care that is patient centred and founded in evidence-based practice. They are designed to provide transitional, specialized support for seniors whose challenging behaviours have become unmanageable in their current setting.

Information Sheetcentral-eastinformation-sheet
Public Sector Expense Report – Q2 2022-2023: Debbie Roberts

Public Sector Expense Report – Q2 2022-2023: Debbie Roberts

Expense Reportsnorth-simcoe-muskokaexpense-reports
Public Sector Expense Report – Q2 2022-2023: Karen Taillefer

Public Sector Expense Report – Q2 2022-2023: Karen Taillefer

Expense Reportsnorth-simcoe-muskokaexpense-reports
Leadership Expense Report – Q2 – 2022-23 English

Leadership Expense Report – Q2 – 2022-23 English

Expense Reportssouth-westexpense-reports
Swallowing Questionnaire Form 015 – EN

Completed by Retirement Home staff when requesting a Swallowing Assessment

Formswaterloo-wellingtonforms
Medical Referral Form – Community

Community Medical Referral Form – Central West

Formscentral-westforms
Social Media Terms / Conditions d’utilisation des médias sociaux

Use of our social media accounts is done at your own risk. All material, information and other content posted on or accessed from our social media accounts are provided on a “as is” and “as available” basis without any representations, warranties, covenants and conditions of any kind, express or implied, arising out of operation of law, course of dealing, course of conduct, usage of trade or any other circumstances. / Les comptes de médias sociaux de Services de soutien à domicile et en milieu communautaire font l’objet d’une surveillance durant les heures de travail habituelles, du lundi au vendredi. Si vous avez des questions concernant vos soins, veuillez communiquer avec votre coordonnateur de soins.

Information Sheetglobalinformation-sheet
Senior Staff Expenses Briefing Note Q2 2022/2023

Home and Community Care Support Services – Posting of Travel, Meal and Hospitality Expenses – 2nd Quarter, Fiscal 2022/23

Expense Reportsmississauga-haltonexpense-reports
Executive Expense Report Q2 2022/2023

Expense Reportsmississauga-haltonexpense-reports
Toronto Central Expenses Report: Q2 FY 22/23

Home and Community Care Support Services Toronto Central Senior Staff Expenses Q2 FY 22/23

Expense Reportstoronto-centralexpense-reports
Rehab Complex Medical Management Service Matrix Form 554B

Form used by HCCS staff to outline Medical Procedures, Medical Professionals and Special Equipment that is available.

Coordinated Bed Accesswaterloo-wellingtoncba
554C – General Rehabilitation Management Service Matrix

* Note – medical conditions must be stable, managed in an RN/RPN scope, not require daily MD assessment.

Coordinated Bed Accesswaterloo-wellingtoncba
554D – Low Intensity Rehabilitation Management Service Matrix

* Note – medical conditions must be stable, managed in an RN/RPN scope, not require daily MD assessment

Coordinated Bed Accesswaterloo-wellingtoncba
Hospice Admission Criteria Lisaard House & Innisfree

Provides guidelines for any individual meeting eligibility for the Hospice Residential Program for End of Life Care.

Coordinated Bed Accesswaterloo-wellingtoncba
Rehab Inpatient Care: The Next Step in Your Recovery for Complex Medical Management

Inpatient rehabilitative care is the next step in your recovery. It will help you work towards regaining your strength and independence. It will also help you with returning to your usual activities as much as possible.

Coordinated Bed Accesswaterloo-wellingtoncba
Rehab Inpatient Care: The Next Step in Your Recovery for General, Stroke and Low Intensity programs

Patient information for Inpatient Rehabilitative care to outline the next step in recovery. The rehab program will work toward regaining a patient’s strength and independence.

Coordinated Bed Accesswaterloo-wellingtoncba
Freedom of Information Request Form – English

Request form under the Freedom of Information and Protection of Privacy Act

Formsglobalforms
HNHB Rehabilitative Care – For HCCSS Partners

hamilton-niagara-haldimand-brant
HNHB RCA Update 2017

hamilton-niagara-haldimand-brant
HNHB RCA 2018 Audio

hamilton-niagara-haldimand-brant
North West – Executive Expense Report 2022-2023 Q2

Expense Reportsnorth-westexpense-reports
North East – Executive Expense Report 2022-2023 Q2

Expense Reportsnorth-eastexpense-reports
HNHB RCA 2019 Audio

hamilton-niagara-haldimand-brant
HNHB RCA Hip Fracture and THR Report

hamilton-niagara-haldimand-brant
HNHB RCA Presentation 2018

hamilton-niagara-haldimand-brant
HNHB Rehab Eligibility Criteria for Bedded Levels

hamilton-niagara-haldimand-brant
HNHB RCA Presentation 2019

hamilton-niagara-haldimand-brant
HNHB Rehab Care Alliance Update 2017

hamilton-niagara-haldimand-brant
HNHB RCA Presentation 2017

hamilton-niagara-haldimand-brant
HNHB Complex Care Rehab Application Form Tips

hamilton-niagara-haldimand-brant
HNHB – Definition Framework for Bedded Levels of Rehab Care

hamilton-niagara-haldimand-brant
HNHB Framework – Bedded Levels of Rehabilitative Care

hamilton-niagara-haldimand-brant
HNHB ALL REGION RCA MAP

hamilton-niagara-haldimand-brant
HNHB Niagara RCA Map

hamilton-niagara-haldimand-brant
HNHB Niagara North West RCA Map

hamilton-niagara-haldimand-brant
HNHB HN RCA Map

hamilton-niagara-haldimand-brant
HNHB Hamilton RCA Map

hamilton-niagara-haldimand-brant
HNHB Burlington RCA Map

hamilton-niagara-haldimand-brant
HNHB Leadership Expenses 19 20

Expense Reportshamilton-niagara-haldimand-brantexpense-reports
HNHB Leadership Expenses 19 20 Fr

Expense Reportshamilton-niagara-haldimand-brantexpense-reports
HNHB Leadership Expenses 20 21 Fr

Expense Reportshamilton-niagara-haldimand-brantexpense-reports
HNHB Leadership Expenses 20 21

Expense Reportshamilton-niagara-haldimand-brantexpense-reports
HNHB Leadership Expenses 21 22

Expense Reportshamilton-niagara-haldimand-brantexpense-reports
HNHB Leadership Expenses 21 22 FR

Expense Reportshamilton-niagara-haldimand-brantexpense-reports
HNHB Niagara NW Sub-Region Bedded Referral Options Tool RCA

Information Sheethamilton-niagara-haldimand-brantinformation-sheet
HNHB Niagara Sub-Region Bedded Referral Options Tool RCA

Information Sheethamilton-niagara-haldimand-brantinformation-sheet
HNHB Hamilton Sub-Region Bedded Referral Options Tool RCA

Information Sheethamilton-niagara-haldimand-brantinformation-sheet
HNHB HN Sub-Region Bedded Referral Options Tool RCA

Information Sheethamilton-niagara-haldimand-brantinformation-sheet
HNHB Burlington Sub-Region Bedded Referral Options Tool RCA

Information Sheethamilton-niagara-haldimand-brantinformation-sheet
HNHB Brant Sub-Region Bedded Referral Options Tool RCA

Information Sheethamilton-niagara-haldimand-brantinformation-sheet
Memorandum Of Understanding – 2017 English

Memorandum Of Understanding – 2017 English

Memorandum of Understandingcentralmemorandum-of-understanding
Guide des placements dans les foyers de soins de longue durée

Un foyer de soins de longue durée est un établissement où vous pouvez vivre confortablement, en toute sécurité et dans la dignité lorsqu’il devient trop difficile de maintenir votre autonomie dans votre domicile.

, , , , , , , , , , , , , , Fiche d’information, Guidecentre centre-est centre-ouest centre-toronto champlain-fr erie-st-clair-fr global-fr hamilton-niagara-haldimand-brant-fr mississauga-halton-fr nord-est nord-ouest simcoe-nord-muskoka sud-est sud-ouest waterloo-wellington-frinformation-sheet-fr guide-fr
Guide to Placement in Long-Term Care Homes

Ontario Health atHome is responsible for placement coordination to long-term care homes. This is a guide to Placement in Long-Term Care Homes

, , , , , , , , , , , , , , Guide, Information Sheetcentral central-east central-west champlain erie-st-clair global hamilton-niagara-haldimand-brant mississauga-halton north-east north-simcoe-muskoka north-west south-east south-west toronto-central waterloo-wellingtonguide information-sheet
Transitioning from Hospital to LTCH (Chinese)

Patient Information – Transitioning from Hospital to LTCH (Chinese)

Information Sheetglobalinformation-sheet
Transitioning from Hospital to LTCH (Tagalog)

Patient Information – Transitioning from Hospital to LTCH (Tagalog)

Information Sheetglobalinformation-sheet
Transitioning from Hospital to LTCH (Spanish)

Patient Information – Transitioning from Hospital to LTCH (Spanish)

Information Sheetglobalinformation-sheet
Transitioning from Hospital to LTCH (Russian)

Patient Information – Transitioning from Hospital to LTCH (Russian)

Information Sheetglobalinformation-sheet
Transitioning from Hospital to LTCH (Portuguese)

Patient Information – Transitioning from Hospital to LTCH (Portuguese)

Information Sheetglobalinformation-sheet
Transitioning from Hospital to LTCH (Italian)

Patient Information – Transitioning from Hospital to LTCH (Italian)

Information Sheetglobalinformation-sheet
Transitioning from Hospital to LTCH (Greek)

Patient Information – Transitioning from Hospital to LTCH (Greek)

Information Sheetglobalinformation-sheet
Transitioning from Hospital to LTCH (Arabic)

Patient Information – Transitioning from Hospital to LTCH (Arabic)

Information Sheetglobalinformation-sheet
Transition de l’hôpital aux soins de longue durée

Les foyers de soins de longue durée offrent un milieu de soins spécialisés sécuritaire aux personnes qui ne peuvent plus vivre de façon autonome, car elles ont besoin d’un niveau élevé de supervision. Comme ils sont accrédités et financés par le gouvernement de l’Ontario, les foyers de soins de longue durée doivent répondre aux exigences de la Loi de 2021 sur le redressement des soins de longue durée.

Information Sheetglobalinformation-sheet
Transition de l’hôpital aux soins de longue durée

Le départ de l’hôpital constitue la prochaine étape de
votre parcours de soins.
Votre fournisseur de soins nous a signalé que vous n’avez plus
besoin de soins médicaux actifs en milieu hospitalier.

Fiche d’informationglobal-frinformation-sheet-fr
Transitioning from Hospital to Long-Term Care

Long-term care homes offer a safe, secure and specialized care environment for people who can no longer live independently because of the high level of care or supervision they require. Long-term care homes are licensed and funded by the Government of Ontario and must meet requirements under the Fixing Long-Term Care
Act, 2021.

Information Sheetglobalinformation-sheet
Admission Criteria to Access a Specialty Hospital Bed for Seniors

Centralized Intake & Referral in Toronto
Participating Specialty Hospitals within Toronto Central
– Baycrest
– Centre for Addiction and Mental Health (CAMH)
– Toronto Rehabilitation Institute (TRI)

Information Sheettoronto-centralinformation-sheet
Mental Health and Addictions Nurses (MHAN) e-Referral Form

Mental Health and Addictions Nursing Program Referral Form for School Board, Community Agencies, etc.

Formserie-st-clairforms
HPG Service Offer and Service Offer Response Format Specification

HPGglobalhpg
Primary Care Fact Sheet

For Primary Care Physicians in Toronto
What can we offer your patients?
If you have a patient with an acute or chronic care need that is not met with current treatment and supports, Ontario Health atHome can help by coordinating your patient’s care in the home and the community.

Information Sheettoronto-centralinformation-sheet
earching for Manual Invoices in HPG Job Aid

HPGglobalhpg
HPG Rental Edit Check Process

HPGglobalhpg
Provincial XML Service Client Technical Documentation

HPGglobalhpg
Navigation Tips-Using HPG Invoice Entry

HPGglobalhpg
Initial release notes for HPG 3.7 related to CHRIS 3.2 release

HPGglobalhpg
Interim release notes; External partners v2.0 – CHRIS 3.0/HPG 3.6

HPGglobalhpg
Health Partner Gateway System Access Authorization Form

HPGglobalhpg
Multiple User Account Set-up Form

HPGglobalhpg
HCCSS-HPG-Invoice Entry User Guide v0 06

HPGglobalhpg
Module 6 – Self-user management for health partner administrators

HPGglobalhpg
Module 5 – Referral management

HPGglobalhpg
Module 5.2 – eReferral to CC/Rehab

HPGglobalhpg
Module 4 – Community Health Portal

The Client View tab, also referred to as the Community Health Portal (CHP), provides health partners such as service providers and hospitals with real time client information. The CHP uses the current Health Partner Gateway (HPG) and CHRIS integration to permit authorized Health Partner users to see real time active client information. HPG is integrated with CHRIS and related document management systems to enable more sophisticated methods of information sharing, including the access of client information through CHP and through Referral Management.

HPGglobalhpg
Module 3 – Offer management

HPGglobalhpg
Module 2 – Document exchange

Please refer to the Health Partner Gateway (HPG) Reference Guide for Health Partners – ‘Introduction and Common Functions’ for an overview of HPG. Also note that while HPG still uses Ontario Health at Home (OHaH)’s former ‘LHIN’ name, the Reference Guides generally use the current ‘OHAH’ name, but will use the term ‘LHIN’ where it applies specifically to a label in the HPG system.

HPGglobalhpg
Module 5.3 – eReferral to CSSA

HPGglobalhpg
Final Release Notes for HPG CHRIS 3.2

HPGglobalhpg
CHRIS 2.9 – HPG 3.5.2 – Final release notes for external partners

HPGglobalhpg
Final release notes – External partners v1.0 CHRIS 3.0/HPG 3.6

HPGglobalhpg
CHRIS 2.8.0 – HPG 3.5.0 Final release notes for external partners

HPGglobalhpg
HPG Edit Checks for Purchased Services v4

HPGglobalhpg
CHRIS Flat File Format Equipment and Supply Orders v4.5

HPGglobalhpg
CHRIS Flat File Format Billing Reconciliation Report v4.3

HPGglobalhpg
CHRIS Flat File Format Purchased Services Billing Recncln 4.3

HPGglobalhpg
CHRIS Flat File Format Purchased Services Billing Invoice v1.5

HPGglobalhpg
CHRIS Flat File Format Equipment & Supplies Billing Invoice v4.4

HPGglobalhpg
CHRIS 2.6.2 – HPG 3.4.1 – Release notes for external partners

HPGglobalhpg
CHRIS 2.6.0 – HPG 3.4.0 Final release notes for external partners

HPGglobalhpg
CHRIS 2.5.3 HPG 3.3.2 Release notes for CCACs & external partners

HPGglobalhpg
CHRIS 2.6.0 HPG 3.4.0 Interim release notes for external partners

HPGglobalhpg
CHRIS 2.5.0 – HPG 3.3.0 – Interim Notes for External Partners

HPGglobalhpg
CHRIS 2.5.0 Release notes: 5 day wait times FAQ

HPGglobalhpg
CHRIS 2.5.2 HPG 3.3.1 Release notes for CCACs & external partners

HPGglobalhpg
CHRIS 2.5.1 – HPG 3.3.1 Release notes for external partners

HPGglobalhpg
CHRIS 2.5.0 – HPG 3.3.0 Final release notes for external partners

HPGglobalhpg
CHRIS 2.4.0-HPG 3.2.0 pre-release notes for external partners

HPGglobalhpg
CHRIS 2.4.0 HPG 3.2.0 Final release notes for external partners

HPGglobalhpg
HCCSS-CCAC-Service Offer Format- Specifications- v 2.15

HPGglobalhpg
HCCSS- Adding Manual Invoices into HPG- Job Aid

HPGglobalhpg
Long Term Care Area Lists Perth – South West

Long Term Care Area Lists Perth – South West

Guidesouth-westguide
Medical Referral Form Guidelines for Adult Patients

North Simcoe Muskoka, Medical Referral Form Guidelines for Adult Patients

Guideguide
Referral/Request for Assessment

Referral/Request for Assessment in South West area. This is a PDF Interactive form. You have the option to complete all or parts, electronically. When completed, please print ad return this form to Ontario Health atHome via fax.
London: 519-472-4045 (patients living in London/Middlesex and Elgin)
Stratford: 519-273-2847 or toll free: 1-855-223-2847 (patients living in Grey/Bruce, Huron, Oxford, Perth)

Formssouth-westforms
Infirmières et infirmiers en santé mentale et en toxicomanie | Affiche

Vous avez besoin de soutien en matière de santé mentale ou de toxicomanie?
NOUS SOMMES ICI POUR VOUS AIDER Les in rmières et in rmiers en santé mentale et en toxicomanie sont à votre disposition durant toute la semaine pour vous o rir le soutien dont vous avez besoin.

Fiche d’informationwaterloo-wellington-frinformation-sheet-fr
Mental Health and Addictions Nurses in Schools Patient Flyer

Need Mental Health and Addictions Support?
WE’RE HERE TO HELP … Mental Health and Addictions Nurses are available throughout the week to support you.

Information Sheetwaterloo-wellingtoninformation-sheet
LHIN Transfer Orders April 1 2021

Media Releaseglobalmedia-release
Liste de vérification des renseignements dans une demande de placement en
foyer de soins de longue durée – Hôpital

La liste de vérification qui suit est un outil de référence conçu pour aider les coordonnateurs de soins de Santé
à domicile Ontario, les personnes qui soumettent une demande de placement en foyer de soins de longue
durée ainsi que leurs mandataires spéciaux

Formulairechamplain-frformulaire
Long-Term Care Counselling Checklist for Hospital Patients

The purpose of this checklist is to ensure the patient – or power of attorney (POA), or substitute decision-maker (SDM) – receives counselling from our Care Coordinator about the most important factors involved in the patient’s placement in a long-term care home (LTCH). Each statement with a check mark beside it, below, applies to the patient’s situation.

Formschamplainforms
Chez soi avant tout : de l’hôpital au domicile

Après un séjour en milieu hospitalier, de nombreux patients peuvent continuer de se rétablir en toute sécurité dans le confort de leur maison en recevant des services de soins à domicile appropriés. Sous le titre « Chez soi avant tout », cette approche met en priorité la santé et la sécurité des patients, permettant de veiller à ce que chaque personne reçoive les bons soins, au bon moment et au bon endroit.

Fiche d’informationchamplain-frinformation-sheet-fr
Home First from Hospital to Home

After hospital stays, many patients can continue their recovery safely in the comfort of their home with appropriate home care services. This approach to care is called Home First, with patient health and safety as the top priority, ensuring each person receives the right care at the right time and in the right place.
Based on your circumstances, your health care team has determined that the acute care portion of your hospital stay is complete and that you can benefit from home care services to help your safe transition from hospital.

Information Sheetchamplaininformation-sheet
Guide de l’approche palliative des soins

Services de soutien à domicile et en milieu communautaire (SSDMC) de Hamilton Niagara Haldimand Brant fournit des soins à domicile et en milieu communautaire ainsi que des services, y compris la coordination de soins pour les personnes vivant avec une maladie progressive limitant l’espérance de vie. L’équipe de coordination des soins palliatifs de Services de soutien à domicile et en milieu communautaire s’est engagée à fournir des soins attentionnés et professionnels pour répondre à vos besoins physiques, affectifs et spirituels ainsi qu’à ceux de votre famille. Nous avons les compétences et les connaissances nécessaires pour offrir une approche palliative des soins – un niveau de soins et de services conçus pour améliorer la qualité de votre vie et de celle de votre famille alors que vous faites face à une maladie grave limitant l’espérance de vie.

Guidehamilton-niagara-haldimand-brantguide
Services d’aide à la vie autonome pour les personnes âgées à risque élevé

Le programme d’aide à la vie autonome pour les personnes âgées à risque élevé permet aux aînés admissibles de vivre de façon autonome le plus longtemps possible en leur fournissant des services en milieu communautaire.
Peu importe où vous vivez, vous recevrez les services de soutien à la personne au moment où vous en avez besoin : les rendez-vous sont prévus pour le jour, le soir ou la nuit, et le soutien sur appel est disponible en tout temps. Étant donné que ce programme est financé par les fonds publics, il vous est offert gratuitement.

Fiche d’information, Guidechamplain-frinformation-sheet-fr guide-fr
Assisted Living Services for High-Risk Seniors Fact Sheet

The Assisted Living Services for High-Risk Seniors program supports eligible seniors to live independently for as long as possible by providing them with community-based services.
Regardless of where you live, this program can deliver personal support services when you need them: scheduled during the day, evening or overnight, with on-call support available 24/7. Since the program is publicly funded, there is no cost to you.

Guide, Information Sheetchamplainguide information-sheet
Interim Priorities Letter 2021-2022 – English

Interim Priorities Letter 2021-2022 – English

Mandate Lettersglobalmandate-letters
2021 MOH Memorandum of Understanding

2021 MOH Memorandum of Understanding

Memorandum of Understandingtoronto-centralmemorandum-of-understanding
2020-2021 Financial Statement – English

2020-2021 Financial Statement – English

Audited Financial Statementschamplainaudited-financial-statements
Palliative Care Common Referral Form FAQ

The Palliative Care Common Referral Form (PC-CRF) has been in use by palliative care organizations across the City of Toronto since 2004. The PC-CRF was originally developed by the Toronto In-Patient Palliative Care subcommittee of the Toronto Palliative Care Network (now known as the Toronto Central Palliative Care Network) in order to standardize the application process to access palliative care services throughout the city.

Forms, Guidetoronto-centralforms guide
Palliative Care Referral Form

Your submission of this form will be taken to explicitly mean that you have gained appropriate permission for release of the information contained to the agencies and services to whom you are submitting this. Please also include your Organization’s Release of Information Form, if applicable.

Formstoronto-centralforms
Referral Form for Ontario Health atHome

Referral Form for Ontario Health atHome

Formstoronto-centralforms
Telehomecare COPD HF Referral Form

Telehomecare COPD and Heart Failure Referral Form

Formstoronto-centralforms
Adult Speech Language Pathology Referral Form

Adult Speech Language Pathology Referral Form

Formstoronto-centralforms
2021-2022 Financial Statements – English

2021-2022 Financial Statements – English

Audited Financial Statementstoronto-centralaudited-financial-statements
Integrated Quality Risk Patient Safety – English

Integrated Quality Risk Patient Safety – English

OHT Data Decksnorth-simcoe-muskokaoht-data-decks
Home Care Patients: Monthly by Service Type – English

Home Care Patients: Monthly by Service Type – English

OHT Data Decksnorth-simcoe-muskokaoht-data-decks
Client Care Model Population Definitions – English

Client Care Model Population Definitions – English

OHT Data Decksnorth-simcoe-muskokaoht-data-decks
Wound Care Program

Wound Care Program

Guide, Information Sheetcentral-eastguide information-sheet
Palliative Patient Volumes – English

Palliative Patient Volumes – English

OHT Data Deckscentraloht-data-decks
Palliative Care Hub Model – English

Palliative Care Hub Model – English

OHT Data Deckscentraloht-data-decks
2019-2020 Financial Statements – English

2019-2020 Financial Statements – English

Audited Financial Statementstoronto-centralaudited-financial-statements
Long-Term Care Volumes – English

Long-Term Care Volumes – English

OHT Data Deckscentraloht-data-decks
2018-2019 Financial Statements – English

2018-2019 Financial Statements – English

Audited Financial Statementstoronto-centralaudited-financial-statements
Long-Term Care Profile – English

Long-Term Care Profile – English

OHT Data Deckscentraloht-data-decks
Home Care Referrals – English

Home Care Referrals – English

OHT Data Deckscentraloht-data-decks
BPSAA Attestation 2021-2022 Q2 – English

BPSAA Attestation 2021-2022 Q2 – English

BPSAAtoronto-centralbpsaa
Financial Statements 2016-17 French

Audited financial statements 2016-2017 – French

Audited Financial Statementserie-st-clairaudited-financial-statements
Financial Statements 2017-18 French

Audited financial statements 2017-2018 – French

Audited Financial Statementserie-st-clairaudited-financial-statements
BPSAA Attestation 2021-2022 Q4 – English

BPSAA Attestation 2021-2022 Q4 – English

BPSAAtoronto-centralbpsaa
Financial Statements 2018-19 French

Audited financial statements 2018-2019 – French

Audited Financial Statementserie-st-clairaudited-financial-statements
BPSAA Attestation 2022-2023 Q1 – English

BPSAA Attestation 2022-2023 Q1 – English

BPSAAtoronto-centralbpsaa
Financial Statements 2019-20 French

Audited financial statements 2019-2020 – French

Audited Financial Statementserie-st-clairaudited-financial-statements
Financial Statements 2020-21 French

Audited financial statements 2020-2021 – French

Audited Financial Statementserie-st-clairaudited-financial-statements
Expenses – Tini Le 2022-2023 Q1

Expenses – Tini Le 2022-2023 Q1

Expense Reportscentralexpense-reports
BPSAA Attestation 2021-2022 Q1 – English

BPSAA Attestation 2021-2022 Q1 – English

BPSAAtoronto-centralbpsaa
Expenses – Robert Del Vecchio 2022-2023 Q1

Expenses – Robert Del Vecchio 2022-2023 Q1

Expense Reportscentralexpense-reports
Expenses – Barbara Bell 2022-2023 Q1

Expenses – Barbara Bell 2022-2023 Q1

Expense Reportscentralexpense-reports
BPSAA Attestation 2021-2022 Q3 – English

BPSAA Attestation 2021-2022 Q3 – English

BPSAAtoronto-centralbpsaa
Expenses – Karin Dschankilic 2022-2023 Q1

Expenses – Karin Dschankilic 2022-2023 Q1

Expense Reportscentralexpense-reports
Expenses – Karin Dschankilic 2021-2022

Expenses – Karin Dschankilic 2021-2022

Expense Reportscentralexpense-reports
Expenses – Robert Del Vecchio 2021-2022

Expenses – Robert Del Vecchio 2021-2022

Expense Reportscentralexpense-reports
Expenses – Tini Le 2021-2022

Expenses – Tini Le 2021-2022

Expense Reportscentralexpense-reports
Expenses – Barbara Bell 2021-2022

Expenses – Barbara Bell 2021-2022

Expense Reportscentralexpense-reports
Medication Safety

If you suspect an overdose, get help right away by calling 911 or the Ontario Poison Control Center at: 1-800-268-9017. An overdose is a medical emergency, and prompt medical attention can help to prevent death or lasting health consequences.

Information Sheeterie-st-clairinformation-sheet
Public Sector Expense Report – Q1 2022-2023: Karen Taillefer

Public Sector Expense Report – Q1 2022-2023: Karen Taillefer

Expense Reportsnorth-simcoe-muskokaexpense-reports
Financial Statements 2021-2022 French

Audited financial statements 2021-2022 – French

Audited Financial Statementserie-st-clairaudited-financial-statements
Public Sector Expense Report – Q1 2022-2023: Debbie Roberts

Public Sector Expense Report – Q1 2022-2023: Debbie Roberts

Expense Reportsnorth-simcoe-muskokaexpense-reports
Expenses – Karen Taillefer 2021-2022

Expenses – Karen Taillefer 2021-2022

Expense Reportsnorth-simcoe-muskokaexpense-reports
Expenses – Debbie Roberts 2021-2022

Expenses – Debbie Roberts 2021-2022

Expense Reportsnorth-simcoe-muskokaexpense-reports
Expenses – Neil Walker 2020-2021

Expenses – Neil Walker 2020-2021

Expense Reportsnorth-simcoe-muskokaexpense-reports
Expenses – Karen Taillefer 2020-2021

Expenses – Karen Taillefer 2020-2021

Expense Reportsnorth-simcoe-muskokaexpense-reports
Expenses – Jeff Kwan 2020-2021

Expenses – Jeff Kwan 2020-2021

Expense Reportsnorth-simcoe-muskokaexpense-reports
Expenses – Debbie Roberts 2020-2021

Expenses – Debbie Roberts 2020-2021

Expense Reportsnorth-simcoe-muskokaexpense-reports
Memorandum of Understanding 2021 French

Memorandum of Understandingerie-st-clairmemorandum-of-understanding
Memorandum of Understanding 2017 French

Memorandum of Understandingerie-st-clairmemorandum-of-understanding
Expenses – Karen Taillefer 2019-20

Expenses – Karen Taillefer 2019-20

Expense Reportsnorth-simcoe-muskokaexpense-reports
Expenses – Jill Tettmann 2019-20

Expenses – Jill Tettmann 2019-20

Expense Reportsnorth-simcoe-muskokaexpense-reports
Expenses – Jeff Kwan 2019-20

Expenses – Jeff Kwan 2019-20

Expense Reportsnorth-simcoe-muskokaexpense-reports
Expenses – Denise Balfe 2019-20

Expenses – Denise Balfe 2019-20

Expense Reportsnorth-simcoe-muskokaexpense-reports
Expenses – Debbie Roberts 2019-20

Expenses – Debbie Roberts 2019-20

Expense Reportsnorth-simcoe-muskokaexpense-reports
Sécurité et prévention en matière de chutes – Sécurité à la maison

La sécurité est importante et chacun a un rôle à jouer à cet égard. Si vous recevez des soins à domicile, votre coordonnateur de soins ou votre fournisseur de services effectuera une évaluation de la sécurité durant sa première
visite et vous fournira des recommandations pour assurer votre sécurité à la maison.

Fiche d’informationsimcoe-nord-muskokainformation-sheet-fr
Falls Safety and Prevention – Safe At Home

Safety is important and everyone plays a role. If you are receiving care in the home, you can expect that your Care Coordinator or service provider will complete a safety assessment during their first visit with you and provide recommendations on how to be safe in your home.

Information Sheetnorth-simcoe-muskokainformation-sheet
Infirmières et infirmiers en santé mentale et en toxicomanie dans les écoles

Aider les élèves à s’épanouir, à composer avec leurs difficultés et à réussir Vivre avec un problème de santé mentale ou de dépendances est difficile, peu importe l’âge de la personne. Lorsqu’on y ajoute les pressions sociales et scolaires qui reposent sur les épaules d’un élève, la vie peut parfois sembler insupportable. Les infirmières et infirmiers en santé mentale et en toxicomanie offrent une intervention précoce, un soutien psycho-éducationnel et des stratégies thérapeutiques afin de répondre aux besoins particuliers des enfants et des jeunes en matière de santé mentale et de lutte contre les dépendances. Dans le cadre de ce programme, des infirmières et infirmiers spécialisés oeuvrent dans la communauté et dans les écoles afin d’aider les élèves qui ont des problèmes de santé mentale et de dépendances. Nous établissons des relations de confiance avec les élèves en respectant leur droit à la vie privée et à la confidentialité.

Fiche d’informationsimcoe-nord-muskokainformation-sheet-fr
Mental Health and Addictions Nurses (MHAN) in Schools

Helping students thrive, cope and succeed:
Living with mental health issues and/or an addiction is difficult for anybody of any age. When you add in the social and academic pressures of being a student, life can sometimes feel unbearable. Mental Health and Addictions Nurses provide early intervention, psycho-educational support and therapeutic strategies that addresses specific mental health and addiction needs for children and youth.

Information Sheetnorth-simcoe-muskokainformation-sheet
Foyers de soins de longue duré

Foyers de soins de longue durée sont autorisés et réglementés par le ministère de la Santé et des Soins de longue durée (MSSLD). Le ministère effectue des inspections pour garantir la conformité à la législation et aux règlements. Il réglemente aussi les frais associés aux soins de longue durée et les normes de service.
Les rapports sur les foyers de soins de longue durée sont disponibles au publicreporting.ltchomes.net/fr-ca (S’ouvre dans un nouvel onglet)
.
Pour de plus amples renseignements sur les foyers de soins de longue durée et les autres ressources en (S’ouvre dans un nouvel onglet) santé, veuillez composer le 1 833 515-1234 ou visitez le site lignesante.ca.

Fiche d’informationsimcoe-nord-muskokainformation-sheet-fr
Long-Term Care Homes

Ontario Health atHome coordinates the accommodation of people in North Simcoe and Muskoka’s Long-Term Care Homes (LTCH). These homes are located across the region and provide a diverse range of specialized and personalized services. All LTCHs are licensed and regulated by the Ministry of Long-Term Care (Ministry). The Ministry conducts inspections to ensure compliance with legislation and regulations. They also regulate the fees for longterm care and the standards of service. Reports on LTCHs are available at publicreporting.ltchomes.net (opens in a new tab) . For more information on LTCHs and other health service resources call 1-833-515-1234
or visit Health Line (opens in a new tab) .

Information Sheetnorth-simcoe-muskokainformation-sheet
Services à l’enfance

Nous offrons des services de coordination des soins, des services professionnels et des services de soutien à la personne aux enfants, aux jeunes et à leur famille afin de répondre à leurs besoins à court ou à long terme en matière de santé. Selon les besoins, les enfants ou les jeunes pourraient recevoir des services à leur domicile, à l’école ou dans ces deux milieux.

Fiche d’informationsimcoe-nord-muskokainformation-sheet-fr
Children’s Services

We provide care coordination, professional and personal support services to children, youth and their families to assist with short or long-term health needs. Depending on their needs, children or youth may receive services in their homes, at school, or in both settings.

Information Sheetnorth-simcoe-muskokainformation-sheet
Programmes de jour pour adultes

Les programmes de jour pour adultes proposent des activités sociales, récréatives et thérapeutiques aux personnes âgées fragiles ainsi qu’aux personnes qui éprouvent une perte de mémoire. Ils s’adressent aux personnes âgées qui ont besoin d’une aide régulière et qui sont seules et retirent des avantages de leur interaction sociale avec leur entourage. Les participants vivent actuellement à leur domicile.

Fiche d’informationinformation-sheet-fr
Adult Day Programs

Adult Day Programs offer social, recreational and therapeutic opportunities for frail elderly as well as individuals experiencing memory loss. They are designed for seniors who need regular assistance and who are lonely and benefit from socializing with others. Participants currently live at home.

Information Sheetinformation-sheet
Infirmières en santé mentale et en toxicomanie dans les écoles

Information au sujet des infirmières et infirmiers en santé mentale et en toxicomanie dans les écoles

Information Sheetcentralinformation-sheet
Programme d’intervention rapide en soins infirmiers

Une transition efficace de l’hôpital à la maison est jugée essentielle afin d’obtenir de bons résultats pour les patients et d’éviter leur réadmission à l’hôpital. Dans le cadre du programme d’intervention rapide en soins infirmiers, les patients reçoivent les services nécessaires pour réussir la transition de l’hôpital à la maison.

Fiche d’information, Guidecentre-estinformation-sheet-fr guide-fr
Rapid Response Nursing (RRN) Program Fact Sheet

Effective transitions between hospital and home are recognized as critical to achieving good outcomes for individuals and avoiding re-hospitalization. The RRN Program is committed to providing services that help to ensure your transition from hospital to home is successful.

Guide, Information Sheetcentral-eastguide information-sheet
Mental Health and Addictions Nurses Program

Information about the Mental Health and Addictions Nurses program in the Central area

Information Sheetcentralinformation-sheet
Healthline Information – English

Information about CentralHealthline.ca

Information Sheetcentralinformation-sheet
Child and Family Services – English

The child and family services program is a specialized program which provides care coordination, professional and personal support services to children, youth and their families to assist with short or long-term health needs. Depending on their needs, children or youth may receive services in their homes, at school, or in both settings.

Information Sheetcentralinformation-sheet
Programmes de jour pour adultes et services d’aide à la vie autonome

Les programmes de jour pour adultes offrent des activités sociales, récréatives et thérapeutiques aux personnes socialement isolées ou ayant une perte de mémoire, un trouble de communication ou une déficience physique. Ils permettent aux participants de socialiser et aux soignants de prendre une pause bien nécessaire.
Des professionnels formés travaillent en étroite collaboration avec les participants et leur famille afin d’assurer l’atteinte des buts du programme. Tous les centres de jour pour adultes sont gérés par des employés sympathiques et bienveillants et offrent des collations et des repas nutritifs.

Fiche d’informationcentreinformation-sheet-fr
Adult Day Programs and Assisted Living

Adult day programs offer social, recreational and therapeutic activities for people living in social isolation or experiencing memory loss, communication disorders or those with physical disabilities. Adult day programs give people an opportunity to socialize and offer caregivers a much-needed break. Specifically trained professionals work closely with participants and their families to ensure the goals of the program are met. All adult day centres are operated by friendly, caring staff and offer nutritious meals and snacks.

Information Sheetcentralinformation-sheet
Nursing Clinic Fact Sheet

Nursing Clinic Fact Sheet

Guide, Information Sheetcentral-eastguide information-sheet
Infirmières et infirmiers en santé mentale et en toxicomanie dans les écoles

Aider les élèves à s’épanouir, à composer avec leurs difficultés et à réussir

Vivre avec un problème de santé mentale ou de dépendances est difficile, peu importe l’âge de la personne. Lorsqu’on y ajoute les pressions sociales et scolaires qui reposent sur les épaules d’un élève, la vie peut parfois sembler insupportable.
Les infirmières et infirmiers en santé mentale et en toxicomanie offrent une intervention précoce,
un soutien psycho-éducationnel et des stratégies
thérapeutiques afin de répondre aux besoins
particuliers des enfants et des jeunes en matière de
santé mentale et de lutte contre les dépendances.

Fiche d’information, Guidecentre-estinformation-sheet-fr guide-fr
Mental Health and Addictions Nurses in School (MHAN) Fact Sheet

Helping students thrive, cope and succeed:
Living with mental health issues and/or an addiction is difficult for anybody of any age.
When you add in the social and academic pressures of being a student, life can sometimes feel unbearable.

Guide, Information Sheetcentral-eastguide information-sheet
Community Palliative Care Nurse Practitioner Program Fact Sheet

Community Palliative Care Nurse Practitioner Program Fact Sheet

Guide, Information Sheetcentral-eastguide information-sheet
Renato Discenza Expenses- 2020-2021- Q4

Expense Reportssouth-eastexpense-reports
Renato Discenza Expenses- 2020-2021- Q3

Expense Reportssouth-eastexpense-reports
Renato Discenza Expenses- 2020-2021- Q2

Expense Reportssouth-eastexpense-reports
Public Sector Expense Reports – Q4 2021-2022

Public Sector Expense Reports – Q4 2021-2022 – Central East, South East and Champlain

, , Expense Reportscentral-east champlain south-eastexpense-reports
Board and Executive Travel- 2019-2020- Q4

Expense Reportssouth-eastexpense-reports
Board and Executive Travel- 2019-2020- Q3

Expense Reportssouth-eastexpense-reports
Board and Executive Travel- 2019-2020- Q2

Expense Reportssouth-eastexpense-reports
Board and Executive Travel- 2019-2020- Q1

Expense Reportssouth-eastexpense-reports
Regional Palliative Consultation Team – Brochure – Bilingual

Regional Palliative Consultation Team – Brochure – Bilingual

Information Sheetchamplaininformation-sheet
Durham Community Paramedicine Program

Durham Community Paramedicine Program

Information Sheetcentral-eastinformation-sheet
Community Support Services Program Summary

Community Support Services Program Summary

Information Sheetcentral-eastinformation-sheet
2021 MOH Memorandum of Understanding

2021 MOH Memorandum of Understanding

Memorandum of Understandingchamplainmemorandum-of-understanding
2017 MOH Memorandum of Understanding

2017 MOH Memorandum of Understanding

Memorandum of Understandingchamplainmemorandum-of-understanding
MOH Mandate Letter 2018-2019 – EN

MOH Mandate Letter 2018-2019 – EN

Mandate Letterschamplainmandate-letters
Interim Priorities Letter 2021-2022 – French

Interim Priorities Letter 2021-2022 – French

Mandate Lettersglobalmandate-letters
Formulaire de référence à l’équipe régionale de consultation en soins palliatifs de Champlain

L’Équipe régionale de consultation en soins palliatifs de Champlain est là pour vous appuyer.
L’Équipe régionale de consultation en soins palliatifs constitue un partenariat entre Soins continus Bruyère et Services de soutien à domicile et en milieu communautaire de Champlain. Nous représentons une équipe interprofessionnelle d’experts en soins palliatifs, y compris des infirmières praticiennes, des infirmières de pratique avancée, des infirmiers spécialisés et des médecins.

Formulairechamplain-frformulaire
Regional Palliative Consultation Team Referral Form

The Champlain Regional Palliative Consultation Team (RPCT) is here for you.
The RPCT is a partnership between Bruyère Continuing Care and Ontario Health atHome, Champlain area. We are a team of inter-professional palliative-care experts, including nurse practitioners, advanced practice nurses, nurse specialists and doctors.

Formschamplainforms
Referral Form for Community Referrals

Referral Form for Ontario Health atHome For Community Referrals
Eligibility for Direct Services: Valid OHIP card; Assessment by a Health Care Professional.
Fax Form to 613.745.6984 or 1.855.450.8569

Formschamplainforms
Primary Care Resource – Home and Community Care Supports

Primary Care Resource – Home and Community Care Supports

Information Sheetchamplaininformation-sheet
Negative Pressure Wound Therapy Referral Form

Note: NPWT will continue to be assessed in the community, and settings may be reviewed based on exudate and patient tolerance. Continuation of NPWT is dependent on wound healing goals being met. Maximum treatment time for NPWT is 8 weeks.
Fax: 613-745-6984/1-855-450-8569
*Hospital: Use hospital Ontario Health atHome fax number

Forms, Medical Equipment and Supplieschamplainforms medical-equipment-and-supplies
Medical Referral Infusions Pain and Symptom Management

Up to 24 hours may be required for infusion to be initiated in the home. Incomplete prescriptions may cause delays in processing your order. Please ensure that contact information is provided so that the pharmacy can reach you should they have questions.

Formschamplainforms
MAiD FAQ – English

MAiD FAQ – English

Information Sheetchamplaininformation-sheet
Liste de choix de foyers de soins de longue durée

Champlain, Liste de choix de foyers de soins de longue durée

Formschamplainforms
Authorization for Release of Personal Health Information Form

Authorization for Release of Personal Health Information Form

Formschamplainforms
Medical Referral Form

Orders are fulfilled per Community Protocols documented on page 2, unless physician requests otherwise. We process only completed referrals
(signed, dated and legible). Confidential when completed. Fax completed form to 613.745.6984 or 1.855.450.8569. If you received this form in error,
please call 1.800.538.0520.

Formschamplainforms
2021-2022 Financial Statements – English

2021-2022 Financial Statements – English

Audited Financial Statementschamplainaudited-financial-statements
2019-2020 Financial Statements – English

2019-2020 Financial Statements – English

Audited Financial Statementschamplainaudited-financial-statements
Leadership Expenses 2022-2023 – Q1

Leadership Expenses 2022-2023 – Q1

Expense Reportschamplainexpense-reports
Leadership Expenses 2021-2022 – Q4

Leadership Expenses 2021-2022 – Q4

Expense Reportschamplainexpense-reports
CEO Expenses 2020-2021 – Q2

CEO Expenses 2020-2021 – Q2

Expense Reportschamplainexpense-reports
Leadership Expenses 2020-2021 – Q1

Leadership Expenses 2020-2021 – Q1

Expense Reportschamplainexpense-reports
Leadership Expenses 2019-2020 – Q4

Leadership Expenses 2019-2020 – Q4

Expense Reportschamplainexpense-reports
Expense Report 2020-21 Q2

Executive expense report 2020-21 Q2

Expense Reportserie-st-clairexpense-reports
Expense Report 2019-20 Q4

Executive expense report 2019-20 Q4

Expense Reportserie-st-clairexpense-reports
Leadership Expenses 2019-2020 – Q3

Leadership Expenses 2019-2020 – Q3

Expense Reportschamplainexpense-reports
CEO Expenses 2019-2020 – Q3

CEO Expenses 2019-2020 – Q3

Expense Reportschamplainexpense-reports
Leadership Expenses 2019-2020 – Q2

Leadership Expenses 2019-2020 – Q2

Expense Reportschamplainexpense-reports
CEO Expenses 2019-2020 – Q2

CEO Expenses 2019-2020 – Q2

Expense Reportschamplainexpense-reports
Leadership Expenses 2019-2020 – Q1

Leadership Expenses 2019-2020 – Q1

Expense Reportschamplainexpense-reports
CEO Expenses 2019-2020 – Q1

CEO Expenses 2019-2020 – Q1

Expense Reportschamplainexpense-reports
Kawartha Lakes Community Paramedicine Program

Kawartha Lakes Community Paramedicine Program

Information Sheetcentral-eastinformation-sheet
Northumberland Community Paramedicine Program

Northumberland Community Paramedicine Program

Information Sheetcentral-eastinformation-sheet
Peterborough Community Paramedicine Program

Peterborough Community Paramedicine Program

Information Sheetcentral-eastinformation-sheet
BPSAA Attestation 2022-2023 Q1 – EN

BPSAA Attestation 2022-2023 Q1 – EN

BPSAAchamplainbpsaa
BPSAA Attestation 2021-2022 Q3 – EN

BPSAA Attestation 2021-2022 Q3 – EN

BPSAAchamplainbpsaa
BPSAA Attestation 2021-2022 Q2 – EN

BPSAA 2021-2022 Q2 – EN

BPSAAchamplainbpsaa
BPSAA Attestation 2021-2022 Q1 – EN

BPSAA 2021-2022 Q1 – EN

BPSAAchamplainbpsaa
Iron Infusion Order Form

Fax completed form to 1-866-655-6402
Note –If patient is receiving treatment through Ontario Health atHome the medication will be provided to the patient through Calea. Do not have patient pick the medication up from their own pharmacy.

Formshamilton-niagara-haldimand-brantforms
Demande d’évaluation

Tél. : 800-263-3877
Téléc. : 855-352-2555

Formulairecentre-estformulaire
Request For Assessment Form

Phone: 800-263-3877
Fax: 855-352-2555

Formscentral-eastforms
Narcotic Infusion Therapy Referral Form

Narcotic Infusion Therapy Referral Form

Formscentral-eastforms
Hospital Request for Assessment Form

Hospital Request for Assessment Form

Formscentral-eastforms
Hospital Narcotic Infusion Therapy Referral Form

Hospital Narcotic Infusion Therapy Referral Form

Formscentral-eastforms
Hospital Infusion Therapy Referral Form

Hospital Infusion Therapy Referral Form

Formscentral-eastforms
Hip and Knee Referral Form

Hip and Knee Referral Form

Formscentral-eastforms
Feedback Form – How did we do today?

At Ontario Health atHome, we are committed to leading the advancement of an integrated sustainable health care system that ensures better health, better care and better value. Your feedback is important to us.

Formscentral-eastforms
Community Paramedicine Referral Form

Community Paramedicine Referral Form

Formscentral-eastforms
When Death Occurs at Home

Guide, Information Sheetchamplainguide information-sheet
Expense Report – 2022-23 Q1

Executive expense report 2022-23 Q1

Expense Reportserie-st-clairexpense-reports
Expense Report – 2021-22 Q4

Executive expense report 2021-22 Q4

Expense Reportserie-st-clairexpense-reports
Expense Report – 2021-22 Q3

Executive expense report 2021-22 Q3

Expense Reportserie-st-clairexpense-reports
Expense Report – 2021-22 Q2

Executive expense report 2021-22 Q2

Expense Reportserie-st-clairexpense-reports
Expense Report – 2021-22 Q1

Executive expense report 2021-22 Q1

Expense Reportserie-st-clairexpense-reports
Expense Report – 2020-21 Q4

Executive expense report 2020-21 Q4

Expense Reportserie-st-clairexpense-reports
Expense Report – 2020-21 Q3

Executive expense report 2020-21 Q3

Expense Reportserie-st-clairexpense-reports
Expense Report – 2019-20 Q3

Executive expense report 2019-20 Q3

Expense Reportserie-st-clairexpense-reports
Expense Report – 2019-20 Q2

Executive expense report 2019-20 Q2

Expense Reportserie-st-clairexpense-reports
Expense Report 2019-20 Q1

Executive expense report 2019-20 Q1

Expense Reportserie-st-clairexpense-reports
Attendre chez soi – Fiche de renseignements

Qu’est-ce que le programme Attendre chez soi?
La plupart des gens préfèrent ne pas être hospitalisés, à moins que ce ne soit médicalement nécessaire. Le programme Attendre chez soi est pour les gens qui attendent qu’un lit se libère dans un foyer de soins de
longue durée.
Le programme vous permet de retourner chez vous et de recevoir un éventail de services de soutien à domicile et communautaire qui répondront à vos besoins.

Fiche d’informationnord-ouestinformation-sheet-fr
Wait at Home Fact Sheet

What is the Wait at Home program?
Most people would prefer not to be in hospital unless it is medically necessary. The Wait at Home program is for people who are waiting for a bed in a Long-Term Care Home.
The Wait at Home program enables you to return home where your health care needs will be supported through a variety of in-home and community support services.

Information Sheetnorth-westinformation-sheet
Protection de vos renseignements personnels

Au Santé à domicile Ontario, nous respectons votre droit à la protection de la vie privée et nous sommes déterminés à assurer que vos renseignements personnels restent privés, sûrs et confidentiels.
Quels renseignements recueillons nous?
La quantité et le type de renseignements que nous recueillons ne dépassent jamais ce qui est nécessaire pour vous fournir des services et répondre à vos besoins en matière de soins de santé.

Fiche d’informationnord-ouestinformation-sheet-fr
Protecting Your Privacy

At Ontario Health atHome we respect your right to privacy and are committed to ensuring that your personal health information is kept private, confidential and secure.
What Information Do We Collect?
The amount and type of information we collect is limited to that which is necessary to provide services and meet your health care needs.

Information Sheetnorth-westinformation-sheet
North West Palliative Symptom Management Kit Guidelines – English

Information Sheetnorth-westinformation-sheet
Tarifs d’hébergement des foyers de soins de longue durée

Les tarifs mentionnés ci-dessus sont en vigueur en date du 1er juillet 2023 et font l’objet d’une révision annuelle.
La part du demandeur du coût de l’hébergement BASIC est d’un maximum de 1 986,82 $ par mois.

Fiche d’informationnord-ouestinformation-sheet-fr
Long-Term Home Care Rates

Rates listed in this document are as of July 1, 2023 and are subject to annual review.
Rates listed above are as of July 1, 2023 and are subject to annual review.

Information Sheetnorth-westinformation-sheet
Services de renseignements et de renvoi

Êtes-vous sorti de l’hôpital récemment après une chirurgie ou une grave maladie et avez-vous
besoin d’aide pour vos activités quotidiennes Votre enfant a-t-il besoin d’aide médicale à la maison ou à l’école? Vous occupez-vous d’une personne et avez- vous besoin d’une pause de vos responsabilités quotidiennes? Avez-vous un parent qui ne peut plus vivre de façon autonome? Souvent, les personnes ont besoin d’aide dans leur vie quotidienne mais elles ne savent pas vers qui se tourner pour l’obtenir.

Fiche d’informationnord-ouestinformation-sheet-fr
Information and Referral Services

https://ontariosanteadomicile.ca/document/nord-est-services-dietetiques/

Information Sheetnorth-westinformation-sheet
Foire aux questions à propos des soins à domicile et en milieu communautaire

Ce livret a été préparé pour apporter un début de réponse à un grand nombre de questions qui reviennent couramment au sujet des Santé à domicile Ontario dans la région du Nord-Ouest.
Si vous avez d’autres questions ou que vous avez besoin d’information, veuillez communiquer avec le bureau le plus près de chez vous, en composant l’un des numéros de téléphone au verso de ce livret ou visiter notre site Web, à ontariosanteadomicile.ca/nord-ouest/

Fiche d’informationnord-ouestinformation-sheet-fr
Frequently Asked Questions about Home and Community Care

This booklet has been prepared to help answer many of the commonly asked questions about Ontario Health atHome. If you have additional questions or require further information, please contact your nearest office at the phone numbers provided at the back of this booklet, or visit our website at ontariohealthathome.ca.

Information Sheetnorth-westinformation-sheet
Renvoi vers le Programme d’infirmières et d’infirmiers en santé
mentale et en toxicomanie dans les écoles

*Pour que la demande soit traitée, toutes les sections du formulaire doivent être remplies – les formulaires incomplets seront renvoyés par télécopieur à la source du renvoi
Envoyez ce formulaire par télécopieur au 807 346-4484

Formulairenord-ouestformulaire
Mental Health and Addiction Nurse Referral Form

* All sections must be completed – incomplete forms will be faxed back to the referral source
Please FAX referral to 807-346-4484

Formsnorth-westforms
Palliative Symptom Management Kit Order Form

Palliative Symptom Management Kit Order Form, North West

Formsnorth-westforms
Referral for Ontario Health atHome Services

Referral for Ontario Health atHome Services in North West

Formsnorth-westforms
COPD and Heart Failure Telehomecare Referral Form

Please fax to: 807.767.6968 or 1.855.272.6025
If required, Telehomecare staff will fax the referral form to the Primary Care Provider to verify and/or add any relevant information.

Formsnorth-westforms
Memorandum of Understanding 2021 – français

Memorandum of Understandingnorth-westmemorandum-of-understanding
Memorandum of Understanding 2021 – English

Memorandum of Understandingnorth-westmemorandum-of-understanding
Memorandum of Understanding 2017 – français

Memorandum of Understandingnorth-westmemorandum-of-understanding
Memorandum of Understanding 2017 – English

Memorandum of Understandingnorth-westmemorandum-of-understanding
North West Audited Financial Statements 2021 – français

Audited Financial Statementsnorth-westaudited-financial-statements
North West Audited Financial Statements 2021 – English

Audited Financial Statementsnorth-westaudited-financial-statements
North West Audited Financial Statements 2020 – français

Audited Financial Statementsnorth-westaudited-financial-statements
North West Audited Financial Statements 2020 – English

Audited Financial Statementsnorth-westaudited-financial-statements
North West Audited Financial Statements 2019 – français

Audited Financial Statementsnorth-westaudited-financial-statements
North West Audited Financial Statements 2019 – English

Audited Financial Statementsnorth-westaudited-financial-statements
North West Audited Financial Statements 2018 – français

Audited Financial Statementsnorth-westaudited-financial-statements
North West Audited Financial Statements 2018 – English

Audited Financial Statementsnorth-westaudited-financial-statements
Executive Expense Report 2021-2022 Q4

Expense Reportsnorth-westexpense-reports
Executive Expense Report 2021-2022 Q3

Expense Reportsnorth-westexpense-reports
Executive Expense Report 2021-2022 Q2

Expense Reportsnorth-westexpense-reports
Executive Expense Report 2022-2023 Q1

Expense Reportsnorth-westexpense-reports
Executive Expense Report 2021-2022 Q1

Expense Reportsnorth-westexpense-reports
BPSAA Attestation 2021-2022 Q4 – français

BPSAAnorth-westbpsaa
BPSAA Attestation 2021-2022 Q4 – English

BPSAAnorth-westbpsaa
BPSAA Attestation 2021-2022 Q3 – français

BPSAAnorth-westbpsaa
BPSAA Attestation 2021-2022 Q3 – English

BPSAAnorth-westbpsaa
BPSAA Attestation 2021-2022 Q2 – français

BPSAAnorth-westbpsaa
BPSAA Attestation 2021-2022 Q2 – English

BPSAAnorth-westbpsaa
BPSAA Attestation 2022-2023 Q1 – français

BPSAAnorth-westbpsaa
BPSAA Attestation 2022-2023 Q1 – English

BPSAAnorth-westbpsaa
BPSAA Attestation 2021-2022 Q1 – français

BPSAAnorth-westbpsaa
BPSAA Attestation 2022-2023 Q1 – français

BPSAAnorth-eastbpsaa
BPSAA Attestation 2021-2022 Q4 – français

BPSAAnorth-eastbpsaa
BPSAA Attestation 2021-2022 Q3 – français

BPSAAnorth-eastbpsaa
BPSAA Attestation 2021-2022 Q2 – français

BPSAAnorth-eastbpsaa
BPSAA Attestation 2021-2022 Q1 – français

BPSAAnorth-eastbpsaa
BPSAA Attestation 2021-2022 Q1 – English

BPSAAnorth-westbpsaa
Programme d’autotraitement des plaies votre passeport santé

Votre Passeport santé sert à vous, à votre famille ou à la personne qui vous aide. Il contient des informations importantes pour votre santé, votre problème médical et vos traitements alors que vous commencez à traiter votre plaie. Ci-après, vous trouverez des formulaires et des tableaux qui deviendront votre registre quotidien des soins que vous apporterez progressivement à votre plaie. N’oubliez pas d’apporter ce passeport avec vous à tous vos rendez-vous médicaux et à toutes vos séances de traitement.

Fiche d’informationnord-estinformation-sheet-fr
Wound Self Management Patient Guide – English

Your Health Passport is for you and your family and/or caregiver. It contains information that is important to you, your condition and treatments as you begin managing your wound. Inside you will find forms and tables that will become a daily log as you move through caring for your wound.
Make sure you bring this passport with you to all your medical appointments/ procedures.

Information Sheetnorth-eastinformation-sheet
Ulcère veineux de la jambe

Cette brochure vous aidera à :
• vous occuper de votre plaie chez vous;
• rehausser et conserver votre santé et votre qualité de vie;
• prévenir de nouvelles plaies.
Vous pouvez utiliser cette brochure et le passeport qui l’accompagne pour :
• noter les informations au sujet de vos soins;
• guider les soins quotidiens que vous apportez à votre plaie;
• savoir quand vous devriez téléphoner à votre équipe; et
• vous assurer que vous recevez les meilleurs soins possible pour votre plaie.

Fiche d’informationnord-estinformation-sheet-fr
Venous Leg Ulcers

This booklet will help you:
• Manage your wound at home,
• Improve and maintain your health and quality of life,
• Prevent new wounds.
You can use this booklet and the accompanying passport to:

• Keep track of information about your care,
• Guide your day-to-day wound care,
• Know when you need to call your care team,
• Ensure that your wound is being managed in the best way possible.

Information Sheetnorth-eastinformation-sheet
Plaie chirurgicale

This booklet will help you:
• Manage your wound at home,
• Improve and maintain your health and quality of life,
• Prevent new wounds.
You can use this booklet and the accompanying passport to:
• Keep track of information about your care,
• Guide your day-to-day wound care,
• Know when you need to call your care team,
• Ensure that your wound is being managed in the best way possible.

Fiche d’informationnord-estinformation-sheet-fr
Surgical Wounds

This booklet will help you:
• Manage your wound at home,
• Improve and maintain your health and quality of life,
• Prevent new wounds.
You can use this booklet and the accompanying passport to:
• Keep track of information about your care,
• Guide your day-to-day wound care,
• Know when you need to call your care team,
• Ensure that your wound is being managed in the best way possible.

Information Sheetnorth-eastinformation-sheet
Plaie de pression

Cette brochure vous aidera à :
• vous occuper de votre plaie chez vous;
• rehausseret conserver votre santé et votre qualité de vie;
• prévenir de nouvelles plaies.
Vous pouvez utiliser cette brochure et le passeport qui l’accompagne pour :
• noter les informations au sujet de vos soins;
• guider les soins quotidiens que vous apportez à votre plaie;
• savoir quand vous devriez téléphoner à votre équipe;
• vous assurer que vous recevez les meilleurs soins possible pour votre plaie.

Fiche d’informationnord-estinformation-sheet-fr
Pressure Injury

This booklet will help you:
• Manage your wound at home,
• Improve and maintain your health and quality of life,
• Prevent new wounds.
You can use this booklet and the accompanying passport to:

• Keep track of information about your care,
• Guide your day-to-day wound care,
• Know when you need to call your care team,
• Ensure that your wound is being managed in the best way possible

Information Sheetnorth-eastinformation-sheet
Kyste pilonidal

Cette brochure vous aidera à :

• vous occuper de votre plaie chez vous;
• rehausser et conserver votre santé et votre qualité de vie;
• prévenir de nouvelles plaies.
Vous pouvez utiliser cette brochure et le passeport qui l’accompagne pour :
• noter les informations au sujet de vos soins;
• guider les soins quotidiens que vous apportez à votre plaie;
• savoir quand vous devriez téléphoner à votre équipe; et
• vous assurer que vous recevez les meilleurs soins possible pour votre plaie.

Fiche d’informationnord-estinformation-sheet-fr
Pilonidal Cysts

This booklet will help you:
• Manage your wound at home,
• Improve and maintain your health and quality of life,
• Prevent new wounds.
You can use this booklet and the accompanying passport to:

• Keep track of information about your care,
• Guide your day-to-day wound care,
• Know when you need to call your care team,
• Ensure that your wound is being managed in the best way possible.

Information Sheetnorth-eastinformation-sheet
Brûlures du deuxième degré

Cette brochure vous aidera à :
• vous occuper de votre brûlures chez vous;

• rehausser et conserver votre santé et votre qualité de vie;

Vous pouvez utiliser cette brochure et le passeport qui l’accompagne pour :

• noter les informations au sujet de vos soins;

• guider les soins quotidiens que vous apportez à votre brûlures;

• savoir quand vous devriez téléphoner à votre équipe;

• vous assurer que vous recevez les meilleurs soins possible pour votre brûlures

Fiche d’informationnord-estinformation-sheet-fr
Partial Thickness Burn

This booklet will help you:
• Manage your burn at home,
• Improve and maintain your health and quality of life,
You can use this booklet and the accompanying passport to:

• Keep track of information about your care,
• Guide your day-to-day wound care,
• Know when you need to call your care team,
• Ensure that your burn is being managed in the best way possible.

Information Sheetnorth-eastinformation-sheet
Soins D’une Stomie

Le programme
Cette brochure vous aidera à :
• à prendre soin de votre stomie chez vous;
• à améliorer et à maintenir votre santé et votre qualité de vie.
Vous pouvez utiliser cette brochure et le passeport qui l’accompagne pour :
• noter les informations au sujet de vos soins;
• trouver réponse aux questions liées à votre stomie;
• savoir quand vous devriez téléphoner à votre équipe;
• vous assurer que vous recevez les meilleurs soins possible pour votre stomie.

Fiche d’informationnord-estinformation-sheet-fr
Ostomy Management

This booklet will help you:
• Manage your ostomy at home,
• Improve and maintain your health and quality of life,
You can use this booklet and the accompanying passport to:

• Keep track of information about your care,
• Answer questions you may have about your ostomy,
• Know when you need to call your care team,
• Ensure that your ostomy is being managed in the best way possible

Information Sheetnorth-eastinformation-sheet
Traitement d’une plaie par pression négative

Cette brochure vous aidera à :

  • vous occuper de votre plaie chez vous;
  • rehausser et conserver votre santé et votre qualité de vie;
  • prévenir de nouvelles plaies.

Vous pouvez utiliser cette brochure et le passeport qui l’accompagne pour :

  • noter les informations au sujet de vos soins;
  • guiderles soins quotidiens que vous apportez à votre plaie;
  • savoir quand vous devriez téléphoner à votre équipe;
  • vous assurer que vous recevez les meilleurs soins possible pour votre plaie.
équipement et des fournitures médicales, Fiche d’informationnord-estmedical-equipment-and-supplies-fr information-sheet-fr
Traitement d’une plaie par pression négative

équipement et des fournitures médicales, Fiche d’informationmedical-equipment-and-supplies-fr information-sheet-fr
Negative Pressure Wound

This booklet will help you:

  • Manage your wound at home,
  • Improve and maintain your health and quality of life,
  • Prevent new wounds.

You can use this booklet and the accompanying passport to:

  • Keep track of information about your care,
  • Guide your day-to-day wound care,
  • Know when you need to call your care team,
  • Ensure that your wound is being managed in the best way possible.
Information Sheet, Medical Equipment and Suppliesnorth-eastinformation-sheet medical-equipment-and-supplies
Ulcère du pied diabétique

Cette brochure vous aidera à :

• vous occuper de votre plaie chez vous;

• rehausser et conserver votre santé et votre qualité de vie;

• prévenir de nouvelles plaies.

Fiche d’informationnord-estinformation-sheet-fr
Diabetic Foot Ulcer

This booklet will help you:
• Manage your wound at home,
• Improve and maintain your health and quality of life,
• Prevent new wounds.

Information Sheetnorth-eastinformation-sheet
Ulcère artériel de la jambe

Cette brochure vous aidera à :

• vous occuper de votre plaie chez vous;

• rehausser et conserver votre santé et votre qualité de vie;

• prévenir de nouvelles plaies.

Fiche d’informationnord-estinformation-sheet-fr
Arterial Leg Ulcers

This booklet will help you:
• Manage your wound at home,
• Improve and maintain your health and quality of life,
• Prevent new wounds.

Information Sheetnorth-eastinformation-sheet
Facteurs à considérer avant de choisir ton fauteuil

Si vous envisagez d’acheter ou d’emprunter un fauteuil, veuillez tenir compte des caractéristiques suivantes :
• Choisir un fauteuil dont la hauteur (du plancher au dessus du siège) est aussi élevée que possible tout en vous permettant de poser vos pieds au sol confortablement.
• Choisir un fauteuil dont les bras sont assez élevés et assez près de votre corps pour que vous puissiez vous en servir pour vous aider à vous lever.
• Éviter les fauteuils à bascule, à roulettes ou à pivot, car ces mécanismes rendent le fauteuil instable lorsqu’on s’appuie dessus pour se lever.
• Éviter les fauteuils dont le siège penche beaucoup vers le dossier, car cela abaisse le siège et il est alors plus difficile de se lever.

Fiche d’informationnord-estinformation-sheet-fr
What to consider when selecting your chair

If you are considering buying or borrowing a
chair, please look for the following features:
• Choose one where the distance from the floor to the top of the seat is as high as possible, while still allowing your feet to rest comfortably on the floor.
• Choose one with arm rests that are high enough and close enough to your body so that you can use your arms to assist you to rise.
• Avoid rocking chairs or chairs with wheels or chairs that swivel as these features make them an unsteady surface from which to push off and stand up.
• Avoid chairs where the angle of the seat slopes significantly downward towards the chair back as this has the effect of lowering the seat height, again making it more difficult to rise.

Information Sheetnorth-eastinformation-sheet
Nord-Est Orthophonie

La capacité d’exprimer nos besoins ou simplement de communiquer avec une autre personne est précieuse pour tous. Si votre capacité de parler ou d’avaler a été affectée par
un accident vasculaire cérébral ou une autre maladie, un ou une orthophoniste peut vous aider à reprendre la parole.

Fiche d’informationnord-estinformation-sheet-fr
North East Speech Language Pathology

Being able to communicate your needs, or just to reach out to another person, is something we all value. If your ability to speak or swallow has been affected by a stroke or other illness, a Speech Language Pathologist may be able to help bring you back into the conversation.

Information Sheetnorth-eastinformation-sheet
Nord-Est Travail Social

Si vous souffrez d’une maladie aiguë ou chronique, si vous avez une incapacité ou si vous ressentez les effets du vieillissement et de la solitude, vous éprouvez peut-être aussi des
difficultés du point de vue mental et émotionnel. Votre famille et vos aidants en subissent peutêtre les effets également. Nos travailleurs sociaux et les travailleuses sociales sont des
professionnels réglementés qui ne se limitent pas à simplement discuter des problèmes – ils jouent un rôle clé dans le cercle des soins du patient.

Fiche d’informationnord-estinformation-sheet-fr
North East Social Work

If you are suffering from an acute or chronic illness, coping with disability, or experiencing the effects of aging and loneliness, you may also be struggling mentally and emotionally. Families and caregivers can be equally affected. Our social workers are regulated health professionals who offer much more than simply someone to talk to – they play a key role in a patient’s circle of care.

Information Sheetnorth-eastinformation-sheet
Personnel infirmier d’intervention rapide

Le programme de personnel infirmier d’intervention rapide (PIIR) de Santé à domicile Ontario dans la région du Nord-Est consiste d’une équipe d’infirmières et infirmiers autorisés qui travaillent auprès des patients et de leurs familles pour assurer une transition réussie de l’hôpital à la maison. Le PIIR vous appuiera et vous aidera à réduire les risques d’admission/de réadmission à l’hôpital et les visites évitables aux services des urgences et de soins primaires.

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Rapid Response Nurse (RRN)

The Rapid Response Nursing (RRN) program with Ontario Health atHome in the North East region consists of a team of Registered Nurses who work with patients and their families to help make the transition from hospital to home successful. The Nurse will support you, help to reduce the chance of hospital admissions/readmissions, and minimize preventable emergency department and primary care visits.

Information Sheetnorth-eastinformation-sheet
Physiothérapie Nord-est

Si vous ou un être cher avez de plus en plus de difficulté à demeurer actif ou à vous déplacer sans peine après une maladie ou une blessure récente, des services de physiothérapie vous feraient peutêtre du bien. La physiothérapie peut améliorer vos fonctions physiques, rehausser votre sécurité, réduire la douleur et améliorer votre état général
de santé et de bien-être.

Fiche d’informationnord-estinformation-sheet-fr
North East Physiotherapy

If you or a loved one are finding it more and more difficult to stay active or move freely after a recent illness or injury, a Physiotherapist may be able to help. Physiotherapy can improve your ability to physically function, increase your safety, reduce pain, and enhance your general health and well-being.

Information Sheetnorth-eastinformation-sheet
Ergothérapie

Si vous ou un être cher avez davantage de difficulté à accomplir des activités quotidiennes comme prendre un bain, s’habiller, préparer un repas ou utiliser un cadre de marche ou un fauteuil roulant, un rendez-vous avec un ergothérapeute peut vous aider à assurer votre autonomie et votre sécurité à domicile. Parfois, le simple fait d’installer une barre d’appui dans la douche, d’utiliser des dispositifs d’assistance ainsi que d’acquérir de nouvelles stratégies et habiletés peut vous éviter une chute dangereuse et vous aider à conserver votre autonomie. Un ou un ergothérapeute peut évaluer vos capacités en ce qui concerne vos activités quotidiennes et votre environnement à domicile et travailler avec vous afin de dresser un plan pour vous aider à continuer d’habiter chez vous de façon autonome aussi longtemps que possible.

Fiche d’informationnord-estinformation-sheet-fr
Occupational Therapy

If you or a loved one is finding it more challenging to manage daily activities such as bathing, dressing, preparing meals, or using a walker or wheelchair, meeting with an Occupational Therapist will likely help to support your independence and safety at home.
Sometimes installing a grab-bar in the shower, using assistive devices, as well as developing strategies and new skills can help you to avoid a dangerous fall and maintain your independence. An Occupational Therapist can assess your abilities in relation to your daily activities and home environment and work with you to
develop a plan to help you live independently at home for as long as possible.

Information Sheetnorth-eastinformation-sheet
Guide des placements à court terme dans les foyers de soins de longue durée du nord-est

Si vous ou un être cher avez besoin de soins de convalescence, de soins de répit ou de soins intérimaires et que vous envisagez un placement à court terme dans un foyer de soins de longue durée, ce guide pourra répondre à plusieurs de vos questions et vous aider à prendre la meilleure décision pour vous et votre famille.
Votre coordonnateur ou coordonnatrice de soins est là pour vous aider pendant le processus d’évaluation, de demande et d’admission.
Certains foyers de soins de longue durée offrent des programmes de séjour à court terme aux personnes qui ont besoin d’aide pour un certain temps.

Fiche d’informationnord-estinformation-sheet-fr
North East Guide To Short-Stay Placement In LTC Homes

If you or a loved one require convalescent, respite or interim care and are considering short-stay placement in a Long-Term Care Home, this guide will answer many of your questions and help you make the right decision for you and your family.
Your Care Coordinator is here to support you through the assessment, application and admission process.

Information Sheetnorth-eastinformation-sheet
Services Diététiques

Plusieurs personnes ont de la difficulté à s’alimenter sainement même quand leur santé va bien, donc pour une personne malade, le défi peut être plus grand encore. La bonne alimentation est très importante pour vous aider à vous rétablir et à vous sentir mieux. Une ou un diététiste peut vous aider à vous assurer que vous mangez les bons aliments en bonne quantité, de manière à vous donner la meilleure chance de reprendre vos forces et d’être en meilleure santé.

Fiche d’informationnord-estinformation-sheet-fr
Dietary Services

For a lot of people, eating right can be challenging at the best of times – it can be even harder when you’re sick. Proper nutrition is very important to getting well and feeling better, and a Dietitian can help make sure you are eating the right food in the right amounts to give you the
best chance to regain your strength and enjoying better health.

Information Sheetnorth-eastinformation-sheet
Negative Pressure Wound Therapy Clinical Guidelines

*Not a pathway or wound type – use guidelines when NPWT is initiated in conjunction with pathway that is appropriate for wound type.

Forms, Medical Equipment and Suppliesnorth-eastforms medical-equipment-and-supplies
Wound – Venous Leg Ulcer Clinical Pathway

Venous Leg Ulcer (VLU): Characterized by edema of the legs with shallow irregular shaped wound(s) typically occurring on the medial or lateral distal lower leg. The ulcer is usually red but can also contain slough, yellow film or fibrin. Etiology of VLU is chronic venous hypertension. The failure of valves in the veins and/or ineffective calf muscle pump results in inadequate venous return from the legs

Pathwaysnorth-eastpathways
Wound – Traumatic Wound Clinical Pathway

Traumatic Wound: Includes lacerations, abrasions and penetrating injuries, and usually involves skin/tissue being ripped or torn. These wounds often involve foreign bodies (gravel, glass, etc.) and are prone to infections

Pathwaysnorth-eastpathways
Wound – Surgical Site Complication Clinical Pathway

Surgical Site Complication: Any surgical wound that is not healing by primary intention and/or within an expected timeframe due to one or more complications i.e. infection, dehiscence, etc.
Note: Surgical wounds deemed “non-healable” should follow the Chronic Maintenance/Non Healing Wound ICP.

Pathwaysnorth-eastpathways
Pressure Injury Clinical Pathway

Pressure Injury: Localized damage to the skin and underlying tissue occurring as a result of intense and/or prolonged pressure with or without shear.
PRESSURE INJURY CLASSIFICATION:
– STAGE I – Patients identified as being at risk for the development of a pressure injury or intact skin with reddened area non-blanchable-
STAGE II – partial thickness loss of dermis presenting as shallow open injury with a pink red wound bed without slough, may also present as an intactor
open/ruptured serum filled blister
– STAGE III – full thickness skin loss, subcutaneous fat may be visible; but bone, tendon, or muscle are not; slough may be present but does not obscure the depth of tissue loss. May include undermining or tunneling
– STAGE IV – full thickness skin loss, with exposed muscle, tendon, or bone. Slough or eschar may be present, often includes undermining or tunneling.
– UNSTAGEABLE – Full thickness tissue loss in which the base of the injury is covered by slough and/or eschar in the wound bed
– DEEP TISSUE INJURY (DTI) – purple or maroon localized area of discolored intact skin or blood-filled blister due to damage of underlying soft tissue from pressure and/or sheer

Pathwaysnorth-eastpathways
Partial Thickness Burns Clinical Pathway

Partial Thickness Burns (PTB): PTB can involve the epidermis and dermis and are characterized by pain, redness, edema &blistering. PTB can be life-threatening depending on age, comorbidities and the extent of the body surface involved. These burns can often be managed safely in the community or out-patient setting and may require hospitalization from time to time.
Full Thickness Burns: Destroy the epidermis, dermis and capillary network. Skin grafting may be required. They are typically managed in an acute care burn unit setting

Pathwaysnorth-eastpathways
Wound – Ostomy Clinical Pathway

Ostomy: An ostomy refers to a surgical opening in the abdomen, known as a stoma. The purpose of the ostomy is to divert waste out of the body through the stoma. The four most commonly encountered ostomies are as follows:
1. Colostomy – stoma is created when a section of the large intestine is brought to the surface of the abdomen. Output can vary from liquid or past-like stool to formed stool, with or without the presence of gas, depending on the type of colostomy.
2. Ileostomy – stoma is created when a section of the small intestine is brought to the surface of the abdomen. Output is dark green and will range in consistency from liquid to mushy, with gas.
3. Urostomy or ileal conduit – urine is diverted away from the bladder and expelled from the body through the stoma. Output is urine for a urostomy, and urine with mucous for an ileal conduit.
4. Mucous Fistula – stoma is created when two ends of the bowel are brought to the surface of the abdomen. Mucous created by the disconnected end of the bowel is released through one stoma, the mucous fistula.

Pathwaysnorth-eastpathways
Wound – Diabetic Neuropathic Foot Ulcer Clinical Pathway

Diabetic Foot Ulcer (DFU): DFU is a complication of diabetes mellitus characterized by a partial or full-thickness open wound with or without discharge. Cracks, fissures, or ulcers form as a result of acute trauma, callous formation, or repeated/persistent trauma. DFU may be complicated by pain and/or neuropathy.
Neuropathic Foot Ulcer: Neuropathic foot ulcers can occur in the absence of diabetes.

Pathwaysnorth-eastpathways
Wound – Acute Surgical Clinical Pathway

Acute Surgical Wound: Acute surgical wounds heal within an expected timeframe and without complications

Pathwaysnorth-eastpathways
Wound – Abscess Incision and Drainage Pilonidal Sinus Clinical Pathway

Abscess: Collection of pus within inflamed tissue frequently caused by bacterial infection. The infection often damages the surrounding tissue creating a cavity.
Incision & Drainage: Common treatment for cysts or abscesses (including pilonidal sinus wounds) may include incision and drainage, where the abscess is incised and the debris is drained.
Pilonidal Sinus Wound: A pilonidal sinus wound is a cyst or abscess located near or at the natal cleft of the buttocks and often contains hair and skin debris.

Pathwaysnorth-eastpathways
North East Telehomecare Referral Form

Please fax referral forms to: 705-670-3805
If required, Telehomecare staff will fax the referral form to the Primary Care Provider to verify and/or provide any relevant information.
Updated: June 28, 2024

Formsnorth-eastforms
North East School Health Services Referral

GENERAL INFORMATION & QUESTIONNAIRE. Updated June 28, 2024

Formsnorth-eastforms
MHAN Referral Form

Mental Health and Addictions Nursing Program Referral Form

Formsnorth-eastforms
Referral for NE Home and Community Care Services Additional Notes

This form is additional Notes relating to the Referral for Services form. Updated: June 28, 2024

Formsnorth-eastforms
Referral for Services

Referral for Ontario Health atHome Services in North East.

Fax to: Kirkland Lake: 705 567 9407
North Bay: 705 474 0080
Parry Sound: 1 855 773 4056
Sault Ste. Marie: 705 949 1663
Sudbury: 705 522 3855
Timmins: 705 267 7795

Formsnorth-eastforms
Referral for Palliative End-Of-Life Services

Formsnorth-eastforms
Referral for Services – Medication List

NOTE: A current medication list is recommended with each referral. You may use this form or provide a current medication list using your. own agency-specific/primary care provider’s form if it contains the following information. For additional notes fill out this form. Updated June 28, 2024

Formsnorth-eastforms
Referral for CVAD Through Regional Cancer Program

Referral for Central Venous Access Device (CVAD) Through Regional Cancer Program form. Updated June 2024

Formsnorth-eastforms
North East Memorandums of Understanding 2021 – français

Memorandum of Understandingnorth-eastmemorandum-of-understanding
North East Memorandums of Understanding 2021 – English

Memorandum of Understandingnorth-eastmemorandum-of-understanding
North East Memorandums of Understanding 2017 – français

Memorandum of Understandingnorth-eastmemorandum-of-understanding
North East Memorandums of Understanding 2017 – English

Memorandum of Understandingnorth-eastmemorandum-of-understanding
Audited Financial Statements 2022 – français

Audited Financial Statementsnorth-eastaudited-financial-statements
Audited Financial Statements 2022 – English

Audited Financial Statementsnorth-eastaudited-financial-statements
Audited Financial Statements 2021 – français

Audited Financial Statementsnorth-eastaudited-financial-statements
Audited Financial Statements 2021 – English

Audited Financial Statementsnorth-eastaudited-financial-statements
Audited Financial Statements 2020 – français

Audited Financial Statementsnorth-eastaudited-financial-statements
Audited Financial Statements 2020 – English

Audited Financial Statementsnorth-eastaudited-financial-statements
Audited Financial Statements 2019 – français

Audited Financial Statementsnorth-eastaudited-financial-statements
Audited Financial Statements 2019 – English

Audited Financial Statementsnorth-eastaudited-financial-statements
Audited Financial Statements 2018 – français

Audited Financial Statementsnorth-eastaudited-financial-statements
Audited Financial Statements 2018 – English

Audited Financial Statementsnorth-eastaudited-financial-statements
Audited Financial Statements 2017 – français

Audited Financial Statementsnorth-eastaudited-financial-statements
Audited Financial Statements 2017 – English

Audited Financial Statementsnorth-eastaudited-financial-statements
Executive Expense Report 2021-2022 Q4

Expense Reportsnorth-eastexpense-reports
Executive Expense Report 2020-2021 Q4

Expense Reportsnorth-eastexpense-reports
Executive Expense Report 2019-2020 Q4

Expense Reportsnorth-eastexpense-reports
Executive Expense Report 2021-2022 Q3

Expense Reportsnorth-eastexpense-reports
Executive Expense Report 2020-2021 Q3

Expense Reportsnorth-eastexpense-reports
Executive Expense Report 2019-2020 Q3

Expense Reportsnorth-eastexpense-reports
Executive Expense Report 2021-2022 Q2

Expense Reportsnorth-eastexpense-reports
Executive Expense Report 2020-2021 Q2

Expense Reportsnorth-eastexpense-reports
Executive Expense Report 2019-2020 Q2

Expense Reportsnorth-eastexpense-reports
Executive Expense Report 2022-2023 Q1 – English

Expense Reportsnorth-eastexpense-reports
Executive Expense Report 2021-2022 Q1 – English

Expense Reportsnorth-eastexpense-reports
Executive Expense Report 2020-2021 Q1 – English

Expense Reportsnorth-eastexpense-reports
Executive Expense Report 2019-2020 Q1 – English

Expense Reportsnorth-eastexpense-reports
BPSAA Attestation 2021-2022 Q4 – English

BPSAAnorth-eastbpsaa
BPSAA Attestation 2021-2022 Q3 – English

BPSAAnorth-eastbpsaa
BPSAA Attestation 2021-2022 Q2 – English

BPSAAnorth-eastbpsaa
BPSAA Attestation 2022-2023 Q1 – English

BPSAAnorth-eastbpsaa
BPSAA Attestation 2021-2022 Q1 – English

BPSAAnorth-eastbpsaa
Formulaire de renvoi à Télésoins à domicile MPOC & d’une insuffisance cardiaque

Centre-Est, Formulaire de renvoi à Télésoins à domicile pour les patients atteints d’une maladie pulmonaire obstructive chronique (MPOC) ou d’une insuffisance cardiaque congestive.
Admissibilité aux services de télésoins à domicile

– Le patient a un diagnostic établi d’insuffisance cardiaque ou de MPOC (avec ou sans comorbidité).

– Le patient a une adresse et un numéro de téléphone.

– Le patient est capable d’utiliser l’équipement de surveillance (p. ex., un tensiomètre, un oxymètre de pouls ou une balance). Le patient est capable de lire et de répondre à des questions (oui ou non et choix multiples) en utilisant un ordinateur ou une tablette.

– Le patient répond aux critères d’admissibilité à une clinique virtuelle pour la MPOC (diagnostic CONFIRMÉ de MPOC et aggravation des symptômes, entraînant une visite au service des urgences ou l’hospitalisation)

Formulairecentre-estformulaire
COPD and Heart Failure Telehomecare Referral Form

Eligibility for Telehomecare Services
– Patient has an established diagnosis of Heart Failure or COPD (with or without co-morbid conditions).
– Patient has a fixed address and a phone.
– The patient is capable of managing monitoring equipment (BP and O2 monitors, scale). The patient is able to read and answer questions (yes/no multiple choice) using a computer tablet.
– Patient meets criteria for Virtual COPD clinic (CONFIRMED diagnosis of COPD with exacerbations leading to ED visit or hospitalization)

Formscentral-eastforms
2021-2022 Financial Statements – French

2021-2022 Financial Statements – French

Audited Financial Statementscentral-eastaudited-financial-statements
2021-2022 Financial Statements – English

2021-2022 Financial Statements – English

Audited Financial Statementscentral-eastaudited-financial-statements
2020-2021 Financial Statements – French

2020-2021 Financial Statements – French

Audited Financial Statementscentral-eastaudited-financial-statements
2020-2021 Financial Statements – English

2020-2021 Financial Statements – English

Audited Financial Statementscentral-eastaudited-financial-statements
2019-2020 Financial Statements – French

2019-2020 Financial Statements – French

Audited Financial Statementscentral-eastaudited-financial-statements
Expense Report – Q4 – 2019-20-SM

Expense Reportscentral-westexpense-reports
Expense Report – Q4 – 2019-20-MK

Expense Reportscentral-westexpense-reports
2019-2020 Financial Statements – English

2019-2020 Financial Statements – English

Audited Financial Statementscentral-eastaudited-financial-statements
Expense Report – Q4 – 2019-20-KF

Expense Reportscentral-westexpense-reports
Expense Report – Q3 – 2019-20-SM

Expense Reportscentral-westexpense-reports
2018-2019 Financial Statements – French

2018-2019 Financial Statements – French

Audited Financial Statementscentral-eastaudited-financial-statements
Expense Report – Q3 – 2019-20-MK

Expense Reportscentral-westexpense-reports
Expense Report – Q3 – 2019-20-KF

Expense Reportscentral-westexpense-reports
Expense Report – Q2 – 2019-20-SM

Expense Reportscentral-westexpense-reports
2018-2019 Financial Statements – English

2018-2019 Financial Statements – English

Audited Financial Statementscentral-eastaudited-financial-statements
Expense Report – Q2 – 2019-20-KF

Expense Reportscentral-westexpense-reports
Expense Report – Q2 – 2019-20-AH

Expense Reportscentral-westexpense-reports
Expense Report – Q1 – 2022-23-RL

Expense Reportscentral-westexpense-reports
Expense Report – Q1 – 2019-20-SM

Expense Reportscentral-westexpense-reports
Expense Report – Q1 – 2019-20-MK

Expense Reportscentral-westexpense-reports
2017-2018 Financial Statements – French

2017-2018 Financial Statements – French

Audited Financial Statementscentral-eastaudited-financial-statements
Expense Report – Q1 – 2019-20-KF

Expense Reportscentral-westexpense-reports
Expense Report – Q1 – 2019-20-AH

Expense Reportscentral-westexpense-reports
Expense Report – Q3 – 2019-20-KD

Expense Reportscentral-westexpense-reports
Vancomycin Aminoglycoside Prescription Form

To order IV vancomycin and/or aminoglycosides for patients in the community

Formshamilton-niagara-haldimand-brantforms
Expense Report – Q2 – 2019-20-KD

Expense Reportscentral-westexpense-reports
Home Parenteral Nutrition Medical Order Form – Pediatric at McMaster Children’s Hospital

To order care relating to the Protocol for Home Parenteral Nutrition (PPN or TPN) for pediatric patients at McMaster Children’s Hospital. Contact HNHB at 1-800-810-0000

Formshamilton-niagara-haldimand-brantforms
Expense Report – Q1 – 2019-20-KD

Expense Reportscentral-westexpense-reports
Expense Report – Q3 – 2019-20-BH

Expense Reportscentral-westexpense-reports
Expense Report – Q2 – 2019-20-BH

Expense Reportscentral-westexpense-reports
Expense Report – Q1 – 2019-20-BH

Expense Reportscentral-westexpense-reports
2017-2018 Financial Statements – English

2017-2018 Financial Statements – English

Audited Financial Statementscentral-eastaudited-financial-statements
Public Sector Expense Reporting Briefing Note – FY2021-22 Q4

Public Sector Expense Reporting Briefing Note – FY2021-22 Q4

Expense Reportscentral-eastexpense-reports
Public Sector Expense Reporting Briefing Note – FY2021-22 Q3

Public Sector Expense Reporting Briefing Note – FY2021-22 Q3

Expense Reportscentral-eastexpense-reports
Public Sector Expense Reporting Briefing Note – FY2021-22 Q2

Public Sector Expense Reporting Briefing Note – FY2021-22 Q2

Expense Reportscentral-eastexpense-reports
Public Sector Expense Reporting Briefing Note – FY2022-23 Q1

Public Sector Expense Reporting Briefing Note – FY2022-23 Q1

Expense Reportscentral-eastexpense-reports
MOU – AUG2017 – FR

Memorandum of Understandingcentral-westmemorandum-of-understanding
Virtual Appointments: Protecting Your Privacy

A Guide for Patients and Families
A virtual appointment is just like a regular appointment, except you will see and talk to us on a computer or phone by using the internet.

Information Sheetcentral-westinformation-sheet
MOU – APR2017 – FR

Memorandum of Understandingcentral-westmemorandum-of-understanding
MOU – 2021 – FR

Memorandum of Understandingcentral-westmemorandum-of-understanding
Shelley Dagorne Expenses 2019-2020 – Q3

Shelley Dagorne Expenses 2019-2020 – Q3

Expense Reportscentral-eastexpense-reports
Symptom Management Kit Form

Prescription form for Symptom Management Kit

Formscentral-westforms
Financial Statement – FR (2021-2022)

Audited Financial Statementscentral-westaudited-financial-statements
Palliative NP Referral Form

Central West Palliative Nurse Practitioner Referral Form

Formscentral-westforms
Financial Statement – FR (2020-2021)

Audited Financial Statementscentral-westaudited-financial-statements
Financial Statement – FR (2019-2020)

Audited Financial Statementscentral-westaudited-financial-statements
Short-Term Transitional Care Bed Program – EN

Ontario Health atHome Transitional Care Bed Program in the area of Hamilton Niagara Haldimand Brant is a short term program for people who are ready to be discharged from hospital but are not ready to go home.

Guide, Information Sheethamilton-niagara-haldimand-brantguide information-sheet
Financial Statement – FR (2018-2019)

Audited Financial Statementscentral-westaudited-financial-statements
Financial Statement – FR (2017-2018)

Audited Financial Statementscentral-westaudited-financial-statements
Shelley Dagorne Expenses 2019-2020 – Q1

Shelley Dagorne Expenses 2019-2020 – Q1

Expense Reportscentral-eastexpense-reports
BPSAA Attestation – Q4 – 2021 (FR)

BPSAAcentral-westbpsaa
BPSAA Attestation – Q3 – 2021 (FR)

BPSAAcentral-westbpsaa
BPSAA Attestation – Q2 – 2021 (FR)

BPSAAcentral-westbpsaa
BPSAA Attestation – Q1 – 2022 (FR)

BPSAAcentral-westbpsaa
BPSAA Attestation 2022-2023 Q1 – French

BPSAA Attestation 2022-2023 Q1 – French

BPSAAcentral-eastbpsaa
BPSAA Attestation – Q1 – 2021 (FR)

BPSAAcentral-westbpsaa
BPSAA Attestation 2022-2023 Q1 – English

BPSAA Attestation 2022-2023 Q1 – English

BPSAAcentral-eastbpsaa
BPSAA Attestation 2021-2022 Q4 – French

BPSAA Attestation 2021-2022 Q4 – French

BPSAAcentral-eastbpsaa
Memorandum of Understanding 2017

Memorandum of Understanding 2017

Memorandum of Understandingwaterloo-wellingtonmemorandum-of-understanding
HNHB-Financial-Statement-2021-22-FR

Audited Financial Statementshamilton-niagara-haldimand-brantaudited-financial-statements
HNHB-Financial-Statement-2021-22-EN

Audited Financial Statementshamilton-niagara-haldimand-brantaudited-financial-statements
Broader Public Sector Accountability Act Q1 2021

Broader Public Sector Accountability Act Q1 2021

BPSAAwaterloo-wellingtonbpsaa
HNHB-Financial-Statement-2020-21-FR

Audited Financial Statementshamilton-niagara-haldimand-brantaudited-financial-statements
Broader Public Sector Accountability Act Q2 2021

Broader Public Sector Accountability Act Q2 2021

BPSAAwaterloo-wellingtonbpsaa
HNHB-Financial-Statement-2020-21-EN

Audited Financial Statementshamilton-niagara-haldimand-brantaudited-financial-statements
BPSAA Attestation 2021-2022 Q4 – English

BPSAA Attestation 2021-2022 Q4 – English

BPSAAcentral-eastbpsaa
Broader Public Sector Accountability Act Q3 2021

Broader Public Sector Accountability Act Q3 2021

BPSAAwaterloo-wellingtonbpsaa
HNHB-Financial-Statement-2019-20-FR

Audited Financial Statementshamilton-niagara-haldimand-brantaudited-financial-statements
Broader Public Sector Accountability Act Q4 2022

Broader Public Sector Accountability Act Q4 2022

BPSAAwaterloo-wellingtonbpsaa
BPSAA Attestation 2021-2022 Q3 – French

BPSAA Attestation 2021-2022 Q3 – French

BPSAAcentral-eastbpsaa
HNHB-Financial-Statement-2019-20-EN

Audited Financial Statementshamilton-niagara-haldimand-brantaudited-financial-statements
Broader Public Sector Accountability Act Q1 2022

Broader Public Sector Accountability Act Q1 2022

BPSAAwaterloo-wellingtonbpsaa
Hnhb-Financial-Statement-2018-19EN

Audited Financial Statementshamilton-niagara-haldimand-brantaudited-financial-statements
Leadership Expense Report – Q4 – 2021-22 – English

Leadership Expense Report – Q4 – 2021-22 – English

Expense Reportssouth-westexpense-reports
Financial Statements 2017-2018

Audited financial statements 2017-2018

Audited Financial Statementserie-st-clairaudited-financial-statements
Leadership Expense Report – Q4 – 2020-21 – English

Leadership Expense Report – Q4 – 2020-21 – English

Expense Reportssouth-westexpense-reports
Audited financial statements 2021-2022

Audited financial statements 2021-2022

Audited Financial Statementswaterloo-wellingtonaudited-financial-statements
BPSAA Attestation 2021-2022 Q3 – English

BPSAA Attestation 2021-2022 Q3 – English

BPSAAcentral-eastbpsaa
Hnhb-Financial-Statement-2018-19FR

Audited Financial Statementshamilton-niagara-haldimand-brantaudited-financial-statements
Leadership Expense Report – Q4 – 2019-20 – English

Leadership Expense Report – Q4 – 2019-20 – English

Expense Reportssouth-westexpense-reports
Audited financial statements 2020-2021

Audited financial statements 2020-2021

Audited Financial Statementswaterloo-wellingtonaudited-financial-statements
Financial Statements 2018-2019

Audited financial statements 2018-2019

Audited Financial Statementserie-st-clairaudited-financial-statements
Hnhb-Financial-Statement-2018-19EN

Audited Financial Statementshamilton-niagara-haldimand-brantaudited-financial-statements
Leadership Expense Report – Q3 – 2021-22 – English

Leadership Expense Report – Q3 – 2021-22 – English

Expense Reportssouth-westexpense-reports
Financial Statements 2019-2020

Audited financial statements 2019-2020

Audited Financial Statementserie-st-clairaudited-financial-statements
BPSAA Attestation 2021-2022 Q2 – French

BPSAA Attestation 2021-2022 Q2 – French

BPSAAcentral-eastbpsaa
Audited financial statements 2019-2020

Audited financial statements 2019-2020

Audited Financial Statementswaterloo-wellingtonaudited-financial-statements
Hnhb-Financial-Statement-2017-18FR

Audited Financial Statementshamilton-niagara-haldimand-brantaudited-financial-statements
Leadership Expense Report – Q3 – 2020-21 – English

Leadership Expense Report – Q3 – 2020-21 – English

Expense Reportssouth-westexpense-reports
Financial Statements 2020-2021

Audited financial statements 2020-2021

Audited Financial Statementserie-st-clairaudited-financial-statements
Hnhb-Financial-Statement-2017-18EN

Audited Financial Statementshamilton-niagara-haldimand-brantaudited-financial-statements
Audited financial statements 2018-2019

Audited financial statements 2018-2019

Audited Financial Statementswaterloo-wellingtonaudited-financial-statements
Financial Statements 2021-2022

Audited financial statements 2021-2022

Audited Financial Statementserie-st-clairaudited-financial-statements
Leadership Expense Report – Q3 – 2019-20 – English

Leadership Expense Report – Q3 – 2019-20 – English

Expense Reportssouth-westexpense-reports
Audited financial statements 2017-2018

Audited financial statements 2017-2018

Audited Financial Statementswaterloo-wellingtonaudited-financial-statements
BPSAA Attestation 2021-2022 Q2 – English

BPSAA Attestation 2021-2022 Q2 – English

BPSAAcentral-eastbpsaa
Leadership Expense Report – Q2 – 2021-22 – English

Leadership Expense Report – Q2 – 2021-22 – English

Expense Reportssouth-westexpense-reports
Memorandum of Understanding 2021

Memorandum of Understanding 2021

Expense Reportswaterloo-wellingtonexpense-reports
Leadership Expense Report – Q2 – 2020-21 – English

Leadership Expense Report – Q2 – 2020-21 – English

Expense Reportssouth-westexpense-reports
Memorandum of Understanding 2017

Memorandum of Understandingerie-st-clairmemorandum-of-understanding
BPSAA Attestation 2021-2022 Q1-French

BPSAA Attestation 2021-2022 Q1-French

BPSAAcentral-eastbpsaa
Memorandum of Understanding 2021

Memorandum of Understandingerie-st-clairmemorandum-of-understanding
Leadership Expense Report – Q2 – 2019-20 – English

Leadership Expense Report – Q2 – 2019-20 – English

Expense Reportssouth-westexpense-reports
Leadership expenses Q1 2022-23

Leadership expenses Q1 2022-23

Expense Reportswaterloo-wellingtonexpense-reports
Expenses – Tini Le 2020-2021 – Q1-Q4

Expenses – Tini Le 2020-2021 – Q1-Q4

Expense Reportscentralexpense-reports
Leadership expenses Q1 2021-22

Leadership expenses Q1 2021-22

Expense Reportswaterloo-wellingtonexpense-reports
Leadership Expense Report – Q1 – 2022-23 – English

Leadership Expense Report – Q1 – 2022-23 – English

Expense Reportssouth-westexpense-reports
Expenses – Karin Dschankilic 2020-2021 – Q1-Q4

Expenses – Karin Dschankilic 2020-2021 – Q1-Q4

Expense Reportscentralexpense-reports
Expenses – Barbara Bell 2020-2021 – Q1-Q4

Expenses – Barbara Bell 2020-2021 – Q1-Q4

Expense Reportscentralexpense-reports
Expenses – Barbara Bell 2019-2020 – Q1-Q4

Expenses – Barbara Bell 2019-2020 – Q1-Q4

Expense Reportscentralexpense-reports
Leadership expenses Q2 2021-22

Leadership expenses Q2 2021-22

Expense Reportswaterloo-wellingtonexpense-reports
Leadership Expense Report – Q1 – 2021-22 – English

Leadership Expense Report – Q1 – 2021-22 – English

Expense Reportssouth-westexpense-reports
Expenses – Karin Dschankilic 2019-2020 – Q1-Q4

Expenses – Karin Dschankilic 2019-2010 – Q1-Q4

Expense Reportscentralexpense-reports
Leadership Expense Report – Q1 – 2019-20 – English

Leadership Expense Report – Q1 – 2019-20 – English

Expense Reportssouth-westexpense-reports
Leadership expenses Q3 2021-22

Leadership expenses Q3 2021-22

Expense Reportswaterloo-wellingtonexpense-reports
Expenses – Tini Le 2019-2020 – Q1-Q4

Expenses – Tini Le 2019-2020 – Q1-Q4

Expense Reportscentralexpense-reports
Memorandum of Understanding 2021 – French

Memorandum of Understanding 2021 – French

Memorandum of Understandingsouth-westmemorandum-of-understanding
Leadership expenses Q4 2021-22

Leadership expenses Q4 2021-22

Expense Reportswaterloo-wellingtonexpense-reports
Memorandum of Understanding 2021 – English

Memorandum of Understanding 2021 – English

Memorandum of Understandingsouth-westmemorandum-of-understanding
Memorandum of Understanding 2017 – French

Memorandum of Understanding 2017 – French

Memorandum of Understandingsouth-westmemorandum-of-understanding
Memorandum of Understanding 2017 – English

Memorandum of Understanding 2017 – English

Memorandum of Understandingsouth-westmemorandum-of-understanding
Expense reports 2020-2021

Expense reports 2020-2021

Expense Reportswaterloo-wellingtonexpense-reports
Expense reports 2019-2020

Expense reports 2019-2020

Expense Reportswaterloo-wellingtonexpense-reports
Financial Statement 2021-22 – French

Financial Statement 2021-22 – French

Audited Financial Statementssouth-westaudited-financial-statements
Financial Statement 2021-22 – English

Financial Statement 2021-22 – English

Audited Financial Statementssouth-westaudited-financial-statements
Financial Statement 2020-21 – French

Financial Statement 2020-21 – French

Audited Financial Statementssouth-westaudited-financial-statements
Palliative Care Services Referral Form

Mississauga Halton referral form for palliative services and palliative care nurse practitioner services for adults

Formsmississauga-haltonforms
Financial Statement 2020-21 – English

Financial Statement 2020-21 – English

Audited Financial Statementssouth-westaudited-financial-statements
Financial Statement 2019-20 – French

Financial Statement 2019-20 – French

Audited Financial Statementssouth-westaudited-financial-statements
Financial Statement 2019-20 – English

Financial Statement 2019-20 – English

Audited Financial Statementssouth-westaudited-financial-statements
2021 Memorandum of Understanding – CW – EN

Memorandum of Understandingcentral-westmemorandum-of-understanding
Financial Statement 2018-19 – French

Financial Statement 2018-19 – French

Audited Financial Statementssouth-westaudited-financial-statements
2017 Memorandum of Understanding – CW – EN

Memorandum of Understandingcentral-westmemorandum-of-understanding
Financial Statement 2018-19 – English

Financial Statement 2018-19 – English

Audited Financial Statementssouth-westaudited-financial-statements
Referral Form

Note: To ensure patient safety and care continuity, please complete this Referral Form in full. Palliative referrals are to use the Palliative Care Services Referral Form available at ontariohealthathome.ca

Formsmississauga-haltonforms
Financial Statement 2017-18 – French

Financial Statement 2017-18 – French

Audited Financial Statementssouth-westaudited-financial-statements
Financial Statement 2017-18 – English

Financial Statement 2017-18 – English

Audited Financial Statementssouth-westaudited-financial-statements
Cliniques de soins infirmiers communautaires

Santé à domicile Ontario exploite plus de 135 cliniques de soins in rmiers communautaires, fournissant des soins in rmiers spécialisés de haute qualité, sans frais.
Nos cliniques sont à des endroits accessibles, sur rendez-vous seulement, mais nombreuses parmielles ont des heures d’ouverture prolongées

Fiche d’informationmississauga-halton-frinformation-sheet-fr
Community Nursing Clinics

Ontario Health atHome operates over 135 community nursing clinics to provide free, high-quality, specialized nursing care.
All of our clinics are by appointment only, in accessible locations, and many have extended operating hours.

Information Sheetmississauga-haltoninformation-sheet
Palliative Symptom Relief Kit (SRK) Prescription – Hospice Palliative Care (HPC) Teams

POLICY

  1. This is a Physician / Nurse Practitioner (NP) order to be implemented by a Registered Nurse (RN) / Registered Practical Nurse (RPN) when
    symptoms require urgent intervention to facilitate a comfortable home death.
  2. The attending Physician/NP is to be notified as soon as possible regarding change in patient’s condition and need for ongoing prescription(s).
  3. DNR and plan for expected death should be in place.
  4. Completed prescription to be FAXED back to Ontario Health atHome at 416-222-6517 or 905-952-2404
Formscentralforms
Palliative Early ID Prognostic Indicator Guide

Palliative Early ID Prognostic Indicator Guide

Guidecentralguide
Health Care Connect Physician Booklet

Health Care Connect Physician Booklet

Guidecentralguide
Smith Q2 Expenses (2019/2020)

Expense Reportsmississauga-haltonexpense-reports
Smith Q1 Expenses (2019/2020)

Expense Reportsmississauga-haltonexpense-reports
Shannon Q1 Expenses (2019/2020)

Expense Reportsmississauga-haltonexpense-reports
Fernandes Q2 Expenses (2019/2020)

Expense Reportsmississauga-haltonexpense-reports
Pediatric School Health Support Services

Connecting you with pediatric and school health support services in Waterloo Wellington

Information Sheetwaterloo-wellingtoninformation-sheet
Fernandes Q1 Expenses (2019/2020)

Expense Reportsmississauga-haltonexpense-reports
Argao Q2 Expenses (2019/2020)

Expense Reportsmississauga-haltonexpense-reports
BPSAA Attestation 2021-2022 Q1 – EN

BPSAA Attestation 2021-2022 Q1 – EN

BPSAAcentral-eastbpsaa
Argao Q1 Expenses (2019/2020)

Expense Reportsmississauga-haltonexpense-reports
McGregor Q2 Expenses (2019/2020)

Expense Reportsmississauga-haltonexpense-reports
Audited Financial Statement 2021-22 – English

Audited Financial Statement 2021-22 – English

Audited Financial Statementsnorth-simcoe-muskokaaudited-financial-statements
Audited Financial Statement 2021-22 – French

Audited Financial Statement 2021-22 – French

Audited Financial Statementsnorth-simcoe-muskokaaudited-financial-statements
McGregor Q1 Expenses (2019/2020)

Expense Reportsmississauga-haltonexpense-reports
Audited Financial Statement 2020-21 – French

Audited Financial Statement 2020-21 – French

Audited Financial Statementsnorth-simcoe-muskokaaudited-financial-statements
Audited Financial Statement 2020-21 – English

Audited Financial Statement 2020-21 – English

Audited Financial Statementsnorth-simcoe-muskokaaudited-financial-statements
Burden Q2 Expenses (2021)

Expense Reportsmississauga-haltonexpense-reports
Audited Financial Statement 2019-20 – English

Audited Financial Statement 2019-20 – English

Audited Financial Statementsnorth-simcoe-muskokaaudited-financial-statements
Audited Financial Statement 2019-20 – French

Audited Financial Statement 2019-20 – French

Audited Financial Statementsnorth-simcoe-muskokaaudited-financial-statements
Burden Q2 Expenses (2019/2020)

Expense Reportsmississauga-haltonexpense-reports
Audited Financial Statement 2018-19 – French

Audited Financial Statement 2018-19 – French

Audited Financial Statementsnorth-simcoe-muskokaaudited-financial-statements
Audited Financial Statement 2018-19 – English

Audited Financial Statement 2018-19 – English

Audited Financial Statementsnorth-simcoe-muskokaaudited-financial-statements
BPSAA Attestation 2021-2022 Q4 – French

BPSAA Attestation 2021-2022 Q4 – French

BPSAAnorth-simcoe-muskokabpsaa
BPSAA Attestation 2021-2022 Q3 – French

BPSAA Attestation 2021-2022 Q3 – French

BPSAAnorth-simcoe-muskokabpsaa
BPSAA Attestation 2021-2022 Q2 – French

BPSAA Attestation 2021-2022 Q2 – French

BPSAAnorth-simcoe-muskokabpsaa
Burden Q1 Expenses (2019/2020)

Expense Reportsmississauga-haltonexpense-reports
BPSAA Attestation 2022-2023 Q1 – French

BPSAA Attestation 2022-2023 Q1 – French

BPSAAnorth-simcoe-muskokabpsaa
BPSAA Attestation 2021-2022 Q3 – EN

BPSAAcentral-westbpsaa
BPSAA Attestation 2022-2023 Q1 – English

BPSAA Attestation 2022-2023 Q1 – English

BPSAAnorth-simcoe-muskokabpsaa
Hnhb-2021-MOU-FR

Memorandum of Understandinghamilton-niagara-haldimand-brantmemorandum-of-understanding
BPSAA Attestation 2021-2022 Q2 – EN

BPSAAcentral-westbpsaa
BPSAA Attestation 2021-2022 Q4 – English

BPSAA Attestation 2021-2022 Q4 – English

BPSAAnorth-simcoe-muskokabpsaa
Hnhb-2021-MOU-EN

Memorandum of Understandinghamilton-niagara-haldimand-brantmemorandum-of-understanding
Liste des foyers de soins de longue durée

Liste des foyers de soins de longue durée – Cambridge, Guelph, Waterloo Region, and Wellington County

Information Sheetwaterloo-wellingtoninformation-sheet
BPSAA Attestation 2021-2022 Q3 – English

BPSAA Attestation 2021-2022 Q3 – English

BPSAAnorth-simcoe-muskokabpsaa
BPSAA Attestation 2021-2022 Q1 – EN

BPSAAcentral-westbpsaa
Hnhb-2017-MOU-FR

Memorandum of Understandinghamilton-niagara-haldimand-brantmemorandum-of-understanding
BPSAA Attestation 2021-2022 Q2 – English

BPSAA Attestation 2021-2022 Q2 – English

BPSAAnorth-simcoe-muskokabpsaa
BPSAA Attestation 2021-2022 Q1 – English

BPSAA Attestation 2021-2022 Q1 – English

BPSAAnorth-simcoe-muskokabpsaa
BPSAA Attestation 2021-2022 Q4 – EN

BPSAAcentral-westbpsaa
Attest-BPSAA- Q4- Jan-Mar

BPSAAsouth-eastbpsaa
Attest-BPSAA-June 2022- Q1- Apr-Jun

BPSAAsouth-eastbpsaa
Hnhb-2017-MOU-EN

Memorandum of Understandinghamilton-niagara-haldimand-brantmemorandum-of-understanding
BPSAA Attestation 2022-2023 Q1

BPSAAcentral-westbpsaa
Attest-BPSAA- Q3- Oct-Dec

BPSAAsouth-eastbpsaa
Memorandum of Understanding 2021 – English

Memorandum of Understanding 2021 – English

Memorandum of Understandingnorth-simcoe-muskokamemorandum-of-understanding
Memorandum of Understanding 2017 – English

Memorandum of Understanding 2017 – English

Memorandum of Understandingnorth-simcoe-muskokamemorandum-of-understanding
Attest-BPSAA- Q2- July-Sept

BPSAAsouth-eastbpsaa
HNHB-BPSAA-Q1-2023-EN

BPSAAhamilton-niagara-haldimand-brantbpsaa
Memorandum of Understanding 2017 – French

Memorandum of Understanding 2017 – French

Memorandum of Understandingnorth-simcoe-muskokamemorandum-of-understanding
Memorandum of Understanding 2021 – French

Memorandum of Understanding 2021 – French

Memorandum of Understandingnorth-simcoe-muskokamemorandum-of-understanding
HNHB-BPSAA-Q1-2023-FR

BPSAAhamilton-niagara-haldimand-brantbpsaa
HNHB-BPSAA-Q1-2022-FR

BPSAAhamilton-niagara-haldimand-brantbpsaa
MAID (Medical Assistance in Dying) Referral Form 031A

Completed by a Primary Care Physician

Formswaterloo-wellingtonforms
HNHB-BPSAA-Q2-2022-FR

BPSAAhamilton-niagara-haldimand-brantbpsaa
Form 031B – Hospice Palliative Care Services Request

Request for Hospice Palliative Care Services – Form 031B, Completed by a Primary Care Physician

Formswaterloo-wellingtonforms
HNHB-BPSAA-Q3-2022-FR

BPSAAhamilton-niagara-haldimand-brantbpsaa
Attest-BPSAA- Q1-Apr-June- 2021

BPSAAsouth-eastbpsaa
Request for Services

Completed by Primary care Physician to request Home Care services. Patient/Families may also print this referral form to bring to an appointment for completion.
If initiating referral for HPC services, please use Form 031B, “Request for Hospice Palliative Care Services”

Formswaterloo-wellingtonforms
HNHB-BPSAA-Q4-2022-FR

BPSAAhamilton-niagara-haldimand-brantbpsaa
BPSAA Attestation 2022-2023 Q1

BPSAAerie-st-clairbpsaa
BPSAA Attestation 2021-2022 Q4

Broader Public Sector Accountability Act Attestation 2021-2022 Q4

BPSAAerie-st-clairbpsaa
Public Accounts- Ontario-Financial Statements- 2020-2021- FRENCH

Audited Financial Statementssouth-eastaudited-financial-statements
BPSAA Attestation 2021-2022 Q3

Broader Public Sector Accountability Act Attestation 2021-2022 Q3

BPSAAerie-st-clairbpsaa
Public Accounts- Ontario-Financial Statements- 2020-2021

Audited Financial Statementssouth-eastaudited-financial-statements
BPSAA Attestation 2021-2022 Q2

Broader Public Sector Accountability Act Attestation 2021-2022 Q2

BPSAAerie-st-clairbpsaa
Public Accounts- Ontario-Financial Statements- 2019-2020- FRENCH

Audited Financial Statementssouth-eastaudited-financial-statements
BPSAA Attestation 2021-2022 Q1

Broader Public Sector Accountability Act Attestation 2021-2022 Q1

BPSAAerie-st-clairbpsaa
Public Accounts- Ontario-Financial Statements- 2019-2020

Audited Financial Statementssouth-eastaudited-financial-statements
Public Accounts- Ontario-Financial Statements- 2018-2019- FRENCH

Audited Financial Statementssouth-eastaudited-financial-statements
Memorandum of Understanding – 2021 – English

Memorandum of Understanding – 2021 – English

Memorandum of Understandingcentralmemorandum-of-understanding
Public Accounts- Ontario-Financial Statements- 2018-2019

Audited Financial Statementssouth-eastaudited-financial-statements
2021-22 Financial Statement – English

Audited Financial Statementscentral-westaudited-financial-statements
Public Accounts- Ontario-Financial Statements- 2017-2018- FRENCH

Audited Financial Statementssouth-eastaudited-financial-statements
Audited Financial Statement 2017-18 – English

Audited Financial Statement 2017-18 – English

Audited Financial Statementscentralaudited-financial-statements
2020-21 Financial Statement – English

Audited Financial Statementscentral-westaudited-financial-statements
Audited Financial Statement 2018-19 – English

Audited Financial Statement 2018-19 – English

Audited Financial Statementscentralaudited-financial-statements
Audited Financial Statement 2019-20 – English

Audited Financial Statement 2019-20 – English

Audited Financial Statementscentralaudited-financial-statements
2019-20 Financial Statement – English

Audited Financial Statementscentral-westaudited-financial-statements
Audited Financial Statement 2020-21 – English

Audited Financial Statement 2020-21 – English

Audited Financial Statementscentralaudited-financial-statements
Audited Financial Statement 2021-22 – English

Audited Financial Statement 2021-22 – English

Audited Financial Statementscentralaudited-financial-statements
2018-19 Financial Statement – English

Audited Financial Statementscentral-westaudited-financial-statements
Audited Financial Statement 2021-22 – French

Audited Financial Statement 2021-22 – French

Audited Financial Statementscentralaudited-financial-statements
Public Accounts Ontario Financial Statements- 2017-2018

Audited Financial Statementssouth-eastaudited-financial-statements
BPSAA Attestation 2022-2023 Q1 – French

BPSAA Attestation 2022-2023 Q1 – French

BPSAAcentralbpsaa
BPSAA Attestation 2022-2023 Q1 – English

BPSAA Attestation 2022-2023 Q1 – English

BPSAAcentralbpsaa
BPSAA Attestation 2021-2022 Q4 – English

BPSAA Attestation 2021-2022 Q4 – English

BPSAAcentralbpsaa
BPSAA Attestation 2021-2022 Q3 – English

BPSAA Attestation 2021-2022 Q3 – English

BPSAAcentralbpsaa
Broader Public Sector Accountability Act 2021-22 – Q4 – French

Broader Public Sector Accountability Act 2021-22 – Q4 – French

BPSAAsouth-westbpsaa
MOU – 2021 (FR)

Memorandum of Understandingmississauga-haltonmemorandum-of-understanding
MOU – 2017 (FR)

Memorandum of Understandingmississauga-haltonmemorandum-of-understanding
Broader Public Sector Accountability Act 2022-23 – Q1 – French

Broader Public Sector Accountability Act 2022-23 – Q1 – French

BPSAAsouth-westbpsaa
BPSAA Attestation 2021-2022 Q2 – English

BPSAA Attestation 2021-2022 Q2 – English

BPSAAcentralbpsaa
Broader Public Sector Accountability Act 2022-23 – Q1 – English

Broader Public Sector Accountability Act 2022-23 – Q1 – English

BPSAAsouth-westbpsaa
BPSAA Attestation 2021-2022 Q4 – French

BPSAA Attestation 2021-2022 Q4 – French

BPSAAcentralbpsaa
MOU – 2021 (EN)

Memorandum of Understandingmississauga-haltonmemorandum-of-understanding
BPSAA Attestation 2021-2022 Q3 – French

BPSAA Attestation 2021-2022 Q3 – French

BPSAAcentralbpsaa
Broader Public Sector Accountability Act 2021-22 – Q4 – English

Broader Public Sector Accountability Act 2021-22 – Q4 – English

BPSAAsouth-westbpsaa
BPSAA Attestation 2021-2022 Q2 – French

BPSAA Attestation 2021-2022 Q2 – French

BPSAAcentralbpsaa
MOU – 2017 (EN)

Memorandum of Understandingmississauga-haltonmemorandum-of-understanding
BPSAA Attestation 2021-2022 Q1 – French

BPSAA Attestation 2021-2022 Q1 – French

BPSAAcentralbpsaa
Broader Public Sector Accountability Act 2021-22 – Q3 – French

Broader Public Sector Accountability Act 2021-22 – Q3 – French

BPSAAsouth-westbpsaa
BPSAA Attestation 2021-2022 Q1 – English

BPSAA Attestation 2021-2022 Q1 – English

BPSAAcentralbpsaa
HNHB-BPSAA-Q4-2022-EN

BPSAAhamilton-niagara-haldimand-brantbpsaa
Telehomecare Referral Form

ELIGIBILITY FOR TELEHOMECARE SERVICES

  • Patient has an established diagnosis of Heart Failure or COPD (with or without co-morbid conditions).
  • Health care provider feels the patient will benefit from Telehomecare. (This would require the patient or caregiver being able to operate simple equipment.)
  • Patient lives in a residential setting with an active land line (internet or analog phone line).
  • Patient or family caregiver is able to provide informed consent to participate.
Formscentralforms
HNHB-BPSAA-Q3-2022-EN

BPSAAhamilton-niagara-haldimand-brantbpsaa
Palliative Registry Referral Form

Palliative Registry Referral Form

Formscentralforms
Broader Public Sector Accountability Act 2021-22 – Q3 – English

Broader Public Sector Accountability Act 2021-22 – Q3 – English

south-west
Palliative Common Referral Form

Palliative Common Referral Form

Formscentralforms
HNHB-BPSAA-Q2-2022-EN

BPSAAhamilton-niagara-haldimand-brantbpsaa
BPSAA Attestation – Q1 – 2022 (FR)

BPSAAmississauga-haltonbpsaa
Broader Public Sector Accountability Act 2021-22 – Q2 – French

Broader Public Sector Accountability Act 2021-22 – Q2 – French

BPSAAsouth-westbpsaa
Medical Referral Form

Toronto Fax: (416) 222-6517
Newmarket Fax: (905) 952-2404

Formscentralforms
BPSAA Attestation – Q4 – 2021 (FR)

BPSAAmississauga-haltonbpsaa
Broader Public Sector Accountability Act 2021-22 – Q2 – English

Broader Public Sector Accountability Act 2021-22 – Q2 – English

BPSAAsouth-westbpsaa
Intake and Linking Referral Form

Intake and Linking Referral Form

Formscentralforms
HNHB-BPSAA-Q1-2022-EN

BPSAAhamilton-niagara-haldimand-brantbpsaa
COVID-19 Remote Self-Monitor Referral Form

COVID-19 Remote Self-Monitor Referral Form

Formscentralforms
Broader Public Sector Accountability Act 2021-22 – Q1 – French

BPSAA 2021-22 Q1 French

BPSAAsouth-westbpsaa
Broader Public Sector Accountability Act 2021-22 – Q1 – English

BPSAA 2021-22 Q1 EN

BPSAAsouth-westbpsaa
Clinic Eligibility

With extended evening and weekend hours, and seven convenient locations to choose from, for most patients Ontario Health atHome community clinics are the best options to ensure high-quality, specialized nursing that meets their care need.

Formscentralforms
Referral and Treatment Form – Pain Medication

Medical Orders Best practice/evidenced based practice will be initiated unless otherwise written. Wound care outside of evidenced based practice may not be eligible for Ontario Health atHome services. Treatment will be taught and service reduced when appropriate.

Formserie-st-clairforms
BPSAA Attestation – Q3 – 2021 (FR)

BPSAAmississauga-haltonbpsaa
BPSAA Attestation – Q2 – 2021 (FR)

BPSAAmississauga-haltonbpsaa
Medical Referral Form – Adult

North Simcoe Muskoka Medical Referral Form Adult

Formsnorth-simcoe-muskokaforms
BPSAA Attestation – Q1 – 2021 (FR)

BPSAAmississauga-haltonbpsaa
MAID Referral

Ontario Health atHome MAiD Care Coordination service is providing this form to the Primary Care Provider to assist in the effective referral of a patient who has expressed interest in MAiD.

Formsnorth-simcoe-muskokaforms
BPSAA Attestation – Q1 – 2022 (EN)

BPSAAmississauga-haltonbpsaa
Telehomecare Referral Form

Telehomecare Referral Form

Formsnorth-simcoe-muskokaforms
BPSAA Attestation – Q4 – 2021 (EN)

BPSAAmississauga-haltonbpsaa
Common Palliative Referral Guidelines

Common Palliative Referral Guidelines

Formsnorth-simcoe-muskokaforms
BPSAA Attestation – Q3 – 2021 (EN)

BPSAAmississauga-haltonbpsaa
2017-18 Financial Statement – English

Audited Financial Statementscentral-westaudited-financial-statements
BPSAA Attestation – Q2 – 2021 (EN)

BPSAAmississauga-haltonbpsaa
Common Palliative Referral Form

TO ALL PALLIATIVE CARE PROVIDERS
(For the purpose of this form, an individual refers to a patient or client)
Your submission of this form will be taken to explicitly mean that you have gained appropriate permission for release of the information contained to the agencies and services to whom you are submitting this. Please also include your Organization’s Release of Information Form, if applicable.

Formsnorth-simcoe-muskokaforms
BPSAA Attestation – Q1 – 2021 (EN)

BPSAAmississauga-haltonbpsaa
Financial Statement – FR (2021-2022)

Audited Financial Statementsmississauga-haltonaudited-financial-statements
Financial Statement – FR (2020-2021)

Audited Financial Statementsmississauga-haltonaudited-financial-statements
Financial Statement – FR (2019-2020)

Audited Financial Statementsmississauga-haltonaudited-financial-statements
Financial Statement – FR (2018-2019)

Audited Financial Statementsmississauga-haltonaudited-financial-statements
Financial Statement – FR (2017-2018)

Audited Financial Statementsmississauga-haltonaudited-financial-statements
Financial Statement – EN (2021-2022)

Audited Financial Statementsmississauga-haltonaudited-financial-statements
Receiving Intravenous (IV) Care in Clinic

Ontario Health atHome provides IV treatments in our clinics for eligible patients. If you are receiving IV treatment in one of our clinics, it’s important to understand the roles and responsibilities involved in your care.

Information Sheeterie-st-clairinformation-sheet
Financial Statement – EN (2020-2021)

Audited Financial Statementsmississauga-haltonaudited-financial-statements
Financial Statement – EN (2019-2020)

Audited Financial Statementsmississauga-haltonaudited-financial-statements
Ostomy Consultation Report

Formserie-st-clairforms
Financial Statement – EN (2018-2019)

Audited Financial Statementsmississauga-haltonaudited-financial-statements
Announcing our new Board of Directors FR

Media Releaseglobalmedia-release
Financial Statement – EN (2017-2018)

Audited Financial Statementsmississauga-haltonaudited-financial-statements
Total Contact Casting

Diabetic Foot ulcers? Fast effective healing is available
When people have wounds on the bottoms of their feet, healing can be delayed by the day-to-day pressures caused by standing and walking. Total Contact Casting eliminates those pressures by evenly redistributing your weight across the entire foot area.

Information Sheeterie-st-clairinformation-sheet
Mental Health and Addictions Nurses in Schools Patient Flyer

Need mental health and addictions support?
We’re here to help. Mental Health and Addictions Nurses (MHAN) are available throughout the week to support you.

Information Sheeterie-st-clairinformation-sheet
Appointment of a New Board of Directors

Home and Community Care Support Services Announces the Appointment of a
New Board of Directors

Media Releaseglobalmedia-release
2021-22 Financial Statements – French

2021-22 Financial Statements – French

Audited Financial Statementssouth-eastaudited-financial-statements
2021-22 Financial Statements – English

2021-22 Financial Statements – English

Audited Financial Statementssouth-eastaudited-financial-statements
Aminoglycoside/Vancomycin Referral: Serum Monitoring

Aminoglycoside/Vancomycin Referral: Serum Monitoring – South East

Guidesouth-eastguide
CADD SOLIS – PCA Prescription Order

Continuous Ambulatory Delivery Device Patient Controlled Analgesia Prescription Order.
Fax completed CADD Prescription/Order forms to Ontario Health atHome at 1-866-839-7299

Formssouth-eastforms
MAiD Assessment Record

South East Medical Assistance in Dying Assessment Record, Please ensure form is completed and uploaded to patient’s CHRIS file.

Formssouth-eastforms
MAID Procedural Record

South East Medical Assistance in Dying Procedural Record

Formssouth-eastforms
MAID Prescription/Order Form

By completing this form, the prescriber confirms that all safeguards have been met for the patient to be eligible to receive MAID.
Please ensure form is completed for accuracy. Once completed fax to 1-888-334-6559.

Formssouth-eastforms
Medical Order Form

Home and Community Care Support Services South East Medical Order Form

Formssouth-eastforms
Palliative Care SBAR Communication Tool for Nurses

Palliative Care SBAR Communication Tool for Nurses in the South East

Formssouth-eastforms
Palliative Care SBOR Communication Tool for PSWs

Resource guide for PSWs supporting palliative care patients in the South East

Guidesouth-eastguide
Service Requests/Referrals

Ontario Health atHome, South East area service request/referral form

Formssouth-eastforms
Referrals from Hospital

Ontario Health atHome – South East referrals from hospital

Formssouth-eastforms
SRK Info Sheet

When to order a Symptom Response Kit

Information Sheetsouth-eastinformation-sheet
Formulaire de demande d’une trousse de gestion des symptômes pour les soins en fin de vie

Veuillez prêter une attention particulière aux choix du moment et de l’endroit où la trousse de gestion des symptômes sera mise en service (par exemple, si le pronostic de survie est de moins de six mois ou que l’on envisage une détérioration rapide de la santé du ou de la patient.e).
Le but consiste à éviter les visites au service des urgences et l’admission à l’hôpital Les médicaments dans la trousse de gestion des symptômes comportent des dates d’expiration, donc le médecin ou l’infirmière praticienne devra réévaluer l’état de santé du ou de la patient.e, puis en commander de nouveaux, si cela est approprié. Il faudrait examiner les objectifs de soins et les protocoles relatifs au décès prévu à domicile.

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Formulaire de demande d’une trousse de gestion des symptômes pour les soins en fin de vie

Veuillez prêter une attention particulière aux choix du moment et de l’endroit où la trousse de gestion des
symptômes sera mise en service (par exemple, si le pronostic de survie est de moins de six mois ou que l’on
envisage une détérioration rapide de la santé du ou de la patient.e). Le but consiste à éviter les visites au service
des urgences et l’admission à l’hôpital. Les médicaments dans la trousse de gestion des symptômes comportent
des dates d’expiration, donc le médecin ou l’infirmière praticienne devra réévaluer l’état de santé du ou de la
patient.e, puis en commander de nouveaux, si cela est approprié. Il faudrait examiner les objectifs de soins et les
protocoles relatifs au décès prévu à domicile

Formulaireformulaire
Symptom Response Kit (SRK) for End-of-Life Order Form

Timing and placement of the Symptom Response Kit (SRK) requires careful consideration (i.e. prognosis is less than six months; patient expected to deteriorate quickly) with goal of avoiding emergency room visit or hospital admission.
Medications in the SRK will expire; therefore, will need to be reviewed and reordered by the physician/Nurse Practitioner (NP) if it remains appropriate. Consider reviewing goals of care and expected home death protocols

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