Région de Centre-Est

Renseignements concernant les patients et renvois

310-2222

(sans indicatif régional)

Sans frais au Canada :1-800-263-3877
TTY :711 (demander le 1-800-263-3877)
Par courriel :CE-Communications@ontariohealthathome.ca

Veuillez NE PAS transmettre des renseignements personnels sur la santé. Ce courriel ne doit pas servir à traiter des renvois ni à recevoir les commentaires des patients. Veuillez nous appeler aux numéros indiqués ci-dessus. Nous répondons généralement dans un délai de 72 heures. Toutefois, veuillez noter que ce compte n’est pas vérifié les fins de semaine ni les jours fériés.

Visitez le site Web lignesanté du Cente-Est

Central East Healthline logo

Emplacements des bureaux du Centre-Est

  • Whitby(Corporate Office)
    920 Cour Champlain
    Whitby, ON, L1N 6K9
    Sans frais ::  1-800-263-3877
    Télécopieur ::  1-855-352-2555
  • Scarborough
    100 Place Consilium
    Bureau 801
    Scarborough, ON, M1H 3E3
    Sans frais ::  1-800-263-3877
    Télécopieur ::  1-855-352-2555
  • Port Hope
    151A, chemin Rose Glen
    Port Hope, ON, L1A 3V6
    Sans frais ::  1-800-263-3877
    Télécopieur ::  1-855-352-2555
  • Lindsay
    370, rue Kent Ouest
    Lindsay, ON, K9V 6G8
    Sans frais ::  1-800-263-3877
    Télécopieur ::  1-855-352-2555
  • Campbellford
    119, rue Isabelle
    Unité 7
    Campbellford, ON, K0L 1L0
    Sans frais ::  1-800-263-3877
    Télécopieur ::  1-855-352-2555
  • Peterborough
    700, avenue Clonsilla
    Bureau 202
    Peterborough , ON, K9J 5Y3
    Sans frais ::  1-800-263-3877
    Télécopieur ::  1-855-352-2555
  • Haliburton
    73, rue Victoria
    Boîte postale 793
    Haliburton, ON, K0M 1S0
    Sans frais ::  1-800-263-3877
    Télécopieur ::  1-855-352-2555

Compliments et Inquiétudes

Veuillez transmettre vos commentaires à votre coordonnateur de soins. Vous pouvez aussi communiquer vos compliments ou préoccupations d’une des manières suivantes :

Par courriel : CE.patientrelations@ontariohealthathome.ca

Téléphone : 1-800-263-3877 poste 2273

Par la poste : Santé à domicile Ontario
Compliments et inquiétudes
Bureau de Whitby
920 Cour Champlain
Whitby, ON L1N 6K9

Salle de nouvelles et relations avec les médias

Visitez notre salle de nouvelles pour en savoir plus sur les actualités et événements.

Pour toute demande de renseignements des médias, veuillez envoyer un courriel à l’adresse media@ontariohealthathome.ca.

Pour les demandes ne provenant pas des médias, veuillez visiter la page Pour nous joindre pour obtenir des coordonnées supplémentaires.

Forms

TitleSummaryRegionLast ModifiedCategoryFile TypeFile SizeLinkhf:doc_tagshf:doc_categorieshf:file_type
CE-Centralized-Diabetes-Intake-Referral-Form

Centralized Diabetes Intake Referral FormFor 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

June 28, 2024pdf55 KBcentral-eastformspdf
Central East Centralized Diabetes Intake Fact Sheet

The Central East 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 Home and Community Care Support Services Central East 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). Home and Community Care Support Services Central East CDI Care Coordinator will determine the need for DEP or CCDC services. Together, the patient and care coordinator choose the most appropriate location for these diabetes services.

June 28, 2024pdf486 KBcentral-eastformspdf
Centralized Diabetes Intake Referral Form

Centralized Diabetes Intake Referral Form

September 16, 2022pdf79 KBcentral-eastformspdf
Community Paramedicine Referral Form

Community Paramedicine Referral Form

September 19, 2022pdf281 KBcentral-eastformspdf
COPD and Heart Failure Telehomecare Referral Form

Central East – COPD and Heart Failure Telehomecare Referral Form

January 12, 2024pdf92 KBcentral-eastformspdf
COPD and Heart Failure Telehomecare Referral Form – FR

Formulaire de renvoi à Télésoins à domicile pour les patients atteints d’une maladie pulmonaire obstructive chronique (MPOC) ou d’une insuffisance cardiaque
congestive.

June 28, 2024pdf306 KBcentral-eastformspdf
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.

December 4, 2023pdf162 KBcentral-eastformspdf
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.

December 4, 2023pdf64 KBcentral-eastformspdf
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.

July 10, 2024pdf101 KBcentral-eastformspdf
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

, , , , , , , , , , , , , , July 8, 2024pdf2 MBcentral 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-wellingtonformspdf
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.

January 12, 2024pdf132 KBcentral-eastformspdf
Hip and Knee Referral Form

Hip and Knee Referral Form

March 31, 2023pdf156 KBcentral-eastformspdf
Hospital Infusion Therapy Referral Form

Hospital Infusion Therapy Referral Form

September 19, 2022pdf95 KBcentral-eastformspdf
Hospital Narcotic Infusion Therapy Referral Form

Hospital Narcotic Infusion Therapy Referral Form

September 19, 2022pdf92 KBcentral-eastformspdf
Hospital Request for Assessment Form

Hospital Request for Assessment Form

September 19, 2022pdf86 KBcentral-eastformspdf
Infusion Therapy Referral Form

Infusion Therapy Referral Form

September 19, 2022pdf77 KBcentral-eastformspdf
MAID Prescription Order Form

Central East Medical Assistance in Dying Prescription Order Form

July 25, 2023pdf442 KBcentral-eastformspdf
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

July 3, 2024pdf2 MBcentral-eastformspdf
Narcotic Infusion Therapy Referral Form

Narcotic Infusion Therapy Referral Form

September 19, 2022pdf73 KBcentral-eastformspdf
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.

July 10, 2024pdf99 KBcentral-eastformspdf
Patient Appeal Form

Patient Appeal Form

September 19, 2022pdf92 KBcentral-eastformspdf
PrVEKLURY® Remdesivir Infusion Referral Form

Central East, PrVEKLURY® Remdesivir Infusion Referral Form. Please ensure form is completed for accuracy.

December 13, 2023pdf270 KBcentral-eastformspdf
Request For Assessment Form

Request For Assessment Form

June 29, 2024pdf74 KBcentral-eastformspdf
Request For Assessment Form – French

Request For Assessment Form – French

August 14, 2023pdf164 KBcentral-eastformspdf
Request for Release of Personal Health Information

Request for Release of Personal Health Information under the Personal Health Information Protection Act, 2004

, , , , , , , , , , , , , , July 8, 2024pdf2 MBcentral 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-wellingtonformspdf
Symptom Response Kit (SRK) for End of Life Order Form – English

Symptom Response Kit (SRK) for End of Life Order Form – English

June 12, 2023pdf1 MBcentral-eastformspdf
Symptom Response Kit for End of Life Order Form

Symptom Response Kit for End-of-Life Order Form
Please fax your completed form to the appropriate Ontario Health atHome branch:
Central East: 1-855-352-2555 Champlain: 1-800-373-4945 South East: 1-866-839-7299
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.

July 19, 2024pdf136 KBcentral-eastformspdf