Région de Centre-Ouest

Emplacements des bureaux du Centre-Ouest

  • Brampton
    199, boulevard County Court
    Brampton, ON, L6W 4P3

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 : cw.patient.relations@ontariohealthathome.ca

Téléphone : 905-796-0040 poste 7107

Par la poste : Santé à domicile Ontario
soin de : Bureau des relations avec les patients
199, boulevard County Court,
Brampton, ON L6W 4P3

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
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

June 28, 2024pdf156 KBcentral-westformspdf
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

, , , , , , , , , , , , , , September 19, 2024pdf229 KBcentral 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
Medical Referral Form – Community

Community Medical Referral Form – Central West

July 2, 2024pdf1 MBcentral-westformspdf
Medical Referral Form – Hospital – English

Central West – Hospital Medical Referral Form

June 28, 2024pdf1,020 KBcentral-westformspdf
Medical Supplies Order Form – Infusion and Enteral Supplies

Infusion and Enteral Supplies Order Form for Central West area

September 24, 2024, pdf326 KBcentral-westforms medical-equipment-and-suppliespdf
Medical Supplies Order Form – Ostomy

Ostomy Supply Order Form for Central West area

October 28, 2024, pdf249 KBcentral-westforms medical-equipment-and-suppliespdf
Medical Supplies Order Form – Respiratory Therapy

Respiratory Therapy Supply Order Form for Central West area

October 28, 2024, pdf250 KBcentral-westforms medical-equipment-and-suppliespdf
Medical Supplies Order Form – Urinary Continence

Urinary Continence Supply Order Form for Central West area

September 24, 2024, pdf313 KBcentral-westforms medical-equipment-and-suppliespdf
Medical Supplies Order Form – Wound Care and General

Wound Care and General Supply Order Form for Central West area

October 28, 2024, pdf313 KBcentral-westforms medical-equipment-and-suppliespdf
MHAN Referral Form (English)

Mental Health and Addictions Nursing Program Referral Form

June 28, 2024pdf245 KBcentral-westformspdf
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.

September 10, 2024pdf515 KBcentral-westformspdf
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

September 10, 2024pdf597 KBcentral-westformspdf
Palliative NP Referral Form

Central West Palliative Nurse Practitioner Referral Form

June 28, 2024pdf282 KBcentral-westformspdf
Request for Release of Personal Health Information

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

, , , , , , , , , , , , , , September 19, 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 Management Kit Form

Prescription form for Symptom Management Kit

June 28, 2024pdf287 KBcentral-westformspdf