Région de Mississauga Halton

Emplacements des bureaux de Mississauga Halton

  • Mississauga
    2655, chemin Sheridan nord, bureau 140
    Mississauga, ON, L5K 2P8
  • Etobicoke
    401, The West Mall, bureau 900
    Etobicoke, ON, M9C 5J5
  • Milton
    611, avenue Holly, unité 203
    Milton, ON, L9T 0K4

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 : mhpatient.relations@ontariohealthathome.ca

Téléphone : 416-780-7883

Par la poste : Santé à domicile Ontario
Bureau des relations avec les patients
401, The West Mall, bureau 900, Etobicoke, ON, M9C 5J5

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.

TitleSummaryRegionLast ModifiedCategoryFile TypeFile SizeLinkhf:doc_tagshf:doc_categorieshf:file_type
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
Long-Term Care Health Assessment Form

October 5, 2022pdf2 MBmississauga-haltonformspdf
MHAN Referral Form

Mental Health and Addictions Nursing Program Referral Form

June 28, 2024pdf553 KBmississauga-haltonformspdf
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 12, 2024pdf88 KBmississauga-haltonformspdf
Negative Pressure Wound Therapy Supplies Order Form

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

August 12, 2024pdf242 KBmississauga-haltonformspdf
Palliative Care Services Referral Form

Mississauga Halton referral form for palliative services and palliative care nurse practitioner services for adults

June 28, 2024pdf298 KBmississauga-haltonformspdf
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

June 28, 2024pdf133 KBmississauga-haltonformspdf
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 Prescription/Order Form

Mississauga Halton Symptom Management Kit Prescription/Order Form

June 28, 2024pdf154 KBmississauga-haltonformspdf