Champlain area
We are now Ontario Health atHome (opens in a new tab) , a single organization coordinating local home and community care, long-term care placement and help finding services in the community. Our name has changed but our services remain the same. Patients continue to work with the same patient care teams and can contact us the same way.
Information and Referral
310-2222
Toll-free:1-800-538-0520
Fax:613-745-6984
TTY:711
To request home and community care services, please complete this online referral form, or call us at 1-800-538-0520 (toll-free) or 613-745-5525.
Champlain Area Office Locations
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Ottawa (Corporate Office and Mailing Address)
4200 Labelle St,
Suite 100
Ottawa, ON, K1J 1J8
Toll-free: 1-866-902-5446
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Bell’s Corners
301 Moodie Dr.
Suite 105
Ottawa, ON, K2H 9C4
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Cornwall
709 Cotton Mill St.
Cornwall, ON, K6H 7K7
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Hawkesbury
119 Main St. East
Suite 101
Hawkesbury, ON, K6A 1A1
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Pembroke
1100 Pembroke St. East
Pembroke, ON, K8A 6Y7
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Renfrew
850 O’Brien Rd.
Unit 8
Renfrew, ON, K7V 3Z4
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Winchester
530 Fred St.
Suite D, PO Box 209
Winchester, ON, K0C 2K0
Compliments and Concerns?
Please share your feedback with your care coordinator. You may also share compliments or concerns in the following ways:
Email: champlainquality@ontariohealthathome.ca
Phone: 1-844-454-1322
Newsroom and Media Relations
Visit our newsroom for more information on news and events.
For all media-related enquiries, please contact media@ontariohealthathome.ca.
For non-media-related enquiries, please visit the Contact Us page to access additional contact information.
Accessibility Documents
Publications
- When Death Occurs at Home
- Welcome Kit – English
- Telehomecare Remote Monitoring COPD HF Patient Information
- Telehomecare Remote Monitoring COPD HF Physician Information
- Home First
- Long-Term Care Home List
- MAID FAQ
- MAID Information for Physicians and Nurses – English
- Primary Care Resource
- Regional Palliative Consultation Team Brochure
Forms
Title | Summary | Region | Last Modified | Category | File Type | File Size | Link | hf:doc_tags | hf:doc_categories | hf:file_type |
---|---|---|---|---|---|---|---|---|---|---|
Application for Determination of Eligibility for LTC – English | Application for Determination of Eligibility for Long-Term Care – English | Champlain | January 9, 2023 | Forms | 250 KB | champlain | forms | |||
Authorization for Release of Personal Health Information Form | Authorization for Release of Personal Health Information Form | Champlain | September 19, 2022 | Forms | 522 KB | champlain | forms | |||
Authorization to Collect, Use, Disclose PHI Form – Bilingual | Authorization to Collect, Use, Disclose PHI Form – Bilingual | Champlain | September 22, 2022 | Forms | 450 KB | champlain | forms | |||
Caregiver Distress Program – FR | Qu’est-ce que le Programme de relève et de réduction de la détresse des soignants? | Champlain | June 28, 2024 | Forms | 216 KB | champlain | forms | |||
Caregiver Distress Program-EN | What is the Caregiver Distress Respite Program? | Champlain | June 28, 2024 | Forms | 209 KB | champlain | forms | |||
Community IV Therapy Venous Access Algorithm | Community IV Therapy Venous Access Algorithm | Champlain | September 19, 2022 | Forms | 118 KB | champlain | forms | |||
Convalescent Care Program-EN | What is Convalescent Care? | Champlain | June 28, 2024 | Forms | 242 KB | champlain | forms | |||
Convalescent Care Program-FR | Que sont les soins de convalescence? | Champlain | June 28, 2024 | Forms | 248 KB | champlain | forms | |||
Demande de détermination d’admissibilité pour une admission en foyer de soins de longue durée | Demande de détermination d’admissibilité pour une admission en foyer de soins de longue durée | Champlain | September 21, 2022 | Forms | 33 KB | champlain | forms | |||
Email Consent and Use Form – English | … | Champlain | September 22, 2022 | Forms | 362 KB | champlain | forms | |||
Email Consent and Use Form – French | Email Consent and Use Form – French | Champlain | September 22, 2022 | Forms | 307 KB | champlain | forms | |||
First Dose Parenteral Administration Form | First Dose Parenteral Administration Form | Champlain | September 19, 2022 | Forms | 554 KB | champlain | forms | |||
Infusion Therapy – IV Remdesivir Referral Form | Champlain, Infusion Therapy – IV Remdesivir Referral Form | Champlain | January 2, 2024 | Forms | 147 KB | champlain | forms | |||
Infusion Therapy Venous Access Referral Form | Infusion Therapy Venous Access Referral Form | Champlain | September 19, 2022 | Forms | 382 KB | champlain | forms | |||
Integrated Bruyere Outpatient and Community Stroke Rehabilitation Referral Form | Integrated Bruyere Outpatient and Community Stroke Rehabilitation Referral Form | Champlain | September 13, 2023 | Forms | 237 KB | champlain | forms | |||
Liste de choix de foyers de soins de longue durée | Champlain, Liste de choix de foyers de soins de longue durée | Champlain | December 20, 2023 | Forms | 374 KB | champlain | forms | |||
Liste de choix de foyers de soins de longue durée | Champlain – Court séjour provisoire, Liste de choix de foyers de soins de longue durée | Champlain | December 20, 2023 | Forms | 200 KB | champlain | forms | |||
Long-Term Care Home Crisis Choice List – Bilingual | Long-Term Care Home Crisis Choice List – Bilingual | Champlain | June 20, 2023 | Forms | 400 KB | champlain | forms | |||
Long-Term Care Home Choice List | Champlain Long-Term Care Home Choice List – English | Champlain | December 21, 2023 | Forms | 205 KB | champlain | forms | |||
Long-Term Care Home Short Stay Interim Choice List – English | Long-Term Care Home Short Stay Interim Choice List – English | Champlain | December 20, 2023 | Forms | 75 KB | champlain | forms | |||
Long-Term Care Home Short-Stay Respite Choice List – English | Long-Term Care Home Short Stay Respite Choice List – English | Champlain | December 20, 2023 | Forms | 140 KB | champlain | forms | |||
LTC Counselling Checklist – English | Long-term care counselling checklist for community patients. | Champlain | October 11, 2023 | Forms | 161 KB | champlain | forms | |||
LTC Counselling Checklist – French | Patients dans la communauté – Liste de vérification des conseils pour admission en soins de longue durée | Champlain | October 11, 2023 | Forms | 165 KB | champlain | forms | |||
LTC Counselling Checklist for Hospital Patients – English | Long-term care counselling checklist for hospital patients. | Champlain | October 11, 2023 | Forms | 844 KB | champlain | forms | |||
LTC Counselling Checklist for Hospital Patients – French | Liste de vérification pour les patients hospitalisés – Renseignements sur les soins de longue durée | Champlain | October 11, 2023 | Forms | 814 KB | champlain | forms | |||
Medical Referral Form | Medical Referral Form | Champlain | September 19, 2022 | Forms | 389 KB | champlain | forms | |||
Medical Referral Infusions Pain and Symptom Management | Medical Referral Infusions Pain and Symptom Management | Champlain | September 19, 2022 | Forms | 1 MB | champlain | forms | |||
Negative Pressure Wound Therapy Prescription Form | Negative Pressure Wound Therapy Prescription Form | Champlain | September 19, 2022 | Forms | 525 KB | champlain | forms | |||
Referral Form for Community Referrals | Champlain Referral Form for Community Referrals | Champlain | June 29, 2024 | Forms | 108 KB | champlain | forms | |||
Regional Palliative Consultation Team Referral Form | Regional Palliative Consultation Team Referral Form | Champlain | September 19, 2022 | Forms | 233 KB | champlain | forms | |||
Short-Stay Respite Counselling Checklist | Short-Stay Respite Program in Long-Term Care Homes, Counselling Checklist for Patients in the Community | Champlain | December 15, 2023 | Forms | 336 KB | champlain | forms | |||
Soins de relève de courte durée | Soins de relève de courte durée | Champlain | December 20, 2023 | Forms | 143 KB | champlain | forms | |||
Soins de relève de courte liste de vérification vérification des conseils | Programme de soins de relève de courte durée dans des foyers de soins de longue durée, Liste de vérification des conseils pour les patients dans la communauté | Champlain | December 15, 2023 | Forms | 212 KB | champlain | forms | |||
Symptom Response Kit for End-of-Life Order Form – Champlain | Symptom Response Kit for End-of-Life Order Form – Champlain | Champlain | January 23, 2023 | Forms | 333 KB | champlain | forms | |||
TeleHomeCare Remote Monitoring Program Referral Form | … | Champlain | February 1, 2023 | Forms | 238 KB | champlain | forms | |||
Telehomecare Remote Monitoring Program Referral Form-FR | … | Champlain | February 1, 2023 | Forms | 241 KB | champlain | forms |