South East 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:1-800-668-0901
Fax:1-866-839-7299
TTY:711
South East Area Office Locations
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Belleville
470 Dundas St. East
Belleville, ON, K8N 1G1
Toll-free: 1-800-668-0901
Fax: 613-966-0996 -
Bancroft
1 Manor Lane
Bancroft, ON, K0L 1C0
Toll-free: 1-800-717-2344
Fax: 613-966-0996 -
Brockville
555 California Ave., Unit 1, Bag Service 7000
Brockville, ON, K6V 7K6
Toll-free: 1-800-267-6041
Fax: 613-283-0308 -
Kingston
200-1471 John Counter Blvd.
Kingston, ON, K7M 8S8
Toll-free: 1-800-869-8828
Fax: 613-544-1494 -
Smiths Falls
52 Abbott St. N., Suite 1
Smiths Falls, ON, K7A 1W3
Toll-Free: 1-800-267-6041
Fax: 613-283-0308
Compliments and Concerns?
Please share your feedback with your care coordinator. You may also share compliments or concerns in the following ways:
Email: SEQuality@ontariohealthathome.ca
Phone: 613-650-2987
Mail: Ontario Health atHome
Attn: Senior Manager, Quality
470 Dundas St. East
Bay View Mall
Belleville, ON K8N 1G1
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
- Welcome Book
- Connecting You with Care
- Community Nursing Clinics
- Community Stroke Rehabilitation Program
- Family-Managed Home Care Program
- Guide to Placement in Long-Term Care Homes
- Hospice Palliative Care Nurse Practitioner Program
- Mental Health and Addictions Nurses in Schools Fact Sheet
- Mental Health and Addictions Nurses in Schools Patient Flyer
- Rapid Response Nurses
- South East Healthline Fact Sheet
Forms
Title | Summary | Region | Last Modified | Category | File Type | File Size | Link | hf:doc_tags | hf:doc_categories | hf:file_type |
---|---|---|---|---|---|---|---|---|---|---|
CADD SOLIS – PCA Prescription Order | Continuous Ambulatory Delivery Device Patient Controlled Analgesia Prescription Order. | South East | October 11, 2024 | Forms | 6 MB | south-east | forms | |||
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. | South East | January 31, 2024 | Forms | 87 KB | south-east | forms | |||
First Dose Parenteral Medication Screener | First Dose Parenteral Medication Screener – South East | South East | July 2, 2024 | Forms | 142 KB | south-east | forms | |||
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 | Central, 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 Wellington | September 19, 2024 | Forms | 229 KB | central 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-wellington | forms | |||
Home Parenteral Nutrition Order Form | To order care relating to Home Parenteral Nutrition in the South East. NOTE: Two (2) business days notice required | South East | April 19, 2024 | Forms | 159 KB | south-east | forms | |||
Infusion Therapy – IV Remdesivir Referral Form | Referral form for administering COVID-19 antivirals in South East community nursing clinics. | South East | August 30, 2023 | Forms | 237 KB | south-east | forms | |||
IV Therapy/Venous Access Management Medical Order Form | For help to complete the form, please call Ontario Health atHome’s central access team at 1-800-869-8828 ext. 4003. | South East | September 30, 2024 | Forms | 288 KB | south-east | forms | |||
Long-Term Care Home Choice Form (English) | You may choose up to five (5) long-term care homes. | South East | June 8, 2023 | Forms | 1 MB | south-east | forms | |||
Long-Term Care Home Choice Form (French) | Formulaire de choix de foyer de soins de longue durée. Vous pouvez choisir jusqu’à cinq (5) foyers de soins de longue durée. | South East | June 8, 2023 | Forms | 386 KB | south-east | forms | |||
MAiD Assessment Record | South East Medical Assistance in Dying Assessment Record, Please ensure form is completed and uploaded to patient’s CHRIS file. | South East | July 2, 2024 | Forms | 110 KB | south-east | forms | |||
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. | South East | September 24, 2024 | Forms | 110 KB | south-east | forms | |||
MAID Procedural Record | South East Medical Assistance in Dying Procedural Record | South East | July 2, 2024 | Forms | 101 KB | south-east | forms | |||
Medical Order Form | Home and Community Care Support Services South East Medical Order Form | South East | July 2, 2024 | Forms | 253 KB | south-east | forms | |||
MHAN Referral Form | Mental Health & Addiction (MHAN) Nurse Referral. Please fax to: 1-613-650-2992 | South East | May 7, 2024 | Forms | 242 KB | south-east | forms | |||
Negative Pressure Wound Therapy – Supplies & Equipment Order Form | Fax: 613-650-2996 | South East | July 22, 2024 | Forms | 99 KB | south-east | forms | |||
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. | South East | July 19, 2024 | Forms | 102 KB | south-east | forms | |||
Palliative Care SBAR Communication Tool for Nurses | Palliative Care SBAR Communication Tool for Nurses in the South East | South East | July 2, 2024 | Forms | 54 KB | south-east | forms | |||
Referral and Order Requisition for Offloading Devices | Complete this form to refer patients to approved regional providers for offloading footwear | South East | July 2, 2024 | Forms | 215 KB | south-east | forms | |||
Referrals from Hospital | Ontario Health atHome – South East referrals from hospital | South East | July 2, 2024 | Forms | 108 KB | south-east | forms | |||
Request for Release of Personal Health Information | Request for Release of Personal Health Information under the Personal Health Information Protection Act, 2004 | Central, 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 Wellington | September 19, 2024 | Forms | 2 MB | central 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-wellington | forms | |||
Service Requests/Referrals | Ontario Health atHome, South East area service request/referral form | South East | June 29, 2024 | Forms | 269 KB | south-east | forms | |||
SRK for End-of-Life Order Form (French) | Trousse de gestion des symptômes pour les soins en fin de vie – Formulaire de commande | South East | May 9, 2024 | Forms | 2 MB | south-east | forms | |||
Symptom Response Kit (SRK) for End-of-Life Order Form | Timing and placement of the Symptom Response Kit requires careful consideration with a goal of avoiding emergency room visit or hospital admission. | South East | July 2, 2024 | Forms | 151 KB | south-east | forms |