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Planning Ahead for Holidays

[…] a secure chat – day or night. Send an instant message to a registered nurse and get answers to health-related questions or concerns by using the Health811 online chat. (opens in a new tab) Talk to your pharmacist Pharmacists can assess and prescribe medication for common ailments (opens in a new tab)  like pink eye, […]

Specialized Services

[…] by patients, family and caregivers, as well as other health care providers and programs. Accessing community services begins with an assessment completed by a Care Coordinator in order to determine eligibility and what would be most beneficial based on individual patient care needs. Many of the services offered in a community setting include various […]

Palliative SRK – Manitoulin Island Prescriber Order Form

Palliative Symptom Relief Kit (SRK) – Manitoulin Island Prescriber Order Form 1. Prescribers: Fax to patients pharmacy of choice: I. Guardian Pharmacy – Gore Bay (705-282-0792), Little Current (705-368-2077), Manitowaning (705-859-2280), or Mindemoya (705-377-5310) II. Edgewater Pharmacy – Little Current (705-368-3131) AND 2. Pharmacists: Fax to Ontario Health atHome (705-522-3855) to ensure CC can […]

CADD SOLIS – PCA Prescription Order

Continuous Ambulatory Delivery Device Patient Controlled Analgesia Prescription Order. Fax completed CADD Prescription/Order forms to Ontario Health atHome at 1-866-839-7299

Medical Equipment Vendor Order Trackers

Medical Equipment Vendor Order Trackers allow you to track orders with: Medigas: Central, Central West, Mississauga Halton, North Simcoe Muskoka, Toronto Central, North East and North West Ontario Medical Supply: Central East, Champlain and South East Rexall: Erie St. Clair, Hamilton Niagara Haldimand Brant, South West and Waterloo Wellington Revised: June 5, 2025

For Hospital and Primary Care Partners

[…] is interested in long-term care placement and has functional needs or cognitive deficit(s), please complete the Request for Ontario Health atHome services form and indicate this in the “medical order” section on page 1.  Fax the completed form to the appropriate location.  Refer to page 2 of the form for fax numbers. A Health Assessment Form (opens in […]

Iron Infusion Order Form

Hamilton Niagara Haldimand Brant, Iron Infusion order form – To order intravenous iron replacement

Patient Experience and Feedback

[…] our services and support the best possible patient and caregiver experiences. Each month, surveys are mailed to a random selection of recipients, who can complete the surveys online or by return mail. The PCEE survey can also be completed by telephone. Our surveys are available in English and French, and the PCEE Survey is […]

Adult Parenteral Antibiotic Therapy Order Form

page 3adult parenteral antibiotic therapy order 356 oxford street west london n6h 1t3 telephone 800 811 5146 fax 519 472 4045 flush lock protocol use standard flush protocol see appendix use flush protocol please specify dressing change instructions service provider follow best practice dressing change instructions patient information surname first name delivery address city […]

Palliative Symptom Response Form

For the management of rapid-onset, unanticipated symptoms for patients nearing end–of-life and no longer able to swallow oral medications. The medication on this order form is limited to support short duration of symptom management (48 hours) until further medications are ordered. Note: See Palliative Care Symptom Response Guidelines for more info on how to […]

Palliative Symptom Management Kit Order Form

Palliative Symptom Management Kit Order Form, North West

Home Parenteral Nutrition Medical Order Form – Pediatric at McMaster Children’s Hospital

To order care relating to the Protocol for Home Parenteral Nutrition (PPN or TPN) for pediatric patients at McMaster Children’s Hospital