Link your patient to home and community care
The moment you connect your patient to us, you link them to a wide network of caring professionals. Whether it is specialized nursing and home care or community resources such as "meals on wheels", we open the door to community services designed to help patients remain at home.
Our primary care hotline (1-888-470-2222, press 1 for Home and Community Care, then press 4 to speak to a care coordinator) for physicians and other primary care providers makes it easy to put us to work for your patient. Completed referral forms are to be faxed to 416-222-6517 or 905-952-2404.
Referral Forms for Home and Community care Services
Palliative Care Common Referral Form
To be completed by physicians in the community who wish to refer palliative patients to us.
Palliative Patient Registry Referral Form
To be completed by physicians in the community who wish to refer patients to our Patient Registry.
Palliative Symptom Relief Kit Prescription
To be completed by physicians in the community who wish to complete medical orders for their palliative patients.
More information on our Palliative Care program.
The Early Identification and Prognostic Indicator Guide aims to help family physicians, specialist physicians and nurse practitioners in earlier identification of those patients nearing the end of life who could benefit from a hospice palliative care approach to care.
Intake and Linking Referral Form
To be completed by Physicians in the community who wish to refer patients to us.
Medical Referral Form
This form must be completed and signed by the referring physician if the referral includes medical/treatment orders.
Telehomecare Referral Form
To be completed by Physicians in the community who wish to refer patients to our Telehomecare program. For more information on the Telehomecare program read the
Telehomecare Fact Sheet.
Please ensure the form(s) are completed as fully as possible to avoid any delays in activating the requested services.
Referrals and consultations with us are all covered by OHIP
OHIP Billing Fee Codes
Home Care Application - Code K070
The service rendered by the most responsible physician for completion and submission of a home care service request form on behalf of a patient for whom the physician provides on-going medical care. The amount payable for this service is in addition to the assessment fee payable, where applicable. The amount payable for completion of the home care service request form if completed in whole or in part by a person other than the physician or the physician’s employee is nil.
Home Care Supervision - K071 & K072 & K124
The service rendered by the most responsible physician for personally providing medical advice, direction or information to health care staff of home and community care or home and community care contractor on behalf of a patient for whom the physician provides on-going medical care. The date, question, response and identity of the health care staff must be recorded in the patient’s medical record. The amount payable for home care supervision without the required record of service in the patient’s medical record is nil. The amount payable for home care supervision rendered on the same day as a consultation or visit by the same physician with the same patient is nil.
K071 for Acute home care supervision (maximum 1 every week for the first 8 weeks following admission to home care program)
K072 for Chronic home care supervision (maximum 2 per month commencing in the 9th week following admission to the home care program)
K124 for a case conference regarding a home and community care patient. Note that K124 requires participation by the physician most responsible for the care of the patient and at least 2 other participants that include physicians, regulated social workers, employees of a LHIN and/or regulated health professionals.
*Schedule of Benefits for Physician Services under the Health Insurance Act
LEARN ABOUT HOME AND COMMUNITY CARE SERVICES
Webinar 1 - Overview of Home and Community Care (Hosted on February 6, 2019)
Community Nursing Clinics
Our community nursing clinics offer wound care, post-surgical care, IV treatment and other specialized nursing services. Our community clinics are by appointment only, offering quick and easy access to nursing care for patients recovering from illnesses, accidents and surgeries. For more information read of our
Clinic Eligibility fact sheet.
Health Care Connect
We also link primary care providers with unattached patients in their communities.
Family Health Teams, nurse practitioner-led clinics, and other primary care providers have used Health Care Connect to quickly build robust patient rosters. As a committed partner in
Health Care Connect, we can help balance your practice by matching patients to your needs and expertise, and unburden your staff by helping manage the natural fluctuations of your roster.
To reach a Care Connector please call 1-888-470-2222, ext. 6181, or email
eConsult is a secure web-based tool that allows physicians and nurse practitioners timely access to specialist advice for all patients and often eliminates the need for an in-person specialist visit. For more information, read the eConsult Fact Sheet.
An advocate for your patient
When you refer a patient to home and community care, you give them an advocate in the health care system. Our care coordinators are specialists in assessing and finding ways to meet patients' home and community care needs.
We link patients to
an extensive array of care services, including specialized nursing, palliative nurse practitioners, rapid response nurses to assist with hospital-to-home transitions, pharmacists, occupational therapists, physiotherapists, as well as personal support workers, dieticians, social workers, speech therapists, and