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Physicians – Referral Forms

COMMON OHIP BILLING CODES

Our advice and services are covered by OHIP. Below, please find the common billing codes to be used when working with us.

  • KO70 for completing a referral to usalt=""
  • K071 and K072 for acute and chronic home care supervision (for personally providing medical advice, direction or information to our or delegated health-care staff)
  • K124 for a case conference regarding a patient. Note the 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, our employees and/or regulated health professionals.

HOW TO MAKE A REFERRAL TO US

Primary Care Providers can call to make a new referral to us or inquire as to the status of a patient on services by calling: 705-726-0039 or 1-888-661-1111

 

​REFERRAL FORMS

​FACT SHEETS

​HEALTH ASSESSMENT

The Ministry of Health has revised the Health Assessment to reduce the burden on physicians for completion.

Physicians are now able to sign a declaration on the new Health Assessment indicating that there has been no change since the previous assessment and simply attach a copy of the previous Health Assessment for forwarding to us.

Electronic versions of the Health Assessment are available below.

Health Assessment (pre-populated with our information) »

Évaluation de l'état de santé (nos informations) »