South West area

Information and Referral

310-2222

(No area code required)

Toll-free:1-800-811-5146
Fax:519-472-4045
TTY:711
Email:SWAccessIandR@ontariohealthathome.ca

IMPORTANT: DO NOT send any personal health information. This email is not for patient feedback or referrals. Please call us directly at the numbers listed above. We aim to respond within 72 hours, however, this email account is not checked on weekends or statutory holidays.

Visit South West Healthline

South West Healthline

South West Area Office Locations

  • London(Corporate Office)
    356 Oxford Street West,
    London, ON, N6H 1T3
    Fax:   519-472-4045
  • Owen Sound
    1415 1st Avenue West,
     Suite 3009,
    Owen Sound, ON, N4K 4K8
    Fax:  519-371-5612
  • St. Thomas
    1063 Talbot Street,
    Unit 70,
    St. Thomas, ON, N5P 1G4
    Fax:   519-631-2236
  • Stratford
    65 Lorne Avenue East
    Stratford, ON, N5A 6S4
    Fax:   519-273-2847
  • Woodstock
    1147 Dundas Street,
    Woodstock, ON, N4S 8W3
    Fax:  519-539-0065

Compliments and Concerns?

Please share your feedback with your care coordinator. You may also share compliments or concerns in the following ways:

Email: sw.feedback@ontariohealthathome.ca 

Phone: 519-473-2222 (1-800-811-5146)

Mail:

Ontario Health atHome
Attn: Patient Relations Department
356 Oxford Street West, London, ON N6H 1T3

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.

Forms

TitleSummaryRegionLast ModifiedCategoryFile TypeFile SizeLinkhf:doc_tagshf:doc_categorieshf:file_type
Adult Intravenous Remdesivir Infusion Therapy Order Form

Ministry of Health only provides coverage for a maximum of three doses for an eligible patient. Determining and providing proof of patient eligibility for IV Remdesivir therapy is the Prescriber’s responsibility, namely: The individual does not require hospitalization; AND the individual cannot take Paxlovid (nirmatrelvir and ritonavir), e.g., due to a drug interaction or contraindication;AND the individual has a positive COVID-19 test result (molecular or rapid antigen) and has had symptoms for fewerthan 8 days at the time treatment is initiated (dose 1).

February 7, 2024pdf90 KBsouth-westformspdf
Referral/Request for Assessment

Referral/Request for Assessment in South West area.This is a PDF Interactive form. You have the option to complete all or parts, electronically. When completed, please print and fax to Ontario Health atHome.

June 28, 2024pdf156 KBsouth-westformspdf
South West IV First Dose and Iron Sucrose Screener

September 27, 2022pdf95 KBsouth-westformspdf
South West Symptom Response Kit Prescription Form

September 22, 2022pdf208 KBsouth-westformspdf
SW Adult Parenteral Antibiotic Therapy Order Form

Orders are processed between 8 am– 8pm, 7days/week and require a minimum 4-hour turn around window.
HCCSS South West uses a Clinic First Approach to service delivery.

June 28, 2024pdf280 KBsouth-westformspdf
SW Adult Standard Flush Protocol – EN

June 28, 2024pdf314 KBsouth-westformspdf
SW ARCHES – Short-Term Transitional Care Program – EN

Through our Available Retirement Care Home Enhanced Supports (ARCHES) to Care Beds Program, we are able to help you move from the hospital to a retirement residence with enhanced supports where you can make important decisions about your future care and living arrangements.

June 28, 2024, pdf559 KBsouth-westforms information-sheetpdf
SW Diabetes Type 1 Request Treatment Order

Request for Type 1 Diabetes Treatment Order

October 26, 2023pdf59 KBsouth-westformspdf
SW Enteral Feeding Form – Adult – EN

June 28, 2024pdf121 KBsouth-westformspdf
SW Hydration Form – EN

June 28, 2024pdf214 KBsouth-westformspdf
SW MHAN Referral Form – EN

Mental Health and Addictions Nursing Program Referral Form

June 28, 2024pdf117 KBsouth-westformspdf
SW Negative Pressure Wound Therapy Referral Form – EN

June 28, 2024pdf279 KBsouth-westformspdf
SW Pain Management Order Form – EN

June 28, 2024pdf111 KBsouth-westformspdf
SW Palliative Care – Community Services Assessment Request

Request for palliative services in the community

October 26, 2023pdf88 KBsouth-westformspdf
SW Physician Notification of Concern or Compliment – EN

June 28, 2024pdf141 KBsouth-westformspdf
Wound Consult Request – Virtual

A referral form to request a virtual wound consult with an NSWOC/WCS/ET or Nurse Practitioner from the South West Regional Wound Care Program.

March 6, 2024pdf71 KBsouth-westformspdf