Waterloo Wellington 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: 1-888-883-3313
FaxScroll down for local fax numbers.
TTY:711
Waterloo Wellington Area Office Locations
-
Waterloo
141 Weber Street South,
Waterloo, ON, N2J 2A9
Fax: 519-883-5555 (Waterloo Region) -
Cambridge
73 Water Street North,
Suite 501,
Cambridge, ON, N1R 7L6
Fax: 519-623-5068 (Cambridge – North Dumfries) -
Guelph
1 Stone Road West,
Guelph, ON, N1G 4Y2
Fax: 519-823-8682 (Guelph | Wellington County)
Compliments and Concerns?
Please share your feedback with your care coordinator. You may also share compliments or concerns in the following ways:
Email: patient.relations.ww@ontariohealthathome.ca
Phone: 1-888-883-3313 ext. 5443
Mail: Ontario Health atHome
Compliments and Concerns
Attn: Manager, Patient Relations
141 Weber Street South
Waterloo, ON
N2J 2A9
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 Guide
- Connecting You with Care
- Community Nursing Clinics
- Family-Managed Home Care Program
- Adult Mental Health Supports
- Pediatric School Health Support Services
- Mental Health and Addictions Nursing in Schools
- Managing Total Parenteral Nutrition at Home
- Rapid Recovery Therapy Program
- CarePartners PT Care Centre for Hip-Knee Replacement
- Integrated Assisted Living Program for Seniors
- Long-Term Care Placement Guide
- Long-Term Care Homes List
- Going Home – Discharge from Hospital
- Medical Assistance In Dying (MAID)
- Life Following Loss
- Orthopedic Assessment Clinic brochure
Forms
Title | Summary | Region | Last Modified | Category | File Type | File Size | Link | hf:doc_tags | hf:doc_categories | hf:file_type |
---|---|---|---|---|---|---|---|---|---|---|
Coordinated Bed Access Program Transfer Request Form 551B – EN | Completed by a Coordinated Bed Access Coordinator (HCCSS staff) for transfers in the rehab bed program | Waterloo Wellington | July 4, 2024 | Forms | 284 KB | waterloo-wellington | forms | |||
Form 031B – Hospice Palliative Care Services Request | Request for Hospice Palliative Care Services – Form 031B, Completed by a Primary Care Physician | Waterloo Wellington | July 24, 2024 | Forms | 1 MB | waterloo-wellington | forms | |||
Form 552 CBA Bed Vacancy Notification | Form 552, Notification of Rehabilitative Care, Palliative Care, Transitional Care or Residential Hospice Bed Vacancy | Waterloo Wellington | June 11, 2024 | Forms | 142 KB | waterloo-wellington | 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 | |||
MAID (Medical Assistance in Dying) Fax Cover Sheet Form 068 | Fax cover sheet that can be used to accompany MAID referral document | Waterloo Wellington | November 1, 2023 | Forms | 194 KB | waterloo-wellington | forms | |||
MAID (Medical Assistance in Dying) Referral Form 031A | Completed by a Primary Care Physician | Waterloo Wellington | November 1, 2023 | Forms | 151 KB | waterloo-wellington | forms | |||
Medical Orders – Parenteral Therapy – 525 – EN | To order care relating to parenteral therapy | Waterloo Wellington | July 4, 2024 | Forms | 296 KB | waterloo-wellington | forms | |||
Mental Health And Addictions Nursing Program (MHAN) Referral Form | Ontario Health atHome Child and Youth Mental Health & Addictions Nursing Program | Waterloo Wellington | December 11, 2024 | Forms | 77 KB | waterloo-wellington | 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. | Waterloo Wellington | July 23, 2024 | Forms | 83 KB | waterloo-wellington | forms | |||
Palliative Care In-Patient Referral Form 279 – EN | FAX COMPLETED FORM TO Ontario Health atHome: 519-742-0635 | Waterloo Wellington | July 31, 2024 | Forms | 2 MB | waterloo-wellington | forms | |||
Parenteral Nutrition (TPN) Referral Form 311A – EN | Completed by a Primary Care Physician or Registered Dietician | Waterloo Wellington | July 4, 2024 | Forms | 854 KB | waterloo-wellington | forms | |||
Rehab and Complex Continuing Care (CCC) Referral Form 550 – EN | Acute Care to Rehab & Complex Continuing Care (CCC) Referral | Waterloo Wellington | August 23, 2024 | Coordinated Bed Access, Forms | 310 KB | waterloo-wellington | cba 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 | |||
Request for Services | Completed by Primary care Physician to request Home Care services. Patient/Families may also print this referral form to bring to an appointment for completion. | Waterloo Wellington | September 6, 2024 | Forms | 1 MB | waterloo-wellington | forms | |||
Retirement Home Service Information Form 150 | Completed by Retirement Home(RH) or HCCSS staff to outline services that a patient is currently receiving or may require if moving to a Retirement Home setting | Waterloo Wellington | July 4, 2024 | Forms | 483 KB | waterloo-wellington | forms | |||
Swallowing Questionnaire Form 015 – EN | Completed by Retirement Home staff when requesting a Swallowing Assessment | Waterloo Wellington | July 4, 2024 | Forms | 465 KB | waterloo-wellington | forms |