Waterloo Wellington
Information and Referral
310-2222
Toll-free: 1-888-883-3313
TTY:711 (caller to ask for 1-888-883-3313)
waterloowellington@hccontario.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.
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 Waterloo Wellington Healthline
Waterloo Wellington Office Locations
-
Waterloo(Corporate Office)
141 Weber Street South,
Waterloo, ON, N2J 2A9
Fax: (Waterloo Region) 519-883-5555 -
Cambridge
73 Water Street North,
Suite 501,
Cambridge, ON, N1R 7L6
Fax: (Cambridge – North Dumfries) 519-623-5068 -
Guelph
1 Stone Road West,
Guelph, ON, N1G 4Y2
Fax: (Guelph | Wellington County) 519-823-8682
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@hccontario.ca
Phone: 1-888-883-3313 ext. 5443
Mail:
Home and Community Care Support Services Waterloo Wellington
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 HCCSSmedia@hccontario.ca.
For non-media-related enquiries about Home and Community Care Support Services and to serve you best, please visit the Contact Us page to access additional contact information.
Accessibility Documents
Publications
- Welcome Guide
- Know Your Options
- Nursing Clinics Fact Sheet
- Family Managed Home Care Client and Family Fact Sheet
- Adult Mental Health Supports
- Seniors Supports Team
- Pediatric School Health Support Services
- Mental Health and Addictions Nursing in Schools
- Managing Total Parenteral Nutrition at Home
- Preventing Falls
- Staying Independent – Am I at Risk for Falls
- Rapid Recovery Therapy Program
- CarePartners PT Care Centre for Hip-Knee Replacement
- Integrated Assisted Living Program for Seniors
- Retirement Home Guide
- Long-Term Care Placement Guide
- Long-Term Care Homes List
- Going Home – Discharge from Hospital
- Medical Assistance In Dying (MAID)
- Life Following Loss
Forms
| Title | Summary | Region | Last Modified | Category | File Type | File Size | Link | doc_tags_hfilter | doc_categories_hfilter | file_type_hfilter |
|---|---|---|---|---|---|---|---|---|---|---|
| Coordinated Bed Access Program Transfer Request Form 551B | Completed by a Coordinated Bed Access Coordinator (HCCSS staff) for transfers in the rehab bed program | Waterloo-Wellington | December 2, 2022 | Forms | 233 KB | waterloo-wellington | forms | |||
| Home Care Services Request Form 031 | Completed by Primary care Physician to request Home Care services. Patient/Families may also print this form to bring to an appointment for completion. | Waterloo-Wellington | December 2, 2022 | Forms | 1 MB | waterloo-wellington | forms | |||
| Hospice Palliative Care Services Request Form 031B | Completed by a Primary Care Physician | Waterloo-Wellington | December 2, 2022 | Forms | 1 MB | 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 | December 6, 2022 | Forms | 194 KB | waterloo-wellington | forms | |||
| MAID (Medical Assistance in Dying) Referral Form 031A | Completed by a Primary Care Physician | Waterloo-Wellington | December 6, 2022 | Forms | 151 KB | waterloo-wellington | forms | |||
| Mental Health and Addictions Nurse (MHAN) Referral Form 573 | Completed by a School Social Worker (SW) or Child/Youth Worker (CYW), Primary Care Physician, Psychiatrist, CAIP (GRH staff in the inpatient mental health program) | Waterloo-Wellington | December 19, 2022 | Forms | 236 KB | waterloo-wellington | forms | |||
| Negative Pressure Wound Therapy NPWT Order Form 046 | Can be completed by a Primary Care Physician, Nurse Practitioner, NSWOC(Nurse specializing in wound, ostomy and continence care), or CNS (clinical Nurse specialist) | Waterloo-Wellington | December 2, 2022 | Forms | 785 KB | waterloo-wellington | forms | |||
| Palliative Care In-Patient Referral Form 279 | Completed by a community or hospital care coordinator (HCCSS staff) along with the patient/family for EOL(end of life) care | Waterloo-Wellington | December 2, 2022 | Forms | 1 MB | waterloo-wellington | forms | |||
| Parenteral Nutrition (TPN) Referral Form 311A | Completed by a Primary Care Physician or Registered Dietician | Waterloo-Wellington | December 2, 2022 | Forms | 855 KB | waterloo-wellington | forms | |||
| Parenteral Therapy Medical Order Form 525 | Completed by a Primary Care Physician or Nurse Practitioner | Waterloo-Wellington | December 2, 2022 | Forms | 268 KB | 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 | December 2, 2022 | Forms | 308 KB | waterloo-wellington | forms | |||
| Swallowing Questionnaire Form 015 | Completed by Retirement Home staff when requesting a Swallowing Assessment | Waterloo-Wellington | December 6, 2022 | Forms | 403 KB | waterloo-wellington | forms |