Please call us 613-422-1255 to discuss referral to ensure referral is appropriate prior to sending referral. 

 

Two ways to refer:

1. SPO referral form (attached PDF)

2. Ocean Healthmap (refer online via ocean)

 

Referral criteria

• Patient with life-limiting illness who would benefit from being supported by community palliative care  

• No PPS criteria or need for discontinuation of palliative treatments (chemotherapy or radiotherapy) 

• Champlain HCCSS palliative care referral 

• Signed MD referral form with contact information 

• No family physician or family physician unable to provide palliative care at home