top of page


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 

bottom of page