Healthcare Practitioner Forms
Inpatient Programs
Referrals for St. Joseph’s Health Centre Guelph (SJHCG) inpatient programs are submitted through a central coordinated bed access process that is managed by the Waterloo Wellington Local Health Integration Network (WWLHIN). Below are links to all relevant forms for healthcare providers referring to our programs.
When submitting a referral form, to avoid unnecessary delay, please include any relevant clinical notes with the package.
General/Stroke/Low Intensity Rehab & Complex Medical Program Referral Form
Rehab & Complex Continuing Care (CCC) Referral Form 550
Palliative Care Program
Palliative Care In-Patient Referral Form 279
Outpatient Programs
Referrals to our outpatient therapy programs can be made directly from physician offices. Below are links to all relevant forms for healthcare providers referring to our programs.
When submitting a referral form, to avoid unnecessary delay, please include any relevant clinical notes with the package.
Outpatient Rehabilitation
Outpatient COPD Pulmonary Rehab Program Application (PDF, 184KB)
Outpatient Rehabilitation Services Referral Form (PDF, 171KB)
Outpatient Adult Speech-Language Pathology Referral Form (DOCX, 70KB)
Ocean eReferral
Link to Ocean eReferral
Ocean eReferral FAQs (PDF, 112KB)