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.
Complex Medical
WWLHIN Home & Community Care Complex Medical Management Forms
WWLHIN Home & Community Care Palliative, End-of-Life, Pain & Symptom Management Forms
Rehabilitation
WWLHIN Home & Community Care Rehabilitation Forms
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 (PDF, 45KB)
Ocean eReferral
Link to Ocean eReferral
Ocean eReferral FAQs (PDF, 112KB)