Common geriatric clinic referral forms
UHN Geri Referral Form (falls, day hospital, geri psych, IAH, geri clinic)
Sunnybrook Geri Referral Form (falls, day hospital, geri psych, IAH, geri clinic)
NYGH Geri Services Referral Form (day program, psych, clinics, OP clinic, PD exercise)
Baycrest (Day Treatment Centre, ICCT)
St. Michael's Hospital Elder's Clinic Referral Form
Providence Referral Form (GeriMed, GeriPsych, Falls Prevention, Outreach)
Other forms
Ministry of Transportation Medical Condition Report Form (Driving safety, additional info)
FirstLink Alzheimer's Society of Toronto (online form)
Medic Alert Safely Home Low Income Assistance
Home visits
Baycrest ICCT: Steeles to St. Clair, Keele to Yonge
Independence at Home (IAH) Community Outreach Team: South of St Clair Avenue and O’Connor Drive., Greenwood Ave. to Dufferin Ave
Toronto House Calls: M4G, M4N, M4P, M4R, M4S, M4W, M4T, M4V, M4X, M4Y, M5B, M5G, M5M, M5N, M5P, M5R, M5S, M5T, M6E, M6H, M6C of M6G
Providence Community Outreach: Scarborough South
Geriatric Psychiatry
Mount Sinai Geriatric Psychiatry
Bridgepoint Geriatric Psychiatry
CAMH Geriatric Psychiatry Services including Rapid Access Clinic
Baycrest Outpatient Mental Health Referral
Loft Integrated Psychogeriatric Outreach Program (North of Steeles, info sheet)
Behavioural Support Ontario referrals
Central LHIN - LOFT, 1-844-798-6920, referral form
Toronto Central LHIN - Baycrest 416-785-2500 x2005, (F) 416-785-4211
Memory clinic referrals
UHN Memory Clinic Referral Form
Baycrest Memory Clinic Referral Form, Physician Information Sheet
Baycrest MCI Learning the Ropes Referral Form, Information
Palliative care
Temmy Latner Centre at Mount Sinai Hospital (catchment area)
Transportation:
Driving and Dementia Toolkit
Driving On-Road Safety Test Centres