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Specialized Geriatric Services Central Intake

  • Please complete all fields on the SGS Central Intake Referral form and provide additional information where appropriate.
  • Fax the referral form to Central Intake at 613-774-7240
  • Once the client has been triaged, your office will receive a notification stating the decision made.
  • If the referral does not meet our criteria, your office will receive notification outlining the reason for the decision.

Referral form - English
Referral form - French

For more information:
Specialized Geriatric Services Central Intake - how to refer
Service Gériatriques Spécialisés Bureau Central de l'Admission - comment soumette une demande de service