Hamilton Health Sciences
Centre for Healthy Aging

Eligibility and Referral Forms  

General Eligibility Criteria

  • A resident of the communities of Hamilton or the larger HNHB LHIN if unable to access service closer to home.
  • We will visit all 27 LTC facilities in the communities of Hamilton.
  • Age 65 years or older (under 65 years if experiencing difficulties usually associated with aging such as, Parkinson’s or Dementia).
  • Not currently under the care of a Geriatrician elsewhere.
  • Patient / Substitute Decision Maker consenting to referral.
  • Family Physician (or other MD/NP) completes and faxes referral.
  • Patient would benefit from one of our services.

Referral Forms

Geriatric Medicine / Geriatric Psychiatry Clinics, Home Visiting, LTC Consultation, and BSO - click HERE to download the referral form.

Chiropody Referral Form

OTs 2 Go - click HERE to download the referral form.

IMPORTANT CHANGE IN SERVICES for OTs2Go:  As of February 1, 2018, the OTs2Go Program will no longer accept referrals for scooter assessments.  We will continue to provide assessments for walkers, manual wheelchairs, power wheelchairs and seating.  A list of private ADP authorizers can be obtained from the Assistive Devices Program at 1-800-268-6021.

OTs2Go Brochure


Call Our Intake Coordinator:

905-521-2100 x12397

Hamilton Health Sciences • Hamilton, Ontario • 905.521.2100

Disclaimer: Hamilton Health Sciences (HHS) offers Google Translate to better facilitate access for our community. However, HHS makes no claims regarding the accuracy of translations. Any and all health information should be verified by a health care professional.