Forms

If your appointment is listed below, save yourself some time prior to your appointment by filling out the appropriate form, printing it off, and bringing it with you to your next appointment.

Forms for patient use

Form Name	Appointment Type	(Download)
Travel Questionnaire	Travel Medicine	(Fillable PDF)
UOHS Ontario Patient Application for Fee Exemption		(Fillable PDF)
UOHS RAMQ Patient Application for Fee Exemption		(PDF)
Application for Reimbursement (RAMQ)		(PDF)
UOHS Preventive Health Assessment		(Fillable PDF)
Consent to Release Personal Health Information		(PDF)
Concussion Assessment		(PDF)
Nipissing District Developmental Screen		(PDF)
Primary Health Care New Patient Declaration		(PDF)
International prostate symptom score		(PDF)
Dermatology Patient Checklist	Dermatology	(Fillable PDF)
Privacy - Patient Lockbox Request		(PDF)

Forms for referring providers

Form Name	Appointment Type	(Download)
Sports Medicine Referral Form	Sports Medicine	(PDF)
PS suite users can find and download a copy of the UOHS Sports Med Custom Form on the TELUS Community Portal within the files for the Chatter group for Custom Forms Sharing (UOHS - Sports Med Referral)	Sports Medicine	CFM

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After Hours Access to Care

Patients registered with a family doctor at UOHS

In case of emergency, always dial 911. THAS connects you to a nurse who can provide medical advice, or, if appropriate, provide access to a family health team doctor or suggest that you go to emergency.

1-866-553-7205

Patients not registered with a family doctor at UOHS – Ontario residents

In case of emergency, always dial 911. Telehealth Ontario is a free service that allows Ontario residents to speak to a Registered Nurse with their medical questions any time of the day or night. This could be when you're sick or injured but aren't sure if you need to see a doctor or can treat the situation at home.

1-866-797-0000

Patients not registered with a family doctor at UOHS – Quebec residents

In case of emergency, always dial 911. Info-Santé 8-1-1 is a free and confidential telephone consultation service that puts you in contact with a nurse in case of a non-urgent health issue.

Info-Santé 811