Forms
For third-party requested forms or reports, an appropriate assessment fee may be charged in addition to the fee charged for completion of the form/report, when the assessment is not medically necessary.
Forms for patient use
| Form Name | (Download) |
|---|---|
| Travel Questionnaire | (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) |
| Privacy - Patient Lockbox Request | (PDF) |
| Other |
Forms for referring providers
| Form Name | (Download) |
|---|---|
| Sports Medicine Referral Form | (Fillable PDF) |
| IUC Referral Form | (Fillable PDF) |
| Rheumatology - Musculoskeletal Ultrasound Referral Form | (PDF) |
| Capital EMG physiatrists Referral form | (Fillable PDF) |
Hours of Operation
Walk-in Clinic
100 Marie Curie, Ottawa
Monday: 8 AM - 8 PM
Tuesday: 8 AM - 8 PM
Wednesday: 8 AM - 8 PM
Thursday: 8 AM - 8 PM
Friday: 8 AM - 8 PM
Saturday: 10 AM - 2 PM
Sunday: 10 AM - 2PM
Holiday Hours
December 24: 8 AM - 5 PM December 25 - 26: Closed December 27 - 31: 10 AM - 2 PM January 1: Closed
Regular hours of operation resume on January 2, 2021.
Booking instructions:
Please call the clinic at 613-564-3950 to schedule a same day telephone appointment with a walk-in clinic physician. If after the telephone consultation an in-person visit is required, patients will be booked accordingly.
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.
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.
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