South East

Information and Referral

310-2222

(No area code required)

Toll-free:1-800-668-0901
Fax:1-866-839-7299
TTY:711
Email:SEComments@hccontario.ca

IMPORTANT: DO NOT send any personal health information. This email is not for patient feedback or referrals. Please call us directly at the numbers listed above. We aim to respond within 72 hours, however, this email account is not checked on weekends or statutory holidays.

Visit South East Healthline

South East Healthline logo in English

South East Office Locations

  • Belleville (Corporate Office)
    470 Dundas St. East
    Belleville, ON, K8N 1G1
    Toll-free:  1-800-668-0901
    Fax:  613-966-0996
  • Bancroft
    1 Manor Lane
    Bancroft, ON, K0L 1C0
    Toll-free:  1-800-717-2344
    Fax:  613-966-0996
  • Brockville
    555 California Ave., Unit 1, Bag Service 7000
    Brockville, ON, K6V 7K6
    Toll-free:  1-800-267-6041
    Fax:  613-283-0308
  • Kingston
    200-1471 John Counter Blvd.
    Kingston, ON, K7M 8S8
    Toll-free:  1-800-869-8828
    Fax:  613-544-1494
  • Smiths Falls
    52 Abbott St. N., Suite 1
    Smiths Falls, ON, K7A 1W3
    Toll-Free:  1-800-267-6041
    Fax:  613-283-0308

Compliments and Concerns?

Please share your feedback with your care coordinator. You may also share compliments or concerns in the following ways:

Email: SEQuality@hccontario.ca

Phone: 613-650-2987

Mail: Home and Community Care Support Services South East Compliments and Concerns
Attn: Senior Manager, Quality
470 Dundas St. East
Bay View Mall
Belleville, ON K8N 1G1

Newsroom and Media Relations

Visit our newsroom for more information on news and events. 

For all media-related enquiries, please contact HCCSSmedia@hccontario.ca.

For non-media-related enquiries about Home and Community Care Support Services and to serve you best, please visit the Contact Us page to access additional contact information.

Forms

TitleSummaryCategoriesLink
CADD SOLIS – PCA Prescription Order

Continuous Ambulatory Delivery Device Patient Controlled Analgesia Prescription Order – South East

First Dose Parenteral Medication Screener

First Dose Parenteral Medication Screener – South East

Infusion Therapy – IV Remdesivir Referral Form

Referral form for administering COVID-19 antivirals in South East community nursing clinics.

IV therapy/venous access management medical orders

South East IV therapy/venous access management medical orders

Long-Term Care Home Choice Form (English)

You may choose up to five (5) long-term care homes.

Long-Term Care Home Choice Form (French)

Formulaire de choix de foyer de soins de longue durée. Vous pouvez choisir jusqu’à cinq (5) foyers de soins de longue durée.

MAID Assessment Record

South East Medical Assistance in Dying Assessment Record

MAID Prescription/Order Form

South East Medical Assistance in Dying Prescription/Order Form

MAID Procedural Record

South East Medical Assistance in Dying Procedural Record

Medical Order Form

Home and Community Care Support Services South East Medical Order Form

MHAN Referral Form

South East Mental Health and Addiction Nursing referral form

Negative Pressure Wound Therapy Order

South East Negative Pressure Wound Therapy Order form cannot be initiated without negative pressure setting, therapy setting and contingency dressing orders.

Palliative Care SBAR Communication Tool for Nurses

Palliative Care SBAR Communication Tool for Nurses in the South East

Referral and Order Requisition for Offloading Devices

Complete this form to refer patients to approved regional providers for offloading footwear

Referrals from Hospital

Home and Community Care Support Services South East referrals from hospital

Service Requests/Referrals

Home and Community Care Support Services South East service request/referral form

SRK for End-of-Life Order Form

Timing and placement of the Symptom Response Kit requires careful consideration with a goal of avoiding emergency room visit or hospital admission.

    This site is registered on wpml.org as a development site. Switch to a production site key to remove this banner.