After your referral is accepted, a member of our team will call you to find out more about your needs. 

We will schedule a health assessment, either in your home or virtually, depending on what works best for you.  

Together, we will decide on a care plan that meets your needs. That plan might include: 

• Prescribing medication and monitoring your health 

• Helping you find a family doctor 

• Setting up appointments with other health professionals like physiotherapists or occupational therapists 

• Connecting you with other community resources like counselling, education or personal support workers 

• OHIP card or other health insurance information 

• A friend or family member for support 

• A list of questions you want to ask 

• A list of your medications and supplements 

• Any other clinic specific items 

You need a referral from a physician or nurse practitioner for a geriatric assessment.  

Please fax this referral form (PDF)  to 647-788-2199 or use Ocean eReferral.    

This service is covered by OHIP and there is no additional cost. 

What is an interprofessional primary care team?

Our team is a group of different health professionals who work together to provide a variety of health-care services to people with complicated medical needs.  

How is this different from a family doctor?

Rather than seeing one doctor, you can benefit from the expertise of our whole team of health professionals. You should still have a family doctor who manages your care. But you might also have appointments with a psychologist, physiotherapist and a social worker, for example.  

Is this service only for older adults?

Our team specializes in the unique challenges that older adults with multiple chronic health conditions face. However, we are open to supporting adults of all ages with complex medical needs.