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Community Paramedicine - Self Referral

First Name*
Last Name*
Street Address*
City/Town*
Postal Code*
Phone Number*
Email Address
Family Doctor Name if you have one
Health Card Number
Reason for Referral *
Submit

Community Paramedicine

 

All appointment-based, walk-in or pop-up, and mobile vaccine clinic opportunities offered by Public Health Sudbury & Districts can be found at phsd.ca/COVID-19/vaccine-clinics .

How to book an appointment at a clinic:  

  • Book online - visit covid-19.ontario.ca/book-vaccine/
  • Book by phone - call 705.674.2299 (toll-free: 1.800.708.2505), between 8 a.m. and 5:30 p.m., Monday to Friday.

In addition, individuals can visit covid-19.ontario.ca/vaccine-locations for pharmacy locations and booking information. Some primary care offices also offer vaccine appointments.

 

For a Communmity Paramedicine Referral use the links below: 

 

Flu Shot

  

Self Referral

 

Doctor / Agency Referral

 

 

Community Paramedicine - Agency Referral

Patient's First Name*
Patient's Last name*
Patient's Street Address *
City/Town*
Postal Code*
Patient's Phone Number*
Patients Email if available
Health Card Number
Referring Agency
Primary Care Provider / Team
LHIN Home Care
LHIN Telehomecare
Public Health
Community Mental Health Association
Police
Health Links
Hospital Discharge Planning
Other
Referring Agency Name*
Referred By:*
Phone Number*
Email *
Reason For Referral
Patient Feedback should be sent to:
Phone / Fax Number
Email Address
Submit

Flu Shot

First Name*
Last Name*
Street Address*
City/Town*
Postal Code*
Phone Number*
Email Address
Family Doctor Name if you have one
Health Card Number
Reason for Referral *
Submit

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