Primary Care Outreach To Seniors

Services are provided to help seniors maintain their health and independence. All referrals are screened through a central intake to ensure criteria are met. See the criteria below.

Services offered:

• Help with medication review

• Chronic illness monitoring

• Provide accompaniments to medical appointments as appropriate

• Assist with documentation completion

• Administer cognitive screenings

• Help get a Primary Care Provider

• Support with health care system navigation

• Refer to supportive community programs

Criteria for referral:

• 65 years old or above

• Lives alone or isolated

• Lacks support network (friends/family)

• Living in poverty

• Suffers from chronic illness and/or pain

• Recent visits to Emergency Department

• Recent change in memory/cognition

• Falls in the last 3 months

• Recent changes in mood/ behaviour

• New medical diagnosis within the last 3 months

• Weight loss +10 lbs in less than 2 months

• “No Shows” for medical appointments

• Concerns of general safety/abuse

How to Refer a Client:

Referral forms are available at: http://www.seochc.on.ca/programs-services/primary-care-outreach-to-frail-seniors-pco/. 

Fax completed referral form to Central Intake at 613-739-8196.

For more information please call 1-844-726-5115.