CCAC / Southwest LHIN / Home & Community Care

All referral forms on this website are also available as eForms for OSCAR, Avaros, Indivicare, and ACCURO EMRs. You can download some of the premade forms here from WorldEMR or fill the contact form below for any other eForms that are not listed for your EMR.

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Southwest LHIN region map:

FormsContactInformation
SW LHIN Referral Form
Home Infusion Parenteral Medication Form
Home Infusion E-Submission
IV Antibiotic Form
Phone: 1-800-811-5146
Fax: 519-472-4045 (London | Middlesex-Elgin)
Fax: 1-855-223-2847 (Grey | Bruce | Perth | Huron | Oxford)
Fax completed form
Can call hospital CCAC coordinator
Website, Contact Numbers & Other Forms
Billing Codes

Need eForms for your EMR system? EMR training? IT services? Online booking? Check-in kiosk? Contact us
Get all the London-area eForms for OSCAR, JUNO, Avaros, THT, Indivicare here
Contact [email protected] for any other eForm needs for OSCAR, JUNO, Avaros, THT, Indivicare, and Accuro EMRs.