Request for Information for Long-Term Care Placement

General information

Ontario Heatlh atHome provides valuable information about long-term care on our website, including our Guide to Placement in Long-Term Care Homes. If you require further information and would like to speak with someone to learn more about the Long-Term Care Placement process, please answer the following questions to submit your request. An Ontario Health atHome staff member will call you within 5 business days. Or, you can call us at 310-2222 to speak with someone directly.

**Note: So we can best meet your needs and prevent delays in contacting you, please ensure information is entered correctly.

Notice for collection and use

Your privacy is important to us. The information on this form is collected under Section 23 of the Personal Health Information Protection Act and/or Section 41 of the Freedom of Information and Protection of Privacy Act so we can respond to your request. If you have any questions, please call 310-2222 and ask to speak with the Privacy Officer.

Click Next to proceed to request information about a long-term care placement.

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