Hotel Dieu Shaver Referral & Admission Guidelines for are provided here for health care professionals to download.
Inpatient Programs Admission Guidelines
These guidelines have been developed to assist health care professionals in determining if a patient is eligible for admission to the inpatient rehabilitation and complex care programs offered at Hotel Dieu Shaver Health and Rehabilitation Centre.
If further assistance is required in making this determination, please call 905-685-1381, ext. 84242.
Complex Care (CC) Referral / Inpatient Referral Form | Download
Program Streams & Admission Guidelines | Download
Fax completed Inpatient Forms to: 905-685-0206
Outpatient Programs
If you require assistance in completing the form or require further information regarding outpatient referrals, please call 905-685-1381.
Outpatient Rehab Referral Form | Download
Please use this referral form for the follow outpatient rehab programs: Cancer Rehab, CNS Neurology, Ortho (amputee, hand & upper extremity, trauma), Parkinson's Rehab, Stroke, Ambulatory Rehab (South Niagara), Audiology & Hearing Aid Clinic, AAC, SLP)
Fax completed Outpatient Referral form to: 905-688-9905.
Electrodiagnostic Referral Form
Fax completed Electrodiagnostic Requisition form to: 905-687-3226
Physicians' Office - 547 Glenridge Avenue
Referrals to physiatrists can be made via fax:
Dr. Cristina Batey & Dr. Emily Milko phone ext. 85306 | fax 905-687-3244
Dr. Omar Khan & Dr. Paul Stacey phone ext. 85201 | fax 905-687-3238
Referral Form - Accepting New Patients with Spasticity or Focal Dystonia
If you require assistance in completing the form or require further information regarding Physicians referrals, please call 905-685-1381, ext. 85306.