Waterloo Wellington

Information and Referral

310-2222

(No area code required)

Toll-free: 888-883-3313
TTY:711 (caller to ask for 1-888-883-3313)
waterloowellington@hccontario.ca

IMPORTANT: DO NOT send any personal health information.  This email is not for patient feedback or referrals. Please call us directly at the numbers listed above. We aim to respond within 72 hours, however, this email account is not checked on weekends or statutory holidays.

Visit Waterloo Wellington Healthline

Waterloo Wellington Office Locations

  • Waterloo(Corporate Office)
    141 Weber Street South, 
    Waterloo, ON, N2J 2A9
    Fax:  (Waterloo Region) 519-883-5555
  • Cambridge
    73 Water Street North,
    Suite 501,
    Cambridge, ON,   N1R 7L6
    Fax:  (Cambridge – North Dumfries)  519-623-5068
  • Guelph
    1 Stone Road West, 
    Guelph, ON, N1G 4Y2
    Fax:  (Guelph | Wellington County) 519-823-8682

Compliments and Concerns?

Please share your feedback with your care coordinator. You may also share compliments or concerns in the following ways:

Email: patient.relations.ww@hccontario.ca

Phone: 1-888-883-3313 ext. 5443 

Mail:
Home and Community Care Support Services Waterloo Wellington 
Compliments and Concerns
Attn: Manager, Patient Relations
141 Weber Street South  
Waterloo, ON 
N2J 2A9 

Newsroom and Media Relations

Visit our newsroom for more information on news and events. 

For all media-related enquiries, please contact HCCSSmedia@hccontario.ca.

For non-media-related enquiries about Home and Community Care Support Services and to serve you best, please visit the Contact Us page to access additional contact information.

Forms

TitleSummaryRegionLast ModifiedCategoryFile TypeFile SizeLinkdoc_tags_hfilterdoc_categories_hfilterfile_type_hfilter
Form 015 Swallowing Questionnaire

Form 015 Swallowing Questionnaire

October 31, 2022pdf403 KBwaterloo-wellingtonformspdf
Form 031 Care provider request for services

Form 031 Care provider request for services

September 16, 2022pdf1 MBwaterloo-wellingtonformspdf
Form 031A MAID referral

Form 031A MAID referral

September 16, 2022pdf151 KBwaterloo-wellingtonformspdf
Form 031B Request for hospice palliative care services

Form 031B Request for hospice palliative care services

September 16, 2022pdf1 MBwaterloo-wellingtonformspdf
Form 046 Negative Pressure wound therapy order

Form 046 Negative Pressure wound therapy order

September 16, 2022pdf785 KBwaterloo-wellingtonformspdf
Form 068 MAID referral fax

Form 068 MAID referral fax

September 16, 2022pdf194 KBwaterloo-wellingtonformspdf
Form 150 RH Service Information

Form 150 RH Service Information

October 31, 2022pdf308 KBwaterloo-wellingtonformspdf
Form 279 – Palliative Care Hospice In-Patient Referral

Form 279 – Palliative Care Hospice In-Patient Referral

October 4, 2022pdf1 MBwaterloo-wellingtonformspdf
Form 311A Total parenteral nutrition referral

Form 311A Total parenteral nutrition referral

September 16, 2022pdf855 KBwaterloo-wellingtonformspdf
Form 525 Medical orders parenteral therapy

Form 525 Medical orders parenteral therapy

September 16, 2022pdf268 KBwaterloo-wellingtonformspdf
Form 551B Change of Status Update

Form 551B Change of Status Update

October 31, 2022pdf233 KBwaterloo-wellingtonformspdf
Form 573A Mental Health and Addictions Nursing referral

Form 573A Mental Health and Addictions Nursing referral

September 16, 2022waterloo-wellingtonforms
Grand River Hospital Ocean e-Referral form

Grand River Hospital Ocean e-Referral form

September 16, 2022pdf90 KBwaterloo-wellingtonformspdf
Orthopedic services referral form

Orthopedic services referral form

September 16, 2022waterloo-wellingtonforms