Primary Care Outreach

The Primary Care Outreach to Seniors program works in collaboration with health professionals and other agencies to reduce isolation and support high risk seniors (aged 65 and above) living at home.

This seamless care model strives to help improve the overall health of these seniors in order to reduce the number of emergency visits and hospital admissions. The program is offered at no cost to the client, and is available in English, French and a variety of other languages with the assistance of a cultural interpreter.

Through a shared care approach, a registered nurse and community health worker are able to visit vulnerable seniors in their homes to provide support with their care and link them to appropriate community resources to assist them with their various needs, enabling seniors to maintain their health and independence.

Referrals are accepted from any source for eligible seniors aged 65 and older who may be isolated and at risk of hospitalization. To inquire about this program, please call 1-844-726-5115.

Referral forms are available from the link below, and can be faxed to 613-739-8196.



This Aging At Home initiative is funded by the Champlain Local Health Integration Network.