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Referral process, admission criteria and forms

Referrals for inpatient rehab and complex continuing care are reviewed Monday to Friday during business hours. We make every effort to respond in a timely fashion. Our admission process response time is within 48 hours.

In addition to the forms below, please provide supporting documents such as medical notes, therapy notes and pharmacy profile. Referrals can be faxed to 416-422-7036.

 

Brain Injury Rehab Team (BIRT)

Admission criteria (PDF)

Inpatient referral form (PDF)

Rehab handover tool (PDF) - must be submitted within 48 of transfer

For more information about this program, click here.

 

Specialized Orthopedic & Developmental Rehab (SODR)

Admission criteria  (see webpage for details)

Inpatient referral form (PDF)

Orthopedic Surgery Lower Extremity form (PDF) - to be submitted with handover tool

Rehab handover tool (PDF) - must be submitted within 48 hours of transfer

For more information about this program, click here.

 

For information about the Get Up & Go: persistent pediatric pain service, click here.

 

Complex Continuing Care (CCC)

Admission criteria (PDF)

Inpatient referral form (PDF)

CCC handover tool (PDF) - must be submitted within 48 hours of transfer

For more information about this program, click here.

 

Inpatient rehabilitation care eligibility

Determining if a client is a candidate for inpatient rehabilitation care (Brain Injury Rehab or Specialized Orthopedic and Developmental Rehab):
  • The client demonstrates the potential to return to premorbid baseline functioning or to increase in functional level with participation in rehab
  • Based on clinical expertise and evidence, the client will benefit from the rehab program/service
  • Goals for rehab have been established and are specific, measurable, achievable, realistic and timely (SMART)
  • The client or substitute decision-maker has consented to treatment in the program and demonstrates willingness and motivation to participate, as appropriate
Determining Medical Stability:
  • A clear diagnosis and co-morbidities have been established
  • At the time of discharge from acute care, acute medical issues have been addressed; disease processes and/or impairments are not precluding participation in rehab program
  • Clients vital signs are stable
  • Medication needs have been determined
Determining Rehab Readiness:
  • Client meets the criteria of a rehab candidate
  • Client meets the criteria of medical stability
  • All medical investigations have been completed, or a follow-up plan is in place at the time of referral and necessary follow-up appointments made by time of discharge
  • Client’s special needs have been determined
  • Client is able to meet the minimal tolerance level of rehab
  • There are no behavioural or active psychiatric issues limiting client’s ability to participate in rehab
  • Treatment for other co-morbid illnesses does not interfere with client’s ability to participate in rehab (e.g. active cancer treatment resulting in fatigue, etc.)

Complex continuing care eligibility

Please see our admission criteria (PDF) for eligibility information. 

Check our complex continuing care page for more information.

Contacts

Intake/Discharge Coordinator 
Tel: (416) 753-6030 
Email: cruelens@hollandbloorview.ca

Admissions Facilitator 

Tel: (416) 753-6022
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