toh
There are numerous clinical programs at The Ottawa Hospital which offer patients the option to have some appointments via Telemedicine
Please select from the list of programs below to access the quick reference protocol, other clinical documents required by the service and patient information resources.
Standard Telemedicine Worksheet
Cardiology Clinic
Cardiology-Electrophysiology Clinic
- Protocol
- Worksheet
- Referral Form Arrhythmia
- Referral Form Pacemaker (ICD)
- Heart Institute – Telemedicine Referral Form
Eating Disorders Clinic
Epilepsy Clinic
- Protocol
- Worksheet
- Epilepsy Clinic New Patient Intake Form
- Epilepsy Clinic Return Patient Intake Form
Hematology Clinic
Hepatitis C Clinic
HIV Pre-Exposure Prophylaxis Clinic
Hyperbaric Chamber Clinic
Infectious Diseases Clinic
Liver and Pancreas Clinic
Oncology Clinic
Oncology-RPALL Clinic
Palliative Care Clinic
- Protocol
- Worksheet
- Brief Pain Inventory (BPI)
- Distress Thermometer
- Edmonton Symptom Assessment Scale (ESAS)-bilingual
- Global Nutrition Assessment Form (PG-SGA)
- Palliative Performance Scale Functional Assessment
Pain Clinic
- Protocol
- Appointment day documents (to be completed by the patient for every visit)
- Pain History Questionnaire (for new consults only-60 min)
Pre-Admission Clinic (PAU)
Radiation Oncology Clinic – Stage 1 Lung Cancer
- Edmonton Symptom Assessment Scale (ESAS)-bilingual
- Palliative Performance Scale Functional Assessment
Respirology – Interstitial Lung Disease Clinic
Rheumatology
Thoracic Surgery Clinic
Vascular Surgery Clinic
Last updated on: September 21st, 2021