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Physician Referrals


Acute Mental Health Referral from a Renfrew County Hospital 

Direct communication between the Renfrew County Emergency Department physician and the available Pembroke Regional Hospital (PRH) hospitalist will be coordinated through the Acute Mental Health (AMH) Resource Nurse.


The  AMH Group Leader facilitates access to the AMH Unit, doctor-to-doctor interactions and the collection of information to coordinate admission and transfer to the Unit.


Relevant information supporting AMH admission should be faxed to the AMH Resource Nurse.


County wide admission transfers must be scheduled between 07:00 and 20:00 hours.


After consultation with PRH hospitalist, and once admission is accepted, the patient will be transferred from the Renfrew County hospital to the PRH AMH Unit via Emergency Medical Services (EMS), or other transportation means as per the discretion of the attending physicians.


Acute Mental Health Resource Nurse

613-732-2811 extension 6144


Geriatric Psychiatric Consults 

Renfrew County physicians wishing to refer to the Geriatric Outreach Assessment Team may do so by completing and faxing the Specialized Geriatric Services Referral Form to 613-735-4638.

Adult Psychiatric Consults

Renfrew County physicians wishing to consult with a psychiatrist via the PRH Psychiatric Care Team may do so by completing and faxing the MHSRC External Referral Form to 613-732-6350.


Short Term Talk Therapy — Ontario Structured Psychotherapy (OSP) Program

Ontario’s Structured Psychotherapy (OSP) program provides free, short-term, face-to-face Cognitive Behavioural Therapy (CBT) for adults experiencing depression, anxiety disorders, obsessive-compulsive disorder, and/or post-traumatic stress disorder (PTSD).


Clients must be referred by a physician or nurse practitioner by completing and submitting the ISAP Champlain Region referral form


Bounce Back Referrals

At this time, only primary care providers such as family doctors, nurse practitioners and psychiatrists can refer clients into the Bounce Back - Reclaim Your Health program. Learn how to complete and submit the Bounce Back referral form.



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