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Campbellford Memorial Hospital
146 OLIVER ROAD
CAMPBELLFORD, ON  K0L 1L0
MAP & DIRECTIONS
GENERAL INQUIRIES:
705-653-1140

Referral to Trent Hills GAIN

It is ideal if referrals are completed by a physician or nurse practitioner, and supporting information is included with the referral (i.e. current medication list, patient profile and relevant consultations, most recent lab work; relevant diagnostic test results, etc.).

However we do accept referrals from other agencies, family and self referrals. The individual must be aware of the referral and agree to service.

Please see the referral form below. Referrals can be faxed to 705-632-2023.

For more information, or should you have any questions, we can be reached at 705653-1140 X2139.

We are available Monday through Friday between 8:00 am and 4:00 pm.

pdf GAIN Referral Form (241 KB)