Refer a Patient
St. John's Rehab is a designated specialty rehabilitation hospital by Ontario's Ministry of Health and Long-Term Care.
Inpatient Referrals
Inpatient referrals are welcome from physicians, rehabilitation consultants and WSIB case managers. Before submitting your referral, please review the admission criteria, transfer checklist and key notes, to ensure all documentation is included.
Inpatient Admission Criteria
- Medically stable with no significant fluctuations in medical status within 72 hours
- Motivated to participate in high intensity rehab, has active high intensity rehab goals
- Able to participate in active high intensity rehab therapy 5 to 7 days a week
- Patient's cognitive abilities and state of mental health support participation in active high intensity rehab
- Able to sit unsupported for a minimum of 30 minutes
Special needs accommodated include the following:
- Intermittent oxygen therapy/home oxygen: If on continuous O2, patient must be set up on home O2 prior to transfer
- Intermittent tube feeds (PEG tube only)
- CPAP/BiPap: Patient must be independent with management of device.
- Haemodialysis: Ideally evening appointments to not impede with rehab. Responsible for own transport and independent to and from appointment. On-site haemodialysis is offered to patients coming in from Sunnybrook’s Bayview Campus.
- IV antibiotics only: PICC lines preferred for patients on antibiotics for greater than 7 days.
Transfer Checklist and Key Notes
To help ensure accurate assessment, please provide the following information about the patient, prior to, or upon admission:
Patient Profile- Allergies
- Anti-coagulation profile (recent blood work; Coumadin/Fragmin doses: up to 4 days)
- Current Medication Administration Record (MAR)
- Diet information with orders including solid and liquid textures, therapeutics, feeding instructions, formula, rate, number of hours of feed, water flushes
- Follow up specialist appointments including clinic contact numbers
- Prescribed activity levels for upper and/or lower (weight bearing; restrictions), splints, braces, etc.
- Special needs (e.g., infusion therapy, oxygen, Ostomy)
- Wound management orders
- Behavioral assessment/management (if applicable)
- Consult reports
- Discharge summary
- ECG/Echocardiogram (if applicable)
- Infection control screen results (MRSA, VRE, and others)
- Lab results (most recent copy)
- Names and contact information for all physicians, surgeons, specialists, NOK
- Other tests results (including video fluoroscopy)
- Physician acute care admission report
- Surgical procedures and dates of surgery
- X-ray, CT/MRI (if applicable)
- Social Work summary
For seamless continuum of care, please ensure patients have had the following arranged before, or upon transfer:
- Clinical follow-up appointments
- Diagnostic (acute) appointments
- Transportation for off-site tests/treatments
St. John’s Rehab is a rehabilitation facility and does not have the following services:
- Emergency services
- Mechanical ventilation, total parenteral nutrition, and nasogastric feeding
- Dialysis service (Haemodialysis is offered on-site to patients coming in from Sunnybrook’s Bayview Campus)
Please fax all completed forms to 416-226-5406.
How to Refer
Where possible, please refer your patients to St. John’s Rehab through the Resource Matching and Referral (RM&R) electronic system at your facility.
For organizations and physicians without access to RM&R, please use the referral forms for inpatient rehabilitation available through GTA Rehab Network.
Fax all completed forms and documentation to 416-226-5406.
Questions?
Contact Central Booking (Inpatient Programs) at 416-226-6780 ext. 57300
Outpatient Referrals
Outpatient referrals are welcome from physicians, rehabilitation consultants and WSIB case managers. Please ensure all related documentation is included for the application to be processed. Some programs feature specific admission criteria; please review to ensure your patient is eligible for the requested program.
Referrals can be faxed to 416-226-3358.
For any additional information please contact our Outpatient Services Department at 416-224-6948.
Referral form (PDF)A referral is not required for Acupuncture, Chiropody, Chiropractic Clinic or Massage Therapy. Call 416-224-6948 to book an appointment.
