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Central Intake© for Diabetes Education, Management and Care


Waterloo Wellington Diabetes Central Intake© provides a streamlined process for referrals to diabetes education and specialist consults.



What are the benefits of Central Intake©?


  • One form for all diabetes care in the region
  • One single point of contact for all healthcare providers and individuals to access diabetes education
  • Monitoring of wait-times based on Standards of Access To Diabetes Education
  • Simple and more timely access to information regarding the status of referrals
  • Better consistency and quality in reporting for assessing capacity
  • Role definitions for complex and community programs to meet the changing needs of the population
  • Stronger flow between all care providers leading to better patient care and use of resources
  • Valid data that will strengthen advocacy measures to support additional resources
  • Evaluation of benchmarks for all levels of care 


How to Refer:


If you have diabetes, please complete a self-referral form and either:


         Fax it to 519-650-3114 or 1-855-342-2387 (DIA-BETS)


         Call 519-947-1000 x372 and speak to someone who can assist you in completing the form over the phone


         Mail it to Unit #6--150 Pinebush Rd, Cambridge, ON, N1R 8J8



If you are a healthcare provider and would like to refer a patient, please complete all sections of the referral form and:


          Fax it to 519-650-3114 or 1-855-342-2387 (DIA-BETS)


          If you would like to receive an electronic form for your EMR, please click here





Objectives of Central Intake©

  • Streamline the referral process
  • Help build and maintain capacity for managing diabetes
  • Develop regional standards for access to Diabetes Education
  • Improve access to the appropriate care
  • Standardize data collection in order to improve quality information, monitor outcomes and implement appropriate changes




What are the future directions for Central Intake©?

  • To have all referrals within the Waterloo-Wellington LHIN region processed at one central location
  • To have all referrers using eReferral
  • To expand Central Intake© to include other chronic diseases


Guide for developing and implementing a Central Intake:  







This guide was developed by our team to support others in developing a Central Intake model.  If you would like a copy of the guide, please click here.
















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