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©?

 

 

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)

                                           or

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

                                           or

         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)

                                           or

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

                  

 

 

 

Objectives of Central Intake©

 

 

 

What are the future directions for Central Intake©?

 

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.