Service Information

Community Paramedicine Program - Healthcare Providers
Organization: Peterborough County - Paramedics

If you are a Health Care Provider, you can submit a referral to help your patient stay well at home.
Community Paramedics can provide the following:
- 24/7 non-emergency contact: assessments under medical supervision or treatment of minor conditions (e.g. falls, lacerations, bruises).
- Responding to changing circumstances or medical conditions and connecting to the right health care provider/social services to avoid escalation and crisis.
- Remote patient monitoring of blood pressure, heart rate, oxygen saturation, blood glucose, weight, and/or temperature. (All required equipment will be provided and the patient will be trained by the CP before using.)
- Immunization, vaccination and other injections (COVID, Pneumovax, Influenza, Shingrix).
- Clinical Interventions such as diagnostics (specimen collections, 12/15 lead ECGs, vital signs), minor wound care, coordination of community services, observational and focused assessments.
- Point of care urinalysis (excluding urine culture) and blood tests including: A1C, INR, pH, pCO2, pO2, TCO2, Na+, K+, Ca++, Cl-, Hct, Glu, Lac, Crea, BUN, and Urea. Currently, we do not offer CBC testing. - Other controlled medical procedures and treatments at home under appropriate medical supervision.

Please note, this program does not duplicate other referral pathways already in place within our healthcare system.

Referral Reason:*
Required: choose at least one option
This next section is based on diagnostics and remote patient monitoring. Please only select if applicable.
RPM (Performed virtually to monitor & capture medical data from the patient, submitted to CP for ax & recommendations prn):
Tests Required (Community Paramedics will assess Vital Signs on arrival. Please attach any documents needed to perform these tests on the next page):
Please select all that apply to this referral:

Patient Information

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Caregiver / Emergency Contact
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Health Information

Please list and describe any allergies

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List all medication, and dosages per day

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Hospital admissions # past year, communicable diseases, sensory/mobility impairments (mobility/hearing aids, corrective lenses, etc.), cognitive/communicative impairments (type, presentation, communication aids), history of delirium (date/location of last diagnosed incident), other relevant medical details

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Additional Information

Please list all known community or health support and services the patient is receiving:

If you are not the patient's Primary Care Provider and they have one, please include their full name and office fax #:

Please ensure you attach all relevant requisitions to this referral.

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Submission complete

The information has been submitted to Peterborough County - Paramedics, but you have some steps left:

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Reference #: -
  • Registrant:
  • Organization:
    Peterborough County - Paramedics
    Community Paramedicine Program - Healthcare Providers
    Inquiry Phone:
    1 (855) 367-3670

Tip: Referrals can be viewed by navigating to referrals in the top menu