33 Canadian Forces Health Services Centre (33 CF H Svcs C) Kingston

COVID-19 Symptomatic Testing

Members are encouraged to complete at home Rapid Antigen Detection Tests (RADTs). This can be obtained from their Chain of Command (CoC) or a number of civilian pharmacies/stores free of charge. If members test positive on their RADT, they are to self-isolate for 5 days and until they have had 24 hours of symptom improvement (48 hours if GI/stomach symptoms). Members may return to work after this period but is recommended to wear a medical grade mask for an additional 5 days.

Symptomatic members that test negative on a RADT should contact the clinic during sick parade (0730) to have a PCR test arranged if they meet any of the following criteria:

• They are living/working in communal settings (i.e. those on training/course);
• Work at 33 CF H Svcs C/1 Dent Det;
• Are planning on deploying in the next 90 days (including those on HR); or
• Had COVID-like symptoms within the last 90 days but never confirmed on RADT or PCR test.

Symptomatic members that test negative on a RADT and do not meet the above criteria should self-isolate until they have had 24 hours of symptom improvement (48 hours if GI/stomach symptoms).

These members are not required to contact the clinic unless they have clinical concerns.

COVID-19 Pre-Surgical Testing

If you have a surgery coming up that requires a COVID test prior, please contact your CDU clerks and they will book your test 48-72 hrs prior to your surgery date.

To book a COVID-19 vaccine appointment, entitled CAF members can book online.

Online booking (DWAN only)

• Appointments will be added first week in November

Members who do not have access to DWAN may call ext 7268 to book an appointment.

Entitled members include:

• Regular Force
• Res Force Class B (greater than 180 days)/Class C
• Other (as per DHSO guidance and approval)

Appointments will be held at 33 CF H Svcs C.

If, under extenuating circumstances, members cannot make their appointment they should contact 613-541-5010 ext 7517 or 2516 as soon as possible.

Proof of Vaccination

For QR Code Inquiries, contact Medical Records.

Phone: (613) 541-5010 ext 2194or4212

Any of the following remain valid as proof of COVID vaccination for CAF members:

• Vaccination booklets
• International Certificate of Vaccination or Prophylaxis
• Vaccination record slips
• Vaccination record business cards

Members can refer to the following link for more information:

COVID-19 vaccines for Defence Team members

For more information about the vaccine rollout please visit:

• FAQ: COVID-19 Vaccine
• What to expect at your COVID-19 vaccine appointment

Federal Health Claims Processing located in Room 1001 on the 1st floor of 33 Health Services Centre and can assist you in obtaining reimbursement for your approved medical expenses.

Hours of Operation

Monday to Friday 0800-1500hrs

Contact Information

Phone: (613) 541-5010 Ext. 5597

Email: 33HSvscFHCPS@forces.gc.ca

Fax: (613) 541-4100

Services

For further information please refer to the updated policy, or for comments and questions you may also contact the following:

Medavie Blue Cross (for assistance with the client portal):

Phone: 1-888-261-4033 (Canada)

The medical finance section can assist you in obtaining reimbursement for your medical expenses or by emailing scans to the Health Services Clerk in Contact Information.

Pharmacy Reimbursements: Reimbursements for prescriptions can be submitted at the pharmacy.

Dental: Dental is responsible for their own Blue Cross claims processing. Please see the dental clinic for dental related claims or call their duty phone for after hours emergencies.

No show/missed appointments – Medavie Blue Cross

Effective immediately, the benefit code for missed medical and dental appointments has been terminated from the respective four Programs of Choice. Missed appointments will no longer be covered for Canadian Armed Forces (CAF) members under the Federal Health Claims Processing Service. Should the civilian health providers choose to bill for a ‘no show’ or missed appointment, they will be directed by Medavie Blue Cross to bill the member directly.

Use of Blue Cross without approval

When a member is in need of health services, they must rely on the CAF health system for the provision of all of their medical and/or dental requirements. If the required service is not available, the member will be referred to a civilian provider to receive the proper service. A CAF member should always return to their respective CDU to discuss a consultation to ensure that any referral is appropriate and covered in the spectrum of care . As some services require a preauthorization, the 33 CF H Svcs C will provide the member and/or the provider with a preauthorization number. Without preauthorization the member may be required to pay out of pocket and no reimbursement will be issued.

Optical Supplies and Services (Ophthalmology)

Further to a Spectrum of Care Committee decision in September 2019, the Canadian Forces Health Services Group amended the Optical Supplies and Services Instruction 4020-05. Health Services Centre Kingston is pleased to inform you that changes to the entitlements and process have been implemented, and are summarized as follows:

Eyewear:

Members are entitled to receive prescription eyewear to a maximum reimbursable amount of $375.00 every two (2) years. You are now at liberty to acquire frames and prescription lenses of your choice (clear or tinted, i.e. sunglasses), or new lenses in a current frame through the supplier of your choice. Frames must still be in accordance with the CAF Dress Instructions. Glasses or lenses will not be replaced within the two year waiting period, however, regardless of changes to prescription.

Eye examinations:

Members will receive funding for eye examinations every two (2) years, or as required for occupational requirements, to a maximum reimbursable amount of $140.00. Members experiencing a change in their vision within the two year period should see their primary care provider.

Obtaining optical services:

The pre-authorization form (DND 1615) for optometric exams, frames and/or lenses is no longer required. Members must self-register on the MBC Client Member Portal to review claims history and confirm entitlement dates prior to accessing vision care services. For detailed instructions on how to proceed, please see below. Entitled personnel can then obtain services and products through providers of their choice. As direct billing is not yet available for providers to invoice MBC on member’s behalf, it is likely that providers will request payment upfront from members. In this case, members shall bring original receipts to 33 CF H Svcs C room 1001 Federal Health Claims Processing to submit their claim for reimbursement.

Hours of Operation

Monday to Friday 0730-1530hrs

Contact Information

Phone: (613) 541-5010 Ext. 2194 or 4212

Fax: (613) 541-4487

Members with appointments outside the geographical area may be entitled to reimbursement and should contact 33 CF H Svcs OR (p-kgn.33h.crclk@forces.gc.ca) NLT 14 days prior to departure (or ASAP) to receive authorization to travel. Medical travel is eligible for reimbursement up to the most economical and practical means that take into consideration the health care requirements of the member, IAW CMP Instr 08/05. Staff cars and commercial travel may be available at CFB Kingston and are booked by the OR only. If a car rental is authorized, the rental will be booked by the member using the PSPC car directory (2024 Car Search Page).

All Canadian Armed Forces (CAF) Dental Detachments provide 24 hours / 7 days a week service. When in the Kingston area, outside of regular working hours, dental services can be obtained by contacting the Kingston Garrison Duty Centre.

Treatment provided by a civilian practitioner outside the above guidelines is subject to the conditions outlined in CFAO 35-3 and must be pre-approved by the Duty Dental Team. If you require emergency treatment outside of the local area, please contact the Duty Dental Team through the Base Duty Centre.

Dental enrolment and re-enrolment exams are mandatory for Regular Force members and are available by appointment at their respective dental clinic.

If you are a member of the reserve force and require an enrolment exam (for members on Class B over 180 days, Class C service, active aircrew or on other occasions as required) contact the dental clinic to schedule an appointment.

Release exams are not mandatory. However, for members desiring an exam prior to release, an appointment can be scheduled during normal clinic hours.

Important: Release does not provide any priority for completion of outstanding treatment. There is no required condition of dental fitness upon release. Unfinished work will not be completed beyond a member's effective date of release.

Screening exams for military members are provided Monday to Friday during normal clinic hours and require scheduled appointments.

Screening exams for dependants and other civilians are not provided by the CAF Dental Detachment. Such screenings must be completed in accordance with CFAO 35-5.

All CAF members are reminded that it is ultimately the member's responsibility to ensure they obtain a Phase One exam.

Unit Command Teams are reminded they have a responsibility to ensure their personnel are deployable and dentally fit.

All regular force members, reserve class "C", and reserve class "B" over 180 days can receive a Phase One exam in accordance with QR&O 35.04.

Failing to show for an appointment will result in a notification to the member’s Unit RSM.

Hours of Operation

Monday to Friday 0730 – 1200 hrs, and 1300 – 1530 hrs.

Members can present to Diagnostic Imaging for in-house x-ray services, and any Ultrasound, MRI, CT, specialty radiology is booked in person by presenting requisition to radiology staff.

Contact Information

Phone: 613-541-5010 Ext. 5510

Hours of Operation

Monday to Friday 0745-1200 hrs, urgent cases in afternoons only

Contact Information

Phone: 613-541-5010 Ext. 5741

Hours of Operation

Monday, Tuesday, Thursday, Friday 0745 – 1200 hrs and 1300 – 1500 hrs , Wednesday 0745 – 1200 hrs (closed Wednesday afternoon)

Contact Information

Phone: 613-541-5010 Ext. 8800

Prescription & Renewal

Prescription refills: Can be ordered by phone 613-541-5010 ext. 8800 or in person. Orders will require 3 business day to process.

Prescription renewals: Must be ordered by a Clinician.

Civilian Pharmacies

Civilian Pharmacies are to be utilized for after hours emergencies only. A member's Blue Cross card must be presented at Civilian Pharmacies.

New Injury:

Physio Sick Parade 0730 – 0930 hrs (register through CDU Sick Parade)

Appointments:

You must call reception or show up in person to the Physical Rehabilitation section to book your initial assessment.

Hours of Operation

Monday to Friday 0730 – 1530 hrs

Contact Information

Phone: 613-541-5010 Ext. 5456

After Hours Mental Health Care

24/7 Mental Health Emergency Care: 911 or nearest emergency room, follow up with your CDU the next business day.

• Chaplain Services (Padre): (613) 541-5010,/span> Ext. 4041
• Military Police: (613) 541-5010 Ext. 2044
• CF Member Assistance Program : 1-800-268-7708
• NPF Employee and Family Assistance Program: 1-800-387-4765
• Sexual Assault Centre Kingston: 1-877-544-6424
• Kingston Interval House: (613) 546-1777
• Adult Mental Health Services Crisis line: (613) 544-4229 or toll free 1-866-616-6005

Other Mental Health Resources (During Business Hours)

• Kingston Military Family Resources Centre (KMFRC): (613) 541-5010 Ext. 5195 KMFRC Website
• KMFRC Family Mental Health Services: (613) 541-5010 Ext. 4811
• OSISS Peer Support Coordinator: (613) 541-5010 Ext. 4393
• Sexual Misconduct Response Centre: 1-844-750-1648 Sexual Misconduct Response Centre Website
• Family information Line: 1-800-866-4546
• Conflict Resolution Centre: (613) 541-5010 Ext. 5641

PMed provides pre-travel briefings for operation and leisure.

Briefing include deployment immunization recommendations, food and water discipline, personal hygiene, insect discipline and endemic disease information including malaria, Zika and rabies; and environmental and recreational hazards. Pre-deployment IS3 are sent out via email to all members deploying.

Appointments for pre-deployment briefings are through the Clinic Ops & Trg at:

PL-KGN.33H.Ops&Trg@forces.gc.ca

Appointments for leisure travel health briefings at:

HSvcsPMED@forces.gc.ca

For Occupational and Environmental Health and Safety concerns in the workplace, please contact your Unit General Safety Officer (UGSO). If the UGSO requires support from PMed then the UGSO should contact PMed at:

HSvcsPMED@forces.gc.ca

Heat index is monitored using a Wet Bulb Globe Thermometer located outside 33 CF H Svcs C which monitors air temperature, radiant temperature and evaporation factors to calculate an index.

Compare the Heat Stress WBGT readings to the Directorate Force Health Protection (D FHP) work/rest cycle and fluid intake recommendations below:

CF H Svcs GP Policy and Guidance, D FHP Advisory 4440-22 OCCMED 2012-01, Heat Stress Prevention Advisory (DWAN Only)

CAF members who test positive for a communicable disease (CD) identified by D FHP and/or local Public Health Authority regulations will be contacted by the PMed Dept as per the mandatory reporting process. Some common CDs include, but are not limited to: most Sexually Transmitted Infections, Rabies, Hepatitis, Meningitis, Escherichia Coli, COVID-19 and SARS/MERS.

Lyme Disease: There has recently been an increase in the number of ticks testing positive for Borrelia burgdorferi, the bacteria which causes Lyme disease, in the geographical area which includes CFB Kingston.

The Preventive medicine office has established a Lyme disease briefing raising awareness to units. This briefing covers preventative measures in order to avoid tick bites. Furthermore, the department provides Permethrin treatment of uniforms to any unit deploying to areas where TBE and Lyme may be an increased risk.

For water trailer inspections, please book an appointment no less than two weeks prior to the required use of the water trailer(s).

Email: HSvcsPMED@forces.gc.ca

PMed will inspect and provide guidance on entry points of pests, possible types of pests, where traps should be set, type of traps used, clean up recommendations and further prevention for pests in the workplace. This will ensure that there is an Integrated Pest management Program in place.

If feasible, PMed will set and leave a small number of traps after their initial assessment to help units with their pest issue(s). However, PMed will not be returning to check the traps and/or dispose of the traps. If more traps are required, units will need to procure their own supply by going through their QM or with recommendations from PMed, contact RPOU for further pest control contracting as required.

Permethrin Pouch Treatment (PPT) must be done under the direction and supervision of a Preventive Medicine Technician (PMed Tech). PPT is carried out by appointment only at the PMed office from Mon-Wed, 0730-0830hr.

Members who have not shown up by 0830 hrs will have to rebook their appointments.

Call P Med office to book appointments. These can be done individually or by group of four due to lack of work space and room for hanging uniforms to dry.

The treatment process is as follows:

• Member(s) report to the PMed office between 0730 hrs and 0830 hrs on the day of their apps.
• They are to bring all issued arid CADPAT. Only uniforms (shirts and pants) are to be treated.
• Members return the following morning or an agreed upon time to pick up uniforms.

Hours of Operation

Sick Parade Hours: at 0730hrs Monday to Friday. First come first served, with the last patient seen at 0930hrs.

Booked Appointment Hours: Monday to Friday 1000 - 1500 hrs, no booked appointments after 1200 hrs on Wednesdays

CDU

The CDU is an interdisciplinary team of military and civilian health care providers who work collaboratively to meet the health needs of its CAF members and units, ensuring seamless continuity of care over time.

Elements that constitute the CDU

Services

Contact Information

CDU 1

• (613) 541-5010 Ext 5563/5508
• Fax: (613) 540-8196

CDU 2

• (613) 541-5010 Ext 5564/5522
• Fax: (613) 588-4888

CDU 3

• (613) 541-5010 Ext 7268

CDU4 (Det RMC)

• (613) 541-5010 Ext 6994/6310
• Fax:613 541-6891

Primary Care Nurse

• 613-541-5010 Ext. 2365

Hours of Operation

Monday to Friday: 0730-1600 hrs

Contact Information

Phone: 613-541-5010 Ext. 8479

Services

Case Management (CM) is the professional practice approach used by health systems to improve continuity of care, reduce health care costs, enhance clinical conditions, prevent costly complications, reduce duplication and gaps in services, strengthen informal support networks, and improve an individual’s satisfaction with health care.

CM does not replace any primary care services, but rather is designed to co-ordinate multiple services provided to an individual. It is a process model that provides a mechanism for managing cases across the continuum of care, thereby providing a seamless, integrated care process.

Both regular and primary reserve force personnel who are being medically released, have been placed on a permanent or temporary medical category, and/or have complex health care needs, are eligible for the Nurse Case Management Program via referral from a treating clinician.

Q & A

Sick parade Monday to Friday at 0730 hrs

• Examples of appropriate use of sick parade:
  • Recent injury (less than 48 hrs);
  • Acute or worsening chronic illness;
  • Condition that acutely impairs the ability to perform normal daily activities; or
  • Follow up from hospital visit (please report the next working day).
• Examples of Inappropriate use of sick parade:
  • Sick leave request with no medical assistance requirements:
    • Please contact your Chain of Command to received up to 2 continuous calendar days of Sick Leave, ref: CFLPM 6.1.03 (Leave policy – Canada.ca)
  • Isolation requirements:
    • Please contact your Chain of Command.
  • Prescription renewals:
    • Book appointment and call pharmacy for a medication bridge.
  • Over the counter medication:
    • Fill out a blue form located in the waiting area and go to pharmacy.
  • Chronic condition or follow-up for routine conditions:
    • Book appointment.
  • Immunizations:
    • Please refer to the immunization section below.
  • Lab results or administrative matters.
    • Book Appointment.
• Any Acute Distress requiring emergency assistance should report directly to the local Emergency Services (Call 911).

Booked Appointment Hours: Monday to Friday 1000-1500 hrs, no booked appointments after 1200 hrs on Wednesdays.

• Phone: (613) 541-5010 Ext. 6310 or 6994

Call us 48 hours prior if you need to cancel / reschedule. Failing to do so will initiate a No-Show report to your Chain of Command.

A Periodic Health Assessment serves as a means for the CAF to assess members’ health at regular intervals to both plan appropriate preventive health care and confirm that there is no medical condition that would prevent the member from meeting the CAF Operational Fitness Standard or performing the duties required for their occupation, as outlined in the CAF Generic and MOSID task statements.

PHA General Information

PHAs generally include a Part 1 & Part 2 assessment, which may or may not be completed on the same day.

The Part 1 assessment is conducted with a Medical Technician to assess baseline vital signs, height & weight, visual acuity, hearing acuity and also includes a generic patient questionnaire to be completed prior to your Part 1 appointment. Blood work may be required for your PHA depending on your age and any known health conditions. The Part 1 assessment is done at the main clinic located in building ME40.

The Part 2 assessment is a visit with a Health Care Practitioner for review of the questionnaire and examinations completed during the part one and for a full assessment of overall health and wellbeing. It will be done at the RMC detachment clinic located at Fort Sauvé. Your primary care provider may also discuss some forms of cancer screening, which include but are not limited to:

• Cervical Cancer Screening (PAP test);
• Breast Cancer Screening (mammogram); and
• Colorectal Cancer Screening (various methods – 50 years and over)

Important information before your PHA Appointments:

• If you will be undergoing blood work, you must abstain from alcohol consumption for 48 hours prior to your appointment.
• You are encouraged to drink water up until the time of your part 1 appointment.
• You may take your prescribed medications as usual.
• Bring a list of all medications you take regularly.
• Contact Lenses should not be worn for 12 hours prior to your Part 1 medical; bring your eyeglasses (if applicable).
• Part 1 appointments take roughly 30 minutes to complete.
• Part 2 appointments take roughly 60 minutes to complete.

PHA Periods of Validity:

• Aircrew / Diver / Submariner: Valid 1 Year
• Under 40 Years old: Valid 5 Years
• Over 40 Years old: Valid 2 years
• Recruit Medicals on enrolment: Valid 2 years

PHA Required Forms:

• DND 2552: Generic Health Assessment (Part 1) (accessible only on the National Defence network)
• CF HSS Hearing Assessment
• DND 2452: Aircrew and Diver Health Examination (Aircrew / Dive only - accessible only on the National Defence network)

*Completing these forms in advance helps to keep appointment schedules on time.

Pre-operation appointment / post-operation appointment: Please ensure you book appointments with the RMC clinic.

Sexually Transmitted Infections information: Canadian Guidelines on Sexually Transmitted Infections – Canada.ca

Phone: (613) 541-5010 Ext. 2516

• COVID and Influenza vaccines
  • Self-booking: http://10.97.166.62/apps/opsoft/apps/vax/
  • Booking via email: KGN.33CFHSVCS.Immunization@forces.gc.ca
• Other vaccines / allergy clinic: Call for appointment

Hours of Operations: Monday to Friday 0745-1200 hrs.
Phone: (613) 541-5010 Ext. 6109

• Can process external requisitions.
• Please seek laboratory technician for pre-procedure testing instructions.
• No appointments required.
• Fasting: No gum, no black coffee, take meds with a sip of water 12-14 hrs.
• STI: Urine sample needs to be minimum 1 hour after last void.

Phone: (613) 541-5010 Ext. 6994 or 6310
Appointment Monday to Friday booked appointments 0730-1500 hrs. No appointments Wednesday afternoon. Clinic is closed from 1200-1300 hrs every day.

• By referral only: Obtained either through physiotherapy sick parade or through Primary Care Provider
• May be outsourced (varying hours)

Sick parade Monday to Friday 0730-1000 hrs

• Usually can be seen same or next day with Duty Social Worker.
• Self-referred via sick parade or referral by primary care provider.
• May be outsourced (varying hours)

Phone: (613) 541-5010 Ext. 6994 or 6310

Appointments Monday to Friday 0800-1500 hrs, no booked appointments after 1200 hrs on Wednesdays.

CF member assistance program (24h) 1-800-268-7708.

Hours of Operations Monday to Friday 0730-1600 hrs. Closed from 1200-1300 hrs.

Phone: (613) 541-5010 Ext. 7196

• Over the counter medication available: fill out blue sheet in waiting area, no prescription needed.
  • Pain/fever;
  • Sinus congestion;
  • Nausea and vomiting;
  • Diarrhea;
  • Constipation;
  • Hemorrhoids;
  • Allergies;
  • Heartburn and Stomach upset;
  • Skin infection;
  • Yeast Infection;
  • Rash;
  • Dry Eyes; and
  • Others (please see pharmacist).
• Refills must be requested by phone a minimum of 48hrs prior to pickup
• For all RMC Students and Staff, Prescriptions and OTC requests brought to the CFB Kingston Base Pharmacy will be redirected to Det RMC Pharmacy unless there are exceptional circumstances

All prescriptions must be filled at Det RMC pharmacy; should only be using civilian pharmacies for urgent after-hours prescriptions