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Primary Care

Care Delivery Units

Hours of Operation

Sick Parade Hours: By Appointment Monday to Friday 0730hrs - 1000hrs 

Booked Appointment Hours: Monday to Friday 0830hrs - 1530hrs

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.

Below are a few elements that constitute the CDU.

Rostering

All CAF personnel are rostered to a Care Delivery Unit (CDU) where a multidisciplinary clinical team provides care in a collaborative manner to our patients. Patients from certain units or groups are rostered together in the same CDU to allow specialized mission-focused care for that unit.

CDU Staff

The CDU core team generally consists of a mix of civilian and military Physicians, Physician Assistants (PA) and Nurse Practitioners (NP) along with three military Medical Technicians, a Primary Care Nurse (PCN), and two civilian administrative support staff. The team is generally augmented by in-house physiotherapists, pharmacists and mental health professionals who provide care either in collaboration with the team or through direct intervention.

Collaborative Care

Within the CDU, each patient with chronic or ongoing health care needs will be assigned to a primary clinician to maintain continuity of care but at different times the patient might be seen and treated by other members of the CDU care team. The goal of this collaborative team approach is to ensure the patient sees the “right clinician” at the “right time” to address their needs in a flexible, efficient, and holistic manner. Therefore, the patient may see a med tech, PCN, NP, or a PA instead of a physician, depending on the patient’s health issue(s). The CDU staff may refer directly to a pharmacist, a physiotherapist or a mental health provider following a brief triage, without requirement to wait for a physician prescription or referral.

Choice of Clinician

Uniformed personnel must receive their care from the CFHS or from specific health care providers designated by the CFHS. Preferences for care providers can be discussed with the CDU Primary Care Nurse for consideration, but ultimately the ability of a clinician to provide appropriate care to the patient will be the deciding factor in assigning clinicians. Preferences may be considered for:

  1. Male or female providers;
  2. French-speaking or English-speaking providers / translators as available; and
  3. Provider with special skills or knowledge (e.g. able to perform joint injections, gender reassignment, etc.).

Services

Sick Parade

Sick Parade is not the same as a civilian acute care emergency room. Any member with injuries or illnesses that pose imminent risk to life or limb should seek care at the nearest civilian Emergency Department, or contact 911 immediately.

Register for your Sick Parade appt by calling your CDU clerk between 0700 – 0900 hrs. Sick Parade is accessed by pre-booked appointments only Monday to Friday 0730 – 1000 hrs **no walk-ins except for MH intake requests. The CDU clerk will ask a few short questions and inform you of next steps.

Sick Parade is generally utilized to manage acute health care needs that are new onset issues (less than 48 hrs) or sudden worsening of chronic issues. These include but are not limited to the following:

Sick Parade should generally not be utilized for the following:

**Note – Unit Chains of Command may grant up to two continuous calendar days of sick leave without recommendation of a Medical Officer (QR&O Vol 1, Ch. 16.16)

Urgent Care Outside of Sick-Parade

Availability of Urgent Care services vary day-to-day. Contact the CDU to which you are rostered for available options. Notify the PCN if you will be accessing emergency services from the nearest civilian centre. All members admitted to civilian hospital without prior notice will call the CDU clerk on the day following their discharge from hospital, or next working day.

Booked Appointments

Appointments can be booked with a clinician at your CDU by contacting the CDU reception by phone or email. It is recommended that you avoid calling between 0700-0900 hrs when the phone lines are busy responding to sick parade requests. Wait times for appointments vary but generally range from 2-4 weeks. Providing the CDU Clerk a general overview of what issue(s) you would like to discuss with the clinician will allow them to determine what type of appointment is required and weather a virtual or in-person appointment is most appropriate. Please do not email or contact clinicians directly to schedule appointments as you will be re-directed to the CDU Clerk. Missed calls may not be rescheduled the same day and are the same as an appointment “no-show” and may result in a notification being sent to your CoC.

Appointment types available:

Periodic Health Assessment (PHAs/"Medicals")

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 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. Your primary care provider may also discuss some forms of cancer screening, which include but are not limited to:

Important information before your PHA Appointments:

PHA Periods of Validity:

PHA Required Forms:

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

OUTCAN / Isolated INCAN Medical Screenings

OUTCAN / Isolated INCAN Screenings are conducted within the CDUs. Upon receipt of your OUTCAN / Isolated INCAN posting screening message and associated form from your unit Orderly Room, you should contact the Psychosocial Services Department to schedule the psychosocial screening for you and your family. Next, you may contact the CDU to schedule an appointment with the Primary Care Nurse (PCN) to ensure that you understand the medical screening process and how to complete the required forms.

The following documentation is required for OUTCAN / Isolated INCAN screening appointments:

*required for each dependent on your MPRR, regardless of whether or not they will be proceeding to the posting location with you or not)

Outside Referrals

All referrals initiated in the CDUs for outside services will be processed by the CDU Clerks and sent to the appropriate specialist providers as indicated by your healthcare provider. You will then be contacted with the corresponding appointment dates and times once booking occurs. These appointments are dictated by outside agencies and we have no influence over wait times for external providers. If you have not received a call from the external agency after 2 months, please call the CDU clerk for an update.

Foreign Service Members

Foreign Service members attached or posted to CAF units and their dependents posted with them are entitled to regular care via CF H Svcs. Members or their dependents should report to the CDU to which the member is rostered. Provision of care for dependents can be outsourced to community providers for ease of access as appropriate.

Pre-Operative Appts

Insert info

If members have a surgery booked, they must book an appointment through the CDU with the PCN prior to the surgery date. They are to provide one week before the surgery for the appointment so that the PCN can complete all the admin paperwork and ensure the members’ needs are met.

**Notice: during the COVID 19 Pandemic, appointments will be by phone. The PCN will provide additional information regarding paperwork.

Contact Information

CDU 1

CDU 2

CDU 3 

Case Management

Hours of Operation

Monday to Friday: 0730-1530 hrs

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.

Contact Information

Telephone: Reception - (613) 687-5511 ext 7097

Email: Case.mgt@forces.gc.ca

Nurse Case Management (NuCM)

Hours of Operation

Monday to Friday: 0730-1600 hrs

What is Case Management?

Case Management is a collaborative and client centered process for providing services associated with the coordination of health care, health care related activities and benefits for ill and injured CAF members.

Who is a Nurse Case Manager?

A Nurse Case Manager is a degree prepared registered nurse who is part of the primary care team within the Canadian Forces Health Services.

What Do Nurse Case Managers do?

Nurse Case Managers assist members to navigate the health care system by coordinating their care as they return to duty or transition to civilian life and the provincial health care system

What are the benefits?

Who is eligible and how is a member referred?

Canadian Armed Forces members who have complex health care needs and/or are medically releasing. Referrals are completed by the primary care clinician or Garrison Surgeon.

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