Services at the CF Health Services Centre Ottawa on the Montfort Campus

Case Management

The case management program is designed to assist CAF members and their families with their medical needs and to facilitate their transition to civilian health care after release, if required. The CAF has recognized the importance of quick and efficient health care for our members. Both regular and primary reserve force personnel who are being medically released or have been placed on a permanent or temporary medical category are eligible to utilize the services of the case management program via referral from treating clinician. The case manager is a civilian nurse trained to help members navigate the military and civilian health care systems and their benefits.

The case management program is not designed to replace the current military health care services, but to support members in accessing the various existing resources.

Administration

Hours of operation:

• Monday to Friday: 0730-1530 hrs.

Contact numbers:

• Telephone: (613) 945-1601
• Email: CaseManagementOttawa@forces.gc.ca

Dental services

There are two dental clinics in the NCR part of 1 Dental Unit Detachment Ottawa, the NDHQ Dental Clinic located at Carling Campus and the Montfort Dental Clinic located at the Montfort Hospital.

The NDHQ Dental Clinic provides routine and emergency (sick parade) dental treatment while Montfort Dental Clinic provides specialty services in Oral and Maxillofacial Surgery, Periodontics, and Prosthodontics.

Contact Information:

• Montfort Dental Reception: 613-945-1777
• Carling (NDHQ) Dental Reception: 613-901-5555
• After hours dental emergency: 613-720-6946 (Duty Dentist) 613-850-7186 (Duty Technician)

Locations:

1 Dental Unit Detachment Ottawa
Montfort Dental Clinic
6th floor, wing D, room 139
713 Montreal Road
Ottawa, Ontario K1A 0K2

1 Dental Unit Detachment Ottawa
National Defence Headquarters Carling Campus
Building 5, West Wing, First Floor
60 Moodie Drive
Ottawa, Ontario K2H 8G1

Administration

Hours of Operation:

Regular clinic hours are from 0730 – 1510 hrs Monday to Friday.

Parking:

Montfort

Designated parking for CAF patients is in Lot M. This parking lot with automated system, is located along Montreal Rd as you turn onto hospital property. Please bring your parking stub with you to your appointment and as you leave the building the ticket is to be presented to the Commissionaire for validation. When leaving Lot M, insert the validated stub into the parking machine. If the ticket is not validated, the cost of parking becomes the responsibility of the member.

Lot M is available between regular business hours (0700 - 1700 hrs).

NDHQ (Carling Campus)

There is paid parking for visitors near Gate 1 (west wing of Building 5). Patient parking options are currently being investigated and information will be provided when available.

Sick Parade:

• Emergency dental care is provided at 0730 hrs Monday to Friday at the NDHQ Dental Clinic (Carling Campus) only. IMPORTANT: Service is provided on a first come, first served basis. To ensure you are seen in a timely manner please report no later than 0730 hrs since regular scheduled appointments begin at 0900 hrs.
• Patients requiring urgent or pre-deployment care will be given priority. Non-urgent conditions may be triaged and rescheduled during normal appointment times.

After Hours Emergency Procedure:

• All CAF Dental Detachments provide 24 hour/7 days a week service. When in the Ottawa area and outside of regular working hours, dental services can be obtained by contacting the duty phone numbers listed above.
• When the member is unable to access treatment in a CAF dental clinic (due to geographical constraints, etc.) emergency treatment by a civilian dentist may be authorized. Approval by the Dental Detachment Commander of the closest dental unit must be obtained prior to treatment (CFAO 35-3).

Enrolment Procedure:

• Dental enrolment exams are mandatory for Regular Force members and are available by appointment at the NDHQ Dental Clinic (Carling Campus) only.
• If you are a member of the reserve force and require an enrolment exam (for members on Class B (over 180 days) or Class C service, or active aircrew), or on other occasions as required, contact the dental clinic to schedule an appointment.

Release Procedure:

• Release exams are no longer mandatory. However, for members desiring a release exam, an appointment can be scheduled during normal clinic hours at the NDHQ Dental Clinic (Carling Campus) only.
• IMPORTANT: Release does not provide any priority for completion of outstanding treatment. There is no required condition of dental fitness upon release. Unfinished treatment will not be completed beyond a member's effective date of release.

Screening Procedure:

• Screening exams for military members are provided Monday to Friday during normal clinic hours and require scheduled appointments at the NDHQ Dental Clinic (Carling Campus) only.
• Screening exams for dependents and other civilians are not provided by the CAF Dental Detachment. Such screenings must be performed in accordance with CFAO 35-5.

Annual (Phase-1) Exam Procedure:

• All CAF members are reminded that it is ultimately the member's responsibility to ensure they obtain a Phase One exam.
• Annual Exams are available at the NDHQ Dental Clinic (Carling Campus) only.
• Commanders and superiors 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">180 days can receive a Phase One exam in accordance with QR&O 35.04.

Ear-Nose-Throat (ENT)

The CF H Svcs C (O) provides otolaryngology consultation services by appointments only. Two civilian otolaryngologist are on staff. All new appointments must first be referred by a physician.

Technical services are also offered for audiometric testing, hearing aids assessment, which both requires a consultation from the medical officer and a booked appointment. Other examinations, such as hearing aid adjustments, cerumen management (wax in ears) is done by appointment but a consultation from your medical officer is not required. Pick up of hearing aid batteries and other related cleaning equipment does not require an appointment.

For inquiries or to confirm an appointment please call the number below.

Administration

Hours of operation:

• Monday to Friday: 0730 - 1530hrs

Contact information:

• Patient registration : Room 5D134
• Reception : (613) 945-1549
• Email: SpecNCR@forces.gc.ca

Laboratory services

Administration

• Hours of operation:
  • Monday to Friday from 0730 to 1230 hrs and from 1330 to 1430hrs.
• Contact numbers:
  • Reception (613) 945-1172
  • New positional inbox. For any and all lab related inquires that are not Protected B please direct them to the new positional inbox: LabService-Servicedelaboratoire@forces.gc.ca

Fasting requirements for blood draw

• Part 1 medical (over 40, etc.)
  • Nothing to eat or drink 12-14hrs (not to exceed 16hrs) prior to your appointment.
  • You may drink water and take your medications.
  • Abstain from alcohol for 48hrs prior to appointment.
• Fasting glucose (Blood sugar level), Lactose test and Gestational 2 hour OGTT
  • Nothing to eat or drink 12-14hrs (not to exceed 16 hrs) prior to your appointment.
  • You may drink water and take your medications.

Notes: In order to provide your physician with meaningful results, your blood sample will not be drawn if the above requirements are not met. NO EXCEPTIONS. Clients requiring Fasting glucose should not fast longer than the 12-14hrs required. Longer periods of fasting will result in inaccurate levels.

Appointments

Lactose tolerance test

You must book an appointment for this test. Please phone the Lab for special instruction and appointment time.

Other lab requests

It is recommended to check with the laboratory personnel when you receive a requisition from your health provider. This will allow us to arrange the most appropriate time for your blood draw and ensure that you receive any special instructions associated with the tests requested. Post vasectomy semen analysis, no appointment necessary.

Request for lab results

Lab results are reported directly to your physician only. They, in return, will notify you of any abnormalities.

Medical finances

The medical finances section, located at Montfort clinic (6^th floor) can assist you in obtaining reimbursement for your medical expenses.

• Hours of operation:
  • Monday to Friday 0730-1500hrs.
• Contact numbers: (613) 945-1833

Medical records

The medical records section can assist you in obtaining copies of your medical documents. You can use one of the following procedure:

1. Reporting to the medical records section, room 4D111 and completing the release request form *; or
2. Through the Privacy Act by completing the request form which can be found on the Access to Information web site. *

* Both are available on the DND internal network.

Pre-deployment

No appointment is necessary, but a quick phone call to our medical records dept. would be greatly appreciated. To expedite the process we require some information; please be ready to answer the following questions:

• Are all medical appointments completed? It takes at least one week following a part two to get all reports filed on your chart;
• What operation are you going on?; and
• How long is the intended deployment (departure and arrival)?

Administration

Point of contact

• Head of medical records department:
  • Telephone: (613) 945-1285
  • Fax: (613) 945-1324
• 3^rd Party Release of Information Clerk:
  • Telephone: (613) 945-1193
• Medical records reception:
  • Telephone: (613) 945-1307
  • Telephone: (613) 945-1311
• Reservists medical records clerk:
  • Telephone: (613) 945-1220
• Transcriptionists:
  • Telephone: (613) 945-1738
  • Telephone: (613) 945-1709

Mental health

Canadian Forces Health Services Centre Ottawa offers a robust Mental Health Department comprised of three different programs: The Psychosocial Services Program (PSS), The General Mental Health Program (GMH) and The Operational Trauma and Stress Support Centre (OTSSC).

Hours of Operation: 07:30 to 15:00 hrs Monday to Friday.

Psychosocial Intake: Available by booked appointments. Psychosocial intakes can be booked by telephone, email or in-person by presenting to Mental Health Reception:

1. Phone: 613-945-1060
2. Email: MentalHealthReception.ReceptionSanteMentale@forces.gc.ca
3. In-Person: 3^rd floor at CF H Svcs C (Ottawa); located past pharmacy.

For CAF members in crisis or requiring urgent mental health care, please present in person to the Day Treatment Unit between 07:30-12:00 or visit the nearest Emergency Room.

Psychosocial Services:

Psychosocial Services (PSS) are available at CF Health Services Centre Ottawa to help CAF members deal with issues such as work or personal life stressors, family-related concerns, compassionate posting issues and addictions. Psychosocial interventions are intended to be brief and are distinguished from psychotherapy services.

CAF members may self-refer or be referred by primary care clinicians or others such as supervisors, padres or colleagues.

The following Psychosocial Services are available virtually and in person:

• Psychosocial Intake Services: Booked appointments only. The intent of these appointments is to meet with a MH clinician to discuss your concerns, identify treatment goals and connect you with the most appropriate services. Appointments can be booked by contacting MH reception: (613)-945-1060. Note: If you are in crisis or require urgent services, please visit the DTU.
• Short term counselling Services: Short term individual and couples counselling services are available to address psychosocial related issues. Members can self-refer through PSS intake or be referred by their primary care provider.
• Addictions Consultation: Initial screening, education and consultation around alcohol, other drugs or gambling addictions.
• Pre-deployment screenings: Prior to deployment it is mandatory that all CAF members undergo a pre-deployment screening. The service member and spouse will be interviewed.  To book an appointment: MentalHealthReception.ReceptionSanteMentale@forces.gc.ca
• Post-deployment screenings: Every CAF member should receive an enhanced post deployment screening 3-4 months after returning from a deployement. This involves completing a post-deployment screening questionnaire and interview. Members who deployed on short term taskings (59 days or less) do not require an interview.  To book an appointment: MentalHealthReception.ReceptionSanteMentale@forces.gc.ca
• OUTCAN Screenings: As part of the screening process for postings outside of Canada, psychosocial screenings are completed by social workers with the whole family unit. Appointments for members located in the NCR are booked through the PHA Cell: CMP.NCR_OUTCAN-RCN_MUTATION_A_LETRANGER@forces.gc.ca.
• Social Work Reports: Psychosocial assessments are completed by Social Workers to provide Commanding Officers (COs) with professional assessments of the exceptional personal circumstances of CAF members and their families to assist in making decisions and recommendations related to those circumstances. Requests that warrant a social work report include Contingency Cost Moves, Compassionate Status or Postings and Early Release for Compassionate Reason. Social Work Report Assessments must be requested by a member’s CO to Lt(N) Kennis Sloan: KENNIS.SLOAN@forces.gc.ca
• Family Violence Advisory Team (FVAT): The role of the FVAT is to be a focal point for coordinating education and interventions in the matter of family violence. The FVAT Co-Chair for the NCR is Lt(N) Kennis Sloan: KENNIS.SLOAN@forces.gc.ca.

Operational Trauma and Stress Support Centre (OTSSC):

The OTSSC program offers clinical assessments and treatment for various psychological, psychiatric, and substance-related issues that may or may not be linked to military taskings and operational deployments. This team of Social Workers, MH Nurses, Psychologists, Psychiatrists and Clinical Chaplain provides specialized treatment for traumatic stress injuries. (Referral process same as GMH program see below)

General Mental Health Services (GMH):

The GMH program offers clinical assessments and treatment for all other psychological, psychiatric, and substance-related issues.

• The GMH Program is an interdisciplinary team consisting of Psychiatrists, Psychologists, Social Workers, Addictions Counsellors, and MH Nurses that provides diagnostic assessments, addictions assessments as well as individual, couple, or group psychotherapy.
• Referrals to the OTSSC and GMH must come from a Primary Care clinician (PA, NP, MD). Self-referral will not be accepted.
• Referrals for diagnostic assessments are assigned to appropriate teams and patients are accordingly scheduled for an appointment with a psychologist or psychiatrist. A diagnostic impression and treatment recommendations are provided to the patient and the referring Primary Care clinician.
• Addiction assessment and treatment for individuals experiencing addiction or problem use of alcohol, drugs, or gambling disorder. Treatment depending on the need can be referred either through outpatient or inpatient. When services are not available within the CAF, service members will be referred to the appropriate civilian resource. Addictions after care groups are currently being delivered through virtual means.

Please note: We regularly refer to community providers to meet CAF members treatment needs. Most community providers are currently using virtual platforms which involve video and/or telephone sessions for individual, couple or group therapy. In person appointments are limited currently.

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 Ottawa is pleased to inform you that changes to the entitlements and process have been implemented, and are summarized as follows:

1. 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.
2. 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.
3. 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 the CF H Svcs C (O) Medical Finance office (6th floor, room 6D184) to submit their claim for reimbursement.

How to:

Register for the Client Member Portal

If not already done previously, members must register with the full name that appears on their Blue Cross card.

1. Go to www.medavie.bluecross.ca/myinfo;
2. Click on “Let us help” to create an account;
3. Select “CAF or RCMP” members;
4. Click on “register now:” and follow the instructions; and
5. Once you have registered, please verify your eligibility in the “claims and payments” section.

Find entitlement dates:

1. Once logged in to the MBC portal, go to the home page of your account;
2. Scroll down to “claims and payments”, then click on “More claims and payment history”;
3. For program of choice, select “14- Vision (eye) care”, then click on “Search”;
4. The search results will show you the most recent claims on your account, please verify the date of your last eye exam and eyewear; and
5. If it has not been 24 months since your last claim, then you are not eligible until you reach the 24 months point. However, if a member choses to split the $375 allocation into two claims, the 24 months starts upon submission of the first claim.

Find the amount you are entitled to claim:

1. Go to the home page of your account and scroll down to “Coverage and Claims”
2. Click on “Search Benefits”;
3. In the benefit grid search, Enter province of “Ontario” and Program of choice: “14 – Vision (eye) care”;
4. For eyewear, click on benefit code 630010. When you scroll down, you will find the amount ($375.00) you are entitled to;
5. For Eye exams, click on benefit code 600014. When you scroll down, you will find the amount ($140.00) you are entitled to.

For further details 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)
• Medical Finance Office at CF H Svcs C Ottawa (for inquiries about CAF entitlement and reimbursement):
  • Email: Medical.Finance@forces.gc.ca
  • Phone: (613)-945-1833
• Specialist Clinic at CF H Svcs C Ottawa (for inquiries about optical supplies)
  • Email: SpecNCR@forces.gc.ca
  • Phone: (613) 945-1550
• Patient Feedback at CF H Svcs C Ottawa (for general comments/feedback)
  • Email: patientfeedback-commentaires@forces.gc.ca

Outside referrals

If you have a medical outside referral given to you, please drop it off to the outside referrals office on the 4th floor of the CF H SVCS C (O), counter 4D210. Your referral will be entered into our database and then sent to Medical Finance for approval. Once approved, the referral will be faxed or mailed to the clinic. You will be notified to go ahead and book your appointment or the clinic will contact you for an appointment. If you have any questions, please contact the outside referrals clerk at (613) 945-1496 or by email: NCROutsideReferrals-RCNConsultationsExternes@forces.gc.ca.

Periodic health assessment (PHA)

Step 1: Book appointment

• In person: directly at CF H Svcs C (O) PHA cell on the 4th floor
• By telephone: (613) 945-1497 and (613) 945-1498
• By fax: (613) 945-1500
• By emailing the CDU Periodic Health Assessment (CDUPHAs-EMPUPSS@forces.gc.ca)

PHA Email information (copy and paste the following information in your email)

For Periodic Health Assessment (PHA) bookings:

• CDU number:
• Complete Service Number:
• Home Unit and UIC:
• MOSID:
• Next of kin's information:
• Home address:
• Home phone number:
• Civilian email:
• Work phone number:
• Regular or Reserve Force (Class A or B +/- 180 days, provide your contract)
• Dates I will be UNAVAILABLE:

The validity of PHA is as follows:

• Aircrew / Diver / Submariner : Valid 1 year
• 40 and under : Valid 5 years
• 40 + year old : Valid 2 years.

Step 2: Prepare your forms

This is to prepare you for your Part 1 Medical appointment at the CF H Svcs C Ottawa Montfort Clinic.  You are required to complete the following prior to booking your Part 1 Medical Examination:

• DND 2552 Generic Health Assessment
• CF HSS Hearing Assessment
• DND 2452 Aircrew and Diver Health Examination*

* Only for Aircrew and Diver Health Examination

Please contact us via e-mail if you have any questions.

Step 3: What you need to know for your part 1 Medical

The table below contains age categories for each type of Medical Exam Required for members (see our Intranet page for specific documentation).

Type of Medical	Regular (general) PHA	Aircrew Type 1 (full)	Aircrew Type 2 (short)	Diver Type 1 (full)	Diver Type 2 (short)	United Nations Military Observer
Age (years)	<30	18-39	18-39	18-39	18-39	<30
Age (years)	30-34	40-59	40-59	40-59	40-59	30-34
Age (years)	35-49	Initial Aircrew (Any age)		Initial Diver(Any age)		35-49
Age (years)	50+					50+

Step 4: What you need to know for your part 2 Medical

In most cases, your Part 2 medical will be booked within 4 weeks of your Part 1 being completed. All components of the Part 1 medical (including the forms you completed) will be reviewed at that visit. In addition, your primary care provider may discuss with your specific recommendations cancer screening during your Part 2 Medical (these may include, but are not limited to):

• Cervical cancer screening (PAP test);
• Breast cancer screening (mammogram); and*
• Colorectal cancer screening (various methods)*

*50 years and +

General information

Important steps before presenting for your appointment.

Prior to the appointment:

• If you will be undergoing blood work, you must abstain from alcohol consumption for 48 hours prior to your appointment.
• You are encouraged drinking water up until the time of your Part I appointment.
• You may take your prescribed medication as usual.
• Bring your immunization booklet.
• All Part 1 medicals include a medication review: Bring all prescription and over-the-counter medications that you take regularly (including any pills/tablets, creams/ointments, sprays, inhalers, patches, eye/ear products, vitamins, supplements, herbals, etc.).
• No contact lenses to be worn for 12 hours prior to your Part 1 Medical.
• Bring your eyeglasses (if applicable).

Day of appointment:

• Report to 713 Montreal Road, Wing D, Main Reception 3rd floor.
• Please note that this appointment can take 1-2hrs.
• The appointment will include:
  • An audiogram;
  • Height, weight and vision assessment;
  • Medical consolidation/review; and
  • Review of your vaccination status

Physiotherapy

The mission of physiotherapy in the Canadian Armed Forces is to deliver quality services by assessing, educating and treating people with musculoskeletal and cardio-respiratory impairments, functional limitations and disabilities. To accomplish this, we employ a variety of treatments including; therapeutic exercises, postural and ergonomic training, joint mobilization and manipulation, soft tissue techniques, acupuncture, electrical modalities and hydrotherapy.

Your physician will assign a priority level to your referral for physiotherapy to ensure that you obtain treatment within an appropriate timeframe. CAF members can also directly access physiotherapy services without a physician‘s referral by phoning (613) 945-1585.

COVID UPDATE

Physiotherapy and Occupational Therapy are slowly but surely opening our doors to providing in-person care. Like many other services, this is not a “return to normal” but a cautious resumption of our services. Our professional colleges, as well as CFHS, recommend to only access Physiotherapy and Occupational Therapy services when absolutely needed and to favour telehealth over in-person care when possible. Although we take all the recommended public health measures to minimize the risk of spreading COVID-19, Physiotherapy and Occupational Therapy are health professions where physical distancing is not always possible. To protect you and your family, we ask you therefore to carefully weigh your need of our care against the potential risk of contracting COVID-19. This means, if you have some pain or discomfort or a condition that does not limit you in your daily activities and you can manage reasonably well without our services, we recommend that you continue to do so. If however, your pain has been increasing/your condition has been worsening and it limits you in your daily activities, you may need our services.

Your cooperation is requested with the following:

1. New Patients: Your primary care provider will assess your need for our service and generate a referral if necessary. We are also providing services on sick parade 0800-1000 hrs Monday to Friday at the Montfort site, but this should be for members with significant pain and/or loss of function as described above.
2. Cancelled Initial Assessments and Follow-up Visits: If your appointment for an initial assessment or follow-up visit with us was cancelled due to the pandemic, we will contact you in the near future to determine your current need for our services.
3. Hand Hygiene. We will ask you to wash your hands when entering and leaving the clinic.
4. Appointment time. Do not arrive early as we need to keep the number of patients in the wait area to a minimum. It is important that you respect your scheduled appointments. Your physiotherapist is unable to accommodate late arrivals. Missed appointments deprive another CAF member of an appointment and increases waiting times for all. Contact the physiotherapy section (613) 945-1585 one day in advance to reschedule appointments and to allow time to book another client;
5. Cancellations. Do not miss your appointment and, if possible, do not cancel your appointment at the last minute. This is even more important now as our ability to provide service is significantly limited. Your physiotherapy file will be closed after two "No Show" appointments or if you have not contacted us for more than one month to book a follow up appointment;
6. If you have more than one physical ailment, your physiotherapist will determine if they are related and can be effectively treated concurrently. If not, they will be treated in order of severity; and
7. To benefit fully from your treatment, we request that you actively participate in your treatments by following the advice of your physiotherapist and doing your home exercise program.

Additional Information for in-person appointments during COVID-19

1. COVID-19 Screening
   1. Montfort site: you will be screened at the Montfort clinic front entrance by a member of the health care team. Your physiotherapist will also screen you in our dept. just prior to commencing your appointment;
   2. Carling Campus site: one of our staff members will call you approximately 1h or less before each in-person appointment to screen you for COVID-19. If you have a 0730 appointment, we will screen you on arrival;
2. Dress. Change into fresh PT gear for each visit. After your visit, place your PT gear in a plastic bag and wash it after each use;
3. Mask. Wearing a face covering/mask is mandatory. If possible, wear your own face covering/mask. Using your own face covering/mask will ensure the most economic use of our PPE and allow us to maintain patient services;

Please know that we do our best to keep everyone safe while providing care to those who need it most. Do not hesitate to reach out if you have any questions or concerns – we are happy to assist, it may just take a little longer than usual.

Contacts

Ottawa

Canadian Forces Health Services Centre Ottawa
713 Montreal Road
Ottawa, Ontario K1A 0K6

Physiotherapy Department: (613) 945-1585
E-mail: Ottawa.Physio@forces.gc.ca
Hours of Operation: Monday to Friday, 0730-1530hrs

Ottawa (West)

NDHQ Carling Physiotherapy Clinic
Building 6 - 6N.1.F0.03
3500 Carling Ave
Ottawa, Ontario K2H 8E9

Physiotherapy Department: (613) 901-6528
E-mail: CARLING.Physio@forces.gc.ca
Hours of Operation: Monday to Friday, 0730-1530hrs

Preventive medicine

Preventive Medicine (PMed) provides advice on all matters relating to public health, hygiene and sanitation, immunizations and occupational health and safety. These services include hygiene inspections, testing of air quality, environmental surveys, and providing information on immunization requirements for selected postings, as well as for any type of travel or deployment outside Canada.

PMed provides briefings for pre/post deployment or recreational travel. This briefing includes immunization recommendations, food and water discipline, personal hygiene, Malaria and other disease information, insect discipline/prevention, environmental and recreational hazards and post deployment medical information.

All 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 email PMed.

Personal or Operational Travel Health Briefing or Permethrin uniform treatment please make an appointment with PMed. Please include your service number, your destination/itinerary, your date of departure and your date of return. Remember to make an appointment with Immunization section at (613) 945-1111 prior to your appointment with PMed.

May to October the PMed Office monitor the Heat Stress Index with a Wet Bulb Global Thermometer located at Connaught Range.

For PMed services, call the numbers listed below, or send an email to preventivemedicine.medecinepreventive@forces.gc.ca.

Note: Please visit the Immunization clinic with your immunization booklet before coming to the PMed department to ensure you are up to date.

Administration

Hours of operation:

• Monday to Friday: 0730 - 1530hrs. PMed department may close over the lunch hour depending on personnel availability.
• PMed accepts walk-ins for deployment or personal travel briefings, however, it is recommended that you call before coming to ensure the availability of a PMed Tech.

Contact Numbers:

• PMed IC: (613) 945-1650
• PMed 2IC: (613) 945-1625
• PMed Tech: (613) 945-1617

Primary Care - Care Delivery Units

Hours: By appointment, Mon-Fri
Reception/CDU: (613) 945-1111

Appointments

Although most appointments are conducted via telehealth, there are instances where we may ask you to present in person for a specific service.  Unless otherwise instructed by your clinician, follow-ups will be conducted via telehealth.  Please contact your CDU to confirm your appointment and contact information. Please do not email your clinician.

• Booking a new appointment:
  • Follow up: Please contact your CDU to book a telehealth follow-up appointment. Should it be deemed that you need to be seen in person, you will be provided with specific direction by your healthcare provider;
  • Acute or Urgent Issues:  Please refer to the sick-parade/walk-in services
  • Sick Chit/MELs: For members whose sick chit/MELs are expiring, please call your CDU for an appointment.
  • Prescription Renewals:  Please contact pharmacy for further information.
• Medicals (PHAs).  All essential/urgent medicals will be conducted as defined below:
  • Medicals needed for operational reasons
  • OUTCAN medicals and assessments
  • UNMO medicals
  • Aircrew medicals only for those who are in active flying positions
  • Release medicals
  • Routine medicals needed for contract renewal/employment/component transfers

Not sure if your medical is urgent? We ask that you please contact the PHA Cell by phone or email (CDUPHAs-EMPUPSS@forces.gc.ca) and your CDU to connect with a staff member to determine if your medical needs to be completed.

* Given the nature of telephone appointments, there are limitations in terms of information security, privacy and the potential for breach of patient confidentiality, and also due to lack of in-person contact and physical exam. To proceed on the telephone, you will need to give consent given the above limitations. Further explanation of these limitations will be given prior to our telephone appointment.

Our Services

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.

1. 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;
2. CDU Staff. The CDU core team generally consists of two uniformed medical officers, a civilian physician, a uniformed physician assistant (PA), a civilian nurse practitioner (NP), a primary care nurse (PCN) (military or civilian), three military medical technicians and two civilian administrative support staff. The team may be periodically augmented by in-house physiotherapists, pharmacists and mental health professionals who provide care either in collaboration with the team or through direct intervention;
3. 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;
4. Treatment Room. CF H Svcs C (O) has a Treatment Room consisting of one nurse, one physician, and two or three med techs who provide care for minor acute conditions which arise after sick parade hours and merit prompt attention but that do not require Emergency Department assessment or hospitalization. The Treatment Room is open from 0730 to 1500hrs. If a patient arrives after 1500hrs, staff will instruct him/her where to go (e.g., Walk-in Clinic, Emergency Department, follow up the next day, etc.);
5. Triage. The clinical team works collaboratively with patients to assess their needs, and to provide the best possible health care in a timely fashion. In order to attend to all patients according to urgency and priority, various triage and management mechanisms are required and must be respected. This will affect wait times to varying degrees. Non-acute issues which present to sick parade or the treatment room may be deferred to a subsequent booked appointment. Likewise, less pressing acute issues may need to wait until the more serious cases are looked after. Patients must respect the needs of others and the responsibility and prerogative of clinical staff performing triage; and
6. Choice of Clinician. Uniformed personnel must receive their care from the CFHS or from specific health care providers designated by the CFHS. Within their CDU, patients may request to be rostered to a certain type of provider (e.g. they may express a preference for an NP, PA or physician as their primary clinician.) Patients may make reasonable requests to meet certain personal preferences or special needs, for example:
   1. Male or female provider;
   2. French-speaking or English-speaking provider; and
   3. Provider with special skills (e.g. able to perform joint injections).

Such requests will be met wherever possible, ideally within the CDU. Sometimes this may require a change of CDU. Exceptional requests may be forwarded through the CDU to the Base Surgeon. In all cases involving individual preferences, due consideration must be given to the collective needs of all patients. Requests for specific providers are often unmanageable and will not normally be considered. Likewise requests for “only military” or “only civilian” providers will not normally be considered. These principles apply to routine patient-clinician health care encounters.

Sick Parade

Location: CF H Svcs C (O) - 713 Montreal Rd, 3^rd floor
Booking: Call 343-553-4886 between 1200 to 1500 hrs Monday-Friday
Walk in Clinic hours: 0730-1200 hrs, Monday-Friday

Please call Sick Parade Booking Line if your symptoms or concerns have been present for less than 48 hours, you have been directed to by your CoC, your medical condition interferes with your ability to perform your daily work, or you are documenting an encounter with an after-hours civilian medical provider.

The Sick Parade is not a civilian acute care emergency room. Except in cases of acute illness interfering with work, patients should contact their respective CDU to schedule an appointment. To do otherwise may lead to a long wait time before being seen (unnecessary time away from work), may create delays for other patients, in addition to increasing the triage burden for staff.

Appointments

Patients without respiratory symptoms should book an appointment for sick parade for an assessment of their acute health concern(s). Patients will be booked based on first come first serve basis for the next day and seen by proper medical staff, respecting their scopes of practice. Appointments for administrative purposes (chits, prescription renewal, etc.) may be done through telehealth.

Patients are to arrive at the 4th floor reception at Montfort Clinic (713 Montreal Rd) at most 10 minutes prior to their appointment.   Pending availability, patients who show up late for their Scheduled Appointment may be seen after other booked appointments for the day, or when a clinician is free. Your health team has set aside time specifically for your benefit and works very hard to operate on time.

Walk-Ins

Patients who become acutely ill during the day and whose illness cannot wait until the next morning’s sick parade, may present to CF H Svcs C (O) without an appointment as “walk-ins”. Walk-ins are directed to the main reception desk on the third floor and fill in chart to help with triage. 

Given the physical limitations at the clinic, you may be asked, for you and your health team’s safety, to wait outside or in their car when the maximum capacity is reached.  We apologize in advance for the inconvenience and are continuing to develop mitigation strategies, such as virtual care, to meet all of NCR CAF members’ needs.

Specialist clinic services

In addition to regular physician services, CF H Svcs (O) conducts various specialty clinics and for those services not available on site, we will refer patients to external health providers. All specialist appointments must first be authorized by your regular physician. If you want to confirm your appointment time and date please call our spec clinic reception clerks.

Administration

Hours of operation:

• Monday to Friday: 0730 - 1530hrs.

Point of contact:

• Spec clinic reception: (613) 945-1549, (613) 945-1550 and (613) 945-1551
• Email: SpecNCR@forces.gc.ca