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Brockville General Hospital fax number
(613) 345-1127
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Inpatient Mental Health and Addictions Unit
Used for: Mental health referrals to the Concurrent Disorders Stabilization Unit (CDSU); CDSU referral forms (inpatient) submitted by fax
Fax destination details
- Department
- Inpatient Mental Health and Addictions Unit
- Purpose
- Mental health referrals to the Concurrent Disorders Stabilization Unit (CDSU); CDSU referral forms (inpatient) submitted by fax
- Form
- CDSU Referral Form — Concurrent Disorders Stabilization Unit (CDSU) Referral Form
- Address
- 25 Front Ave W, Suite 4, Brockville, ON K6V 4J2, Canada
- Voice phone
- 613-345-5649 ext. 52125
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Complete all parts of the CDSU Referral Form. Referrals are reviewed within 1-2 weeks. Not for emergencies. If referred by a healthcare provider, attach relevant lab results/diagnostic reports. The patient must have an Ontario Health Card. Fax all completed parts to the BGH Inpatient Mental Health and Addictions Unit at 613-345-1127.
Official form instructions are published as a downloadable file on the organization's website.
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