North Bay Regional Health Centre
Behavioural Supports Ontario
North East Local Health Integration Network

Patient Information

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Caregiver Information

Referral Source

* Please complete the section below with your information (the individual making the referral)

Legal Consent to NEBSO Services and Treatment for Personal Care

Is the individual capable of consenting to BSO Services?

Submit Application

Once your referral has been submitted, the information provided will be validated by our Central Intake Office and triaged to the appropriate corresponding hub. At that time, the Integrated Care Lead(ICL) assigned will aim to make initial contact within 72 hours. As previously mentioned, these times may vary according to the needs within your corresponding hub.

Should your situation change in terms of risk during the course of triage and you feel that your situation has become urgent, please contact the Mental Health Helpline supported by ConnexOntario to find the nearest Mobile Crisis Response Team.

An information and Referral Specialist will answer your call, email or web chat 24/7. The provide health services information for anywhere in Ontario.

It is free, confidential and anonymous.

Call 1-866-531-2600

You may also chat online or send an email.

Please note that access to after hours services for caregivers is available by dialing Telehealth Ontario at 1-866-797-0000 after regular business hours, and during weekends and statutory holidays. The services are available 24 hours a days, seven days a week.

I certify that the information provided in this application is true and correct to the best of my knowledge.