Primary Care @Home

@Hom Care Logo

As of August 28th 2019 the PrimaryCare@Home Program has limited capacity for new referrals.  Feel free to call the program coordinator to discuss possible referrals and eligibility prior to completing the referral form. Check the website for future updates.

The PrimaryCare@Home Program through the Taddle Creek Family Health Team aims to provide home visits to older adults who are unable to access primary care in the clinic for medical, cognitive and/or social reasons. A social worker, pharmacist and other community partners, including the CCAC, help a family physician and physician assistant provide in-home primary care.

In order for a person to receive care, they generally must:

  • Have difficulty accessing a primary care provider (ie. family physician or nurse practitioner) because of physical, cognitive and/or social issues
  • Be over 65 years old with a valid OHIP card
  • Consent to an initial assessment by the team and be willing to have their care transferred from their current primary care provider to the PrimaryCare@Home Team
  • Live in the PrimaryCare@Home program catchment area, which includes the following postal codes: M4V, M5R, M5T, M5V, M5J, M5G, M6G, M6J
  • Not live in a retirement home or long term care facility

Application and Referral Process:

Anyone can make a referral, though many come from the CCAC (Community Care Access Centre) and hospitals.

The PrimaryCare@Home referral form is available here.

TC FHT PrimaryCare@Home Referral

Please complete the form and fax it to 416-585-5815.

The team reviews applications weekly and will attempt to contact the referral source within several weeks of receiving the referral to arrange for next steps.

An initial in-home consultation will be completed to assess whether the program is able to adequately meet the needs of individuals seeking care.

Should you have questions, please feel free to call Andrea Filip at 416-585-9555.


How will I know if my loved one (or myself) is sick enough to require services of the Primary Care@Home program?

This is not always easy to determine, but one tool that can help make this determination is the 'Clinical Frailty Scale' (see downloads). If your loved one (or you) scores 5 and above, you may benefit from the services of the Primary Care@Home program.

Do I have to switch doctors to be a part of the PrimaryCare@Home program?

Generally yes.

If you are a current patient of Taddle Creek, you may be able to keep the same primary care provider, however they may not be the provider who does regular home visits.

If you are not a current patient of Taddle Creek and are accepted into the program, there will be an introductory home visit to ensure all parties are comfortable transferring care.

Is there a PrimaryCare@Home wait list?

There is no formal PrimaryCare@Home wait list kept at Taddle Creek FHT.

Capacity will be updated on our website quarterly. Contact our Program Coordinator, Andrea Filip, at 416-585-9555 to discuss potential referrals.

Is the Primary Care@Home program accepting new patients?

We are currently at capacity, but this changes frequently.

We accept 2 new patients per month at most when not at capacity.

Who is eligible for the Primary Care@Home program?

Those older than 65 years of age who are unable to access primary care in the clinic for medical, cognitive or social reasons, and who live in the listed catchment area.