Clinics
Ambulatory care refers to surgeries, diagnostic procedures and treatments that do not require overnight hospitalization.
Louise Marshall Hospital and Palmerston and District Hospital provide various medical clinics through the Ambulatory Care Department.
A physician referral is required.
Clinics Offered are:
Louise Marshall Hospital Ambulatory Clinics are:
- Dental Surgery
- Gastroenterology
- General Surgery
- Neurology
- Urology
- Pediatrics
- General Surgery
- Respirology
- Spirometry
- Urology
Palmerston and District Hospital Ambulatory Clinics are:
- Dental Surgery
- Ear/Nose/Throat Clinic
- General Surgery
- Internal Medicine
- Obstetrics/Gynecology
- Spirometry
Service Available at:
Diabetes Education
Louise Marshall Hospital and Palmerston and District Hospital offer a wide range of services for adult patients that have Type 1, Type 2 and Gestational diabetes.
Through this education program, patients learn about diabetes and what steps they can take to stay healthy (diet, exercise/activity and medication options).
The Diabetes Education Centre supports inpatients as well as outpatients. If you have been recently diagnosed or have had diabetes for a long time and you would like to receive further education, please ask your family physician to send a referral to us with recent lab work and any medications that you are currently taking.
You can also fill out a self-referral form
Please check the event calendar for upcoming Diabetes Education Classes that will be offered.
Please contact the Diabetes Education Centre if you are interested in group education at your facility/organization.
Services
The Diabetes Education Centre offers the following services:
- Individual appointments with our Registered Nurses and/or our Registered Dietitians who are certified diabetes educators
- Variety of classes (including introduction to diabetes, management of diabetes, carbohydrate counting, foot care and an insulin pump program)
- Chiropodist (Foot care specialist) assessment for people at high risk of foot complications
- Visits with an Endocrinologist (Diabetes specialist) with a referral from your physician
What to Bring
Please remember to bring your Health Card, medication list and blood sugar record with you on the day of your appointment.
When you arrive, please register at the switchboard prior to your appointment.
Service Available at:
Physiotherapy
Physiotherapy is offered to inpatients at Louise Marshall Hospital and Palmerston District Hospital.
Louise Marshall Hospital also offers outpatient physiotherapy.
Inpatient and outpatient physiotherapy is available for individuals of all ages with musculoskeletal, cardiopulmonary, and neurological conditions. Patients can be located in any of the divisions in the hospital: medical, obstetrical, surgical, complex continuing care and emergency.
Access to publicly-funded outpatient physiotherapy will be limited to the following criteria listed below.
A referral from a physician or nurse practitioner is mandatory to add your name to the waiting list.
Access Criteria:
- Seniors (65 years of age and older)
- Youth (0-19 years of age)
- Recipients of benefits under the Workplace Safety & Insurance Board (approved claim number mandatory), Ontario Disability Support Program, Ontario Works and Family Benefits
- Post orthopedic surgery and fractures (less than 3 months old)
- Patients admitted to the hospital overnight and referred by a physician who treated them in the hospital for the condition they were originally admitted for.
Waiting List
There is a waiting list for outpatient physiotherapy that is prioritized based on patient needs. Patients that have had surgery or have been discharged from the hospital are given first priority.
Services
Physiotherapy provides the following services:
- A thorough and detailed assessment of the injury
- Individualized treatment and exercise program designed for your rehabilitation needs
- Hands-on treatment (includes manual therapy, modalities and other treatment techniques to enhance recovery)
- Education and a home exercise program at the time of discharge to maintain improvement and prevent re-injury
Hours of Operation
Inpatient support is available Monday through Friday from 8:00 a.m. to 4:00 p.m. and Saturdays and Sundays from 9:00 a.m. to12:00 p.m.
Outpatient Physiotherapy hours at Louise Marshall Hospital are Monday, Wednesday and Thursday from 8:30 a.m. to 4:00 p.m. with some exceptions.
What to Bring
Please remember on the day of your appointment to bring your OHIP card and your requisition with you. Please arrive five minutes before your test to fill in the allotted paperwork. You may wish to wear comfortable clothing and bring a pair of shorts with you. Your assessment will be half an hour to one hour in length depending on your diagnosis
Service Available at:
Respiratory Services
Respiratory Therapy services are offered at Louise Marshall Hospital and Palmerston District Hospital for both inpatients and outpatients of all ages.
Diagnostic tests including spirometry and oximetry are performed on an outpatient basis to diagnose and monitor the respiratory status of patients.
In order to have any outpatient tests done you will need a Physician referral.
Appointments are arranged through switchboard at:
-
Louise Marshall Hospital (519) 323-2210
-
Palmerston District Hospital (519) 343-2030
Hours of Operation
Inpatient support - Wednesday 8:00 a.m. to 4:00 p.m.
Outpatient testing – Wednesday and every third Monday of the month, by appointment only
Location
Respiratory Therapy services are located in the outpatient clinic areas of both hospitals
What to Bring
Please remember on the day of your appointment to bring your Health Card, requisition, an updated medication list, and respiratory medications. Please do not take any of your puffers or smoke the day of your breathing test. Please do not wear scented products.
Your appointment will be approximately 30 minutes to one hour in length depending on the test.
Service Available at:
Speech Pathology
Louise Marshall Hospital and Palmerston and District Hospital offer Speech-Language Pathology services for both inpatients and outpatients.
Children and Adult Services are listed
Children's Services
Outpatient Paediatrics (birth to eligibility for Senior Kindergarten)
Please visit the Wee-Talk: Wellington-Dufferin Preschool Speech and Language Services System website.
As a partner of the Wee-Talk: Wellington-Dufferin Preschool Speech and Language Services System, Speech-Language Pathologists provide assessment and treatment to preschool-aged children with a variety of speech and language delays and disorders.
Services are provided to children with:
- Articulation delays (difficulty pronouncing sounds)
- Language delays (difficulty using words and sentences or difficulty understanding language)
- Fluency disorders (stuttering)
- Voice and resonance disorders (hoarse voice quality or hypo/hypernasal quality)
- Swallowing disorder
- Speech-language pathologists also assess and treat children with autism spectrum disorder and developmental delays. Services are coordinated with community agencies.
If you have any concerns regarding your child’s development in these areas, you may wish to have your child assessed by a speech-language pathologist.
How to Access Services in Ontario
In Ontario, preschool speech and language services are divided into regions. If you live in Wellington or Dufferin County you can access services through the Wee Talk Preschool Speech and Language Services by calling the Growing Great Kids Kids Line at 1-800-265-7293 x 3616. Parents can directly refer their child for service. A doctor’s referral is not necessary. For a list of preschool speech and language service programs in Ontario please call the Ministry of Health's INFOline at 1-866-821-7770.
Adult Services
Adult Speech-Language Pathology Services- Medical
For adults, Speech-Language Pathologists provide assessment and treatment of communication and swallowing disorders for inpatients and outpatients. Clients can present with a variety of diagnoses such as stroke, neurogenic communication disorders (aphasia, dyspraxia, dysarthria, etc.), voice and swallowing disorders. Clinicians work on numerous multi-disciplinary professional teams throughout the hospital.
Clients with swallowing difficulties (dysphagia) are assessed and managed on both an inpatient and outpatient basis. Specialized videofluoroscopic studies are offered when more detailed examination of the swallowing mechanism is required. Therapists work in conjunction with dietary and nursing staff and provide consultation to family members and community professionals.
A physician referral is required for these medical adult services
Adult Speech-Language Pathology Services – Developmental
Speech-Language Pathology services are provided for adults with a developmental disability. The Speech-Language Pathologist provides assessment, treatment for communication and swallowing disorders. Clients can present with a variety of developmental disabilities such as Autism or Down Syndrome. Clinicians work with several community partners. A referral from the Ministry of Community and Social Services,
District Services Ontario- Central West Region (1-888-941-1121) is required to access this service.
Service Available at:
Dialysis
Palmerston and District Hospital (PDH) is a satellite Dialysis unit of the Grand River Renal Program.
The Dialysis Unit supports stable patients requiring dialysis in our area to decrease the need for travel to and from Grand River Hospital. Dialysis Unit Nurses are responsible for patients while they are on dialysis at PDH. The Nurses monitor patient progress, manage routine dialysis problems and can help patients learn more about dialysis.
A physician referral is required.
For more information on the Dialysis Unit please click here.
Please call (519) 417-4050 for information regarding the program.