Patients & Visitors

Patients & Visitors

Our Code
Notre Code

Coronavirus
Patient Visitation Plan

Designated Care Partner (DCP)

General Information
Information générale

Stay Connected with Patients
Request a Virtual Visit

Virtual Visit Request Form

Send an e-card

Send a photo

During Your Stay
Telephone

Television Services

Health Records

Wireless Guest Network

Your Experience Matters
Patient Relations

Accessibility

Privacy Policy

Paying

Long Term Care Options

SECTIONS

Listen

Virtual Visit Request Form

To accommodate as many requests as possible, we are encouraging families and loved ones to coordinate times you can all connect together at the same time. We will do our best to help you set up an online meeting should you choose to do this.

Please fill out the form below:

Virtual Visit Request Form

Name of Requester

First Name

Last Name

Relation to the Patient

Phone

ext.phone prefix codephone line numberextension

Patient Information

First Name

Last Name

Date of Birth

Room number of the patient

HDGH Building

What type of visit would you prefer?

Preferred date(s) and time(s) for virtual visitation

Or as soon as possible

Identify the online program you are most comfortable using for your visit

Will additional assistance be needed to set up this technology for the patient?

For example, will your loved one require assistance holding the device steady, or learning to use the software for the call?

Yes
No

PLEASE NOTE: We are unable to disclose patient information without their full consent. This means you may not hear from our team until the patient in hospital has confirmed and approved connecting with you. We sincerely apologize for any delays this may cause in contacting your loved one. There may be circumstances where we are unfortunately unable to facilitate this contact.

Patients & Visitors

Virtual Visit Request Form

Please fill out the form below:

Virtual Visit Request Form

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