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About This Resource

Author: Waterloo-Wellington Regional Cancer Program

Revised: May 2025

Dear Patient,

To help make sure you get the care you need, at any time of day, WRHN Cancer Centre has partnered with CareChart Digital Health and Ontario Health (Cancer Care Ontario). Through CareChart Digital health you can receive free after-hours help for managing cancer treatment-related symptoms over the phone and online.

CareChart Digital Health is a virtual nursing program that provides after-hours symptom management. The goal of the CareChart program is:

  • To help you manage your symptoms at home, when possible
  • Avoid going to the emergency department when you don’t need to

Please note that this program is only available when WRHN Cancer Centre is closed.

Hours of Operation

Sincerely,

Waterloo Regional Health Network (WRHN) Cancer Centre (@ Midtown) 519-749-4380

Patient Information Sheet

Please have this page ready when you call CareChart Digital Health or the WRHN Cancer Centre.

This will help the health care team provide you with the best support.

  • Patient Name:
  • Date of Birth:
  • MRN # :
  • Diagnosis:
  • Oncologist(s):
  • Home Care providers(s):

Drugs/Medicines

Date:

☐ Medication List – Have your drug/medicine containers with you

☐ Chemotherapy Protocol:

  • Frequency:
  • Start Date:

☐ Radiation (with Chemotherapy)

  • # of Fractions:
  • Start Date:

☐ Biotherapy Protocol:

  • Frequency:
  • Start Date:

Your medicine list is valid and current as of the date above. Any changes after the date above will be the patient’s responsibility to share with the after-hours service.

Venous Access Lines

PORT

PICC

Peripheral

☐ Tunnelled (i.e. Hickman)

Drains/Tubes

☐ Chest Catheter

☐ Indwelling Peritoneal Catheter

☐ Urinary Catheter

☐ Feeding Tube (Type):

☐ Ostomy (Type):

☐ Stent(s) (Type):

Other

☐ Pain Pump (Type & Provider):

☐ Home Oxygen (Provider):

Date Provided to Patient:

Logo for Waterloo Wellington Regional Cancer Program, Ontario Health (Cancer Care Ontario)
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Use this resource for your information only. It does not replace medical advice from your doctor or other healthcare professionals.

Email: [email protected]

Website: www.cancerwaterloowellington.ca