Memo: Updates on Digital Initiatives
Thank you for your ongoing collaboration as we continue to leverage digital solutions to support the integration of the health system and improve wait times and reduce administrative burden on clinicians and administrators.
This memo provides an update on digital initiatives as part of the provincial digital strategy and builds on:
- Operational Direction: Local Delivery Group (LDG) Expansion to Support Spread and Scale of Digital Priorities, issued in October
- Operational Direction: Digital Planning and Procurements shared with hospitals in May
eReferral Ontario Now Available for Onboarding
eReferral Ontario is the updated provincial platform designed to streamline and optimize the referral process. It launched earlier this year with a limited rollout in August 2025, allowing select users and sites to onboard. Starting this month, onboarding is open to all clinicians and providers.
eReferral Ontario will work in conjunction with Central Intake to improve coordination and efficiency across the system. As per the Operational Direction: Local Delivery Group (LDG) Expansion to Support Spread and Scale of Digital Priorities, hospitals will be working with their local LDG Lead Organization and Ontario Health regional teams to onboard providers to eReferral. All other providers are requested to visit eReferral Ontario and follow the steps to get started. If you are on the referral network managed by Amplify Care, you will not experience any change.
A key feature of eReferral Ontario is Standardized Referral Forms (SRFs) – digital forms developed with clinician input to facilitate triaging and scheduling based on urgency, appropriateness and patient/clinician preference. SRFs ensure consistency in the information collected and include the right level of clinical detail to support timely care. These forms are built directly into the platform, making them accessible to all users and supporting smooth onboarding and adoption.
See Appendix for list of SRFs that are currently available. The next group of SRFs, as part of Phase 2, will become available in January.
Central Intake
Central Intake will serve as a single-entry point for referrals across primary care, and the availability of CI for all specialties is the mature future state we’re working towards, starting with MRI/CT, cataracts and orthopedics, and mental health and addictions.
Referrals will be distributed efficiently and transparently, balancing patient and provider preferences. This streamlined process reduces provider burden and offers clear referral information and wait-time visibility to support better care planning.
Hubs selection
As part of Ontario Health’s central intake expansion, the following organizations have been designated as central intake hubs for diagnostic imaging (MRI/CT) and surgery (cataract/orthopedics). These organizations will be working closely with the LDG lead organizations in their region and with Ontario Health to implement provincial strategic direction on central intake.
Sectors are asked to work with their hubs and Central Intake lead organizations to implement central intake across the province.
Note: Mental Health and Addictions hubs will be confirmed in January.
Central Intake Hubs for Diagnostic Imaging (MRI/CT) and Surgery (Cataract/Orthopedics)
| REGION | LOCAL DELIVERY GROUP (LDG)* | LEAD ORGANIZATION* | CENTRAL INTAKE LEAD ORGANIZATION* | DIAGNOSTIC IMAGING (MRI/CT) HUB | SURGERY (CATARACT/ORTHOPEDICS) HUB |
|---|---|---|---|---|---|
| North West | North West LDG | Thunder Bay Regional Health Sciences Centre | Thunder Bay Regional Health Sciences Centre | Thunder Bay Regional Health Sciences Centre | Thunder Bay Regional Health Sciences Centre (Ortho and Cataract) |
| North East | North East LDG | Health Sciences North | Health Sciences North | Health Sciences North | TBD |
| East | East of the East LDG | The Ottawa Hospital | The Ottawa Hospital | The Ottawa Hospital | TBD |
| East | Central East LDG | Scarborough Health Network | The Ottawa Hospital | The Ottawa Hospital | TBD |
| Central | Central North LDG | Royal Victoria Regional Health Centre | Trillium Health Partners | Mackenzie Health | Halton Healthcare (Ortho) TBD (Cataract) |
| Central | Central South LDG | Trillium Health Partners | Trillium Health Partners | Mackenzie Health | Halton Healthcare (Ortho) TBD (Cataract) |
| Toronto | Toronto LDG | University Health Network | University Health Network | University Health Network | TBD |
| West | South West LDG | London Health Sciences Centre | Hamilton Health Sciences | Hamilton Health Sciences | Waterloo Wellington Regional Coordination Centre and St. Joseph's Healthcare London (Cataracts) TBD (Ortho) |
| West | Hamilton Niagara Region LDG | Hamilton Health Sciences | Hamilton Health Sciences | Hamilton Health Sciences | Waterloo Wellington Regional Coordination Centre and St. Joseph's Healthcare London (Cataracts) TBD (Ortho) |
| Provincial | Home and Community Care LDG | Ontario Health at Home |
*Information in columns marked with an asterisk has previously been shared.
Thank you for your ongoing support in advancing the province’s Digital First for Health strategy to enable connected and convenient health care for all Ontarians.
If you have any questions or for more information, contact your Ontario Health regional digital team.
| Region | Contact |
|---|---|
| Central | Deborah Schwartz (OH-Central_DigitalVirtual@ontariohealth.ca) |
| East | Michael Spinks (OH-East_DigitalVirtual@ontariohealth.ca) |
| North East and North West | Mark Stevens (OH-North_DigitalVirtual@ontariohealth.ca) |
| West | Bonnie Scott (OH-West_DigitalVirtual@ontariohealth.ca) |
| Toronto | Sid Suwande (OH-Toronto_DigitalVirtual@ontariohealth.ca) |
Appendix
Currently available Standardized Referral Forms (SRFs):
- Cardiology
- Cataract
- Dermatology
- Gastroenterology
- Hematology
- Medical Imaging (including MRI, CT, Radiology, Ultrasound, Bone Mineral Density)
- Nephrology
- Neurology
- Obstetrics and Gynecology
- Orthopedics
- Otolaryngology
- Respirology
- Rheumatology
- Urology
- Universal Template (provides a standardized option for referrals for any specialist)
Phase 2 SRFs (available in the forms library of eReferral Ontario in January)
- Bariatrics
- Endocrinology
- Infectious Disease
- Mental Health and Addictions
- Plastic Surgery
- Psychiatry
| TO: | Health Service Provider chief executive officers and executive directors, including Ontario Health Team leadership |
| FROM: | Sacha Bhatia, Primary and Community-Based Care Executive Vice-President |
| CC: | Nicole Robinson, interim Chief Regional Officer, West Region; Christine Nuernberger, interim Chief Regional Officer, Central Region; Scott Ovenden, Chief Regional Officer, Toronto and East Regions; Brian Ktytor, Chief Regional Officer, North West and North East Region; Matthew Anderson, Chief Executive Officer |
| DATE: | December 17, 2025 |
Last Updated: December 23, 2025