Virtual Visit Request Form

LHSC

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. For example, through a WebEx meeting or FaceTime call, which allows multiple users/devices to log on simultaneously and meet together. We will do our best to help you set up an online meeting should you choose to do this.
(for Staff requests only)
Patient Information
(if known)
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?
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.