The BMO Financial Group Ambulatory Care Centre (ACC) at St Joe’s provides a wide range of outpatient services for patients living in our community. Its multiple outpatient clinics offer assessment, diagnosis and/or treatment and therapy, as well as a broad range of resources and information which support patients and their families in their care. Our services support many of the medical/surgical subspecialties that St. Joseph’s Health Centre offers through our Medicine and Seniors Care and Chronic Disease Management Programs, as well as our through our Emergency Department and Surgical Program.
Important things for patients to know before visiting a clinic in our Ambulatory Care Centre:
- All appointments for these clinics require a referral from a family doctor or specialist.
- If patients require assistance in any aspect of their care while attending their appointments, we ask that a family member or substitute decision maker accompany them during the course of their visits.
- You must register for each visit at our registration office prior to your appointment, so we recommend you come in at least 20 minutes before the time of your appointment.
- The hospital is fully accessible. All clinics have wheelchair-accessible washrooms.
- Our knowledgeable group of specialists and interprofessional team members work in our outpatients clinics to assess, diagnose and provide specific treatment required for a patient who is then returned to their primary care provider for ongoing care.
Hours of operation:
Our Ambulatory Care Centre is open Monday to Friday from 8:00 a.m. to 4:00 p.m.
Booking/registration: 7:00 a.m. to 4:30 p.m.
To book an appointment, please call 416-530-6043.
Please check the specific clinics hours of operation. All clinics are closed on weekends and holidays.
How do I register on the day of the appointment?
Prior to your appointment, you will need to visit our ACC registration office, located just inside the Tranquility entrance on the ground floor of the Glendale wing. Please come in at least 20 minutes before the time of your appointment to ensure you have time to register.
How do I change/cancel an appointment?
You can call our booking office at 416-530-6043 to change or cancel an appointment. We require a minimum of 48 hours notice for cancellation of your appointment. This will give us the opportunity to book another patient into the clinic.
What if I need an interpreter for my appointment?
We are able to arrange for an interpreter to meet with you and the team on the day of your appointment. If you require an interpreter please let the booking office know at least 72 hours prior to your scheduled appointment.
What do I need to bring to my first appointment?
In addition to your health card you should bring all your current medications, herbal products, vitamins and supplements in their original bottles (not just a list of medications), as well as any prescription glasses and appropriate devices such as walking aids or hearing aids. We strongly encourage a family member to accompany you to your appointment.
The Ambulatory Care Centre (ACC) offers the following outpatient clinics:
Adult Asthma Clinic
Our team provides information to the patient to better manage their condition in order to decrease the possibility of admission to the Emergency Department. We have health professionals such as respirologists, registered nurses, registered dietitians, registered pharmacists and pulmonary technologists who can assist you.
By meeting with our asthma clinic team, you will learn more about your condition. It is our hope that this information will help you better manage your care and feel better.
During your initial visit you will meet with the members of our team and several diagnostic tests such as blood work, chest X-ray and pulmonary function may be completed. Please note that your initial appointment will take approximately two hours.
- The clinic is located on the first floor of the Glendale wing and runs Thursdays from 8:00 a.m. to 11:30 a.m.
All patients need to be referred to this clinic by their family physician or St. Joe’s specialist. Patients will then be contacted by the registration office to book an appointment.
The clinic is managed by a registered pharmacist with the support of a haematologist.
Our services include:
- Patient assessments
- Review of current medications, over-the-counter medications, herbal products and supplements to check for possible drug interactions
- Ongoing patient education
- Monitoring of laboratory results
- Dosage adjustments as necessary
- Communication with family physician and/or specialist
On every visit, the pharmacist will ask you for your health and medical history, including your eating and exercise habits. Your international normalized ratio (INR) will be tested to determine how long it takes for your blood to clot. The pharmacist will then discuss the results and any warfarin (Coumadin®) dosage adjustments if it is necessary. Since everyone responds differently, more frequent visits may be needed to determine the correct dosage of warfarin (Coumadin®) for you. Once the dosage has been stabilized, patients will be transitioned back to their family doctors.
- The Anticoagulation Clinic is located on the ground floor of the Glendale wing and runs Monday to Friday from 8:00 a.m. to 11:30 a.m.
Cardiology Follow-up Clinic
Our cardiologists are able to assess, diagnose and treat cardiac-related issues including atrial fibrillation, congestive heart failure and hypertension. Patients requiring care can be referred by their family doctor. Once a referral is received, an appointment will be booked in the next available clinic time.
- The clinics are located on the ground and first floors (area F) of the Glendale wing. Clinics are held on
- Mondays, Thursdays and Fridays from 9:00 a.m. to 12:00 p.m.
- Tuesdays and Wednesdays from 12:30 p.m. 3:30 p.m.
Chest/ Respiratory Clinic
Respirologists are medical doctors who have specialized in the diagnosis of lung diseases such as asthma, chronic obstructive pulmonary disease (emphysema) or pneumonia. In the clinic, respirologists perform tests to check how well a person is breathing. Pulmonary function testing can be performed within the clinic or the respirologist may refer you to the respiratory lab for further pulmonary testing. You may also see a respirologist for assessment of sleep apnea. Assessment, follow-up and management post sleep study can be arranged through the Chest Clinic.
- The clinic is located on the rirst floor of the Glendale wing and runs Fridays from 8:00 a.m. to 11:30 a.m.
St. Joseph’s Health Centre has made changes to the referral criteria for our chiropody services so we can better meet the needs of patients with acute high-risk foot disease.
Our chiropody services focus on the diagnosis, treatment and prevention of acute disorders of the foot to patients at a high-risk for ulcerations, infections and amputations.
Physicians interested in referring their patients can call the Ambulatory Care Centre for a copy of our chiropody services referral form at 416-530-6043.
- The Chiropody Clinic is located at ground floor of the Glendale wing and runs:
- Mondays from 12:00 p.m. to 4:00 p.m.
- Wednesdays and Thursdays from 8:00 a.m. to 4:00 p.m.
Colposcopy is a diagnostic procedure allowing close examination of the cervix, vagina and vulva for signs of disease and usually is required after an abnormal screen (pap) test or other observed abnormalities. Colposcopy services are provided to educate patients regarding abnormal pap tests, investigate these abnormalities and treat cervical dysplasia. The Colposcopy clinic is staffed by a team of gynecologists and nurses.
- The clinic is located on the first floor of the Glendale wing, and runs:
- Mondays from 12:30 p.m. to 3:30 p.m.
- Wednesdays from 8:00 a.m.to 3:30 p.m.
- Thursdays and Fridays from 8:00 a.m. to 11:30 a.m.
A dental surgeon provides on-site dental treatment to individuals who may have underlying medical condition. This service is covered by OHIP. Patients are seen on a referral basis only.
- The clinic is located on the ground floor of the Glendale wing and runs Tuesdays from 7:00 a.m. to 11:00 a.m.
This clinic is staffed by a dermatologist and focuses on the assessment and management of a spectrum of common and rare skin conditions including acne, psoriasis, eczema, rosacea, benign lesions, nail infections, skin cancer as well as other less common skin, nail and hair diseases.
- The clinic is located on the ground floor of the Glendale wing and runs Monday and Tuesday from 8 a.m. to 11 a.m. and Thursday from 8 a.m. to 3 p.m.
Diabetes Education Program
Our diabetes education team in the Ambulatory Care Centre provides adults, their families and caregivers with diabetes education aimed at effective self-management. The diabetes education program services the population of West Toronto which includes various ethno-culturally specific groups, as well as individuals living with both diabetes and mental illness. Through relevant, culturally-sensitive diabetes services and education programming we are working to help our population achieve effective self-management.
Education is for everyone
Our programs are available to individuals over the age of 18 who have type 1 diabetes, type 2 diabetes, gestational diabetes or prediabetes. Our programs are designed to teach you about the benefits of a healthy lifestyle, including healthy eating, keeping active and how medications can have a positive impact on prevention of long term complications.
- Individual assessment to identify diabetes self-management and learning needs
- Individual appointments with diabetes nurse educators and registered dietitians
- Group sessions
- Self-glucose monitoring
- Insulin initiation education
- Insulin pump program
- Interpreter services
To make an appointment:
We require a referral from your doctor faxed to 416-530-6050.
Before attending your appointment, please remember to bring the following:
- All of your medications
- Your logbook and glucose meter
- A copy or your most recent blood work with HbA1c results
Family members and caregivers are welcome to attend appointments and classes.
The clinic accepts referrals for patients seeking treatment for hormonal diseases including thyroid disease, lipid disorders, and disorders of other organs such as the pituitary, parathyroid and adrenal glands. Our endocrinologists are skilled in the detection and management of conditions that impact patient’s lives. Our specialists will work with you to find the treatment option that is ideal for you.
Note: Patients requiring diabetes management should be referred to the Diabetes Clinic or Diabetes Education Program.
- The clinic is located on the ground floor of the Glendale wing and runs Wednesdays from 8:00 a.m. to 11:00 a.m.
Ear, Nose & Throat (ENT) Clinic
The clinic is run by an otolaryngologist, a physician specializing in the assessment and treatment of disorders of ears (hearing and balance) the nose (nasal and sinus diseases) and the pharynx (throat). Patients with concerns in any of these areas are thoroughly assessed and any required diagnostic testing and follow-up and treatment is arranged.
- The clinic is located on the first floor of the Glendale wing (Area F) and runs Monday and Fridays from 8:00 a.m. to 11:00 a.m.
Elderly Community Health Services (ECHS)
One of the most highly-regarded geriatric programs in Toronto, our Elderly Community Health Services (ECHS) provides outpatient assessment, health promotion and illness prevention for the elderly, with the aim of assisting patients and families to manage the challenges associated with aging.
The team supports patients 65 years and older to remain at home. We provide initial and follow-up assessments, health education, consultation, diagnosis of dementia including Alzheimer’s Disease, treatment and assistance in planning for the future.
Our interprofessional team includes geriatricians, social workers, a geriatric psychiatrist, a nurse, a physiotherapist, a speech/language pathologist, an occupational therapist. Our multicultural staff speak several languages and on-site interpretation is available as required.
ECHS services offered:
- Comprehensive medical, cognitive and functional examination and health screening on a regular basis.
- Specialized treatment programs streamlined to the needs of the elderly.
- Up-to-date information and resources on management of elderly people living at home.
- Expert consultation and support to families and caregivers who require assistance with caring for frail elderly people living at home.
- Personalized information to the elderly and their families requiring assistance with planning and selecting appropriate accommodation in the community.
- Referrals to other services will be provided as needed.
Clients are seen on a medical referral basis only. We arrange referrals to community resources such as home supports and residential options.
The Department of Ophthalmology at St. Joe’s provides services for approximately 4,000 patient visits annually through the fully staffed on-site Eye Clinic. The clinic is equipped with laser therapeutic technology as well as a minor operatory for oculoplastic surgical cases. The department performs approximately 1,500 cataract surgeries per year as well as strabismus and glaucoma cases. The members include comprehensive general ophthalmologists and specialists in pediatrics, glaucoma, retina and uveitis.
The clinic provides quality foot care assessment and treatment including: arthritic joints, Morton’s neuroma, bunions, plantar fasciitis, calcaneous spurs and foot ulcers. Our pedorthist specializes in modifying footwear and supportive devices, fitting and modifying foot appliances and footwear and in alleviating painful or debilitating conditions of the lower limb and accommodation of foot deformities.
The clinic is staffed by an orthopedic surgeon, two registered nurses and one pedorthist.
- The clinic is located on the first floor of the Glendale wing (Area F) and runs Tuesdays from 8:00 a.m. to 3:30 p.m.
General Internal Medicine Clinic
We accept referrals for the management of patients with complex or multifactorial medical conditions. The clinic is staffed by internal medicine specialists who have sound knowledge and clinical expertise in caring for adults with a broad spectrum of complex medical needs.
- The clinic is located on the ground floorof the Glendale wing and runs Mondays and Wednesdays from 12:30 p.m. to 3:30 p.m.
Haematology Clinic (benign)
Services are provided by a team of heamatologists who treat a wide spectrum of blood diseases. Some of these conditions are benign, meaning they can be resolved through therapy. Some of them are chronic and may be lifelong, which include anemia due to chronic disease, iron deficiency anemia, idiopathic thrombocytopenia (ITP) low blood counts, hemophilia, blood clots, etc.
- The clinic is located on the ground floor of the Glendale wing and runs:
- Tuesdays from 12:30 p.m. to 3:30 p.m.
- Thursdays from 8:30 a.m. to 11:30 a.m.
Heart Failure Clinic
Heart failure is a common medical condition affecting more than 400,000 Canadians. Today, heart failure can be well managed, especially if you take an active part in your care. The heart failure team provides a series of educational classes for patients and their families to better understand the condition and decrease the need for hospitalization.
The interprofessional team assesses and recommends treatment for patients diagnosed with heart failure. The team is composed of the following health professionals:
- Registered nurse
- Registered dietitian
- Registered pharmacist
- Social worker
During your initial visit you will meet with the members of our Heart Failure Clinic team. Please note that the first appointment may last up to three hours during which time several diagnostic tests may be performed, such as blood tests, an electrocardiogram, an echocardiogram and a chest X-ray. A series of education classes will be provided to help you better understand your situation. Your family is also welcome to attend these classes.
- The clinic located on the first floor of the Glendale wing and runs Monday, Wednesday and Thursday from 12:30 p.m. to 4:00 p.m..
Infectious Disease Clinic
This clinic is staffed by physicians specialized in infectious diseases who treat a variety of patients for conditions such as tuberculosis, bone and joint infections, skin and soft tissue infections, wound infections, sexually transmitted diseases and fungal infections .
- The clinic is located on the ground and first floor of the Glendale wing (Area F) and runs:
- Monday from 8:00 a.m. to 3:30 p.m.
- Thursday from 8:00 a.m. to 11:30 a.m.
Intravenous (IV) Clinic
Patients are referred to this clinic as part of the care they receive with one of our specialists.
- The clinic is located on the ground floor of the Glendale wing and runs:
- Mondays, Wednesdays and Thursdays from 7:30 a.m. to 3:30 p.m.,
- Tuesdays and Fridays from 7:30 a.m. to 11:30 a.m.
Medical Urgent Care Clinic
Patients are referred to this clinic by our own Emergency Department only.
Our specialists staffing this clinic will assess, diagnose and treat patients’ kidney functions on a regular basis in order to slow its progression and delay the need for treatment such as dialysis.
Please note: Patients with an advanced kidney disease or a serum creatinine level greater than 180 and BFR between 33 and 59 should be referred to the Renal Management Clinic.
- The Nephrology Clinic is located on the ground floor of the Glendale wing and runs Thursdays from 12:30 p.m. to 3:30 p.m.
Neurology Follow-up Clinic
The clinic is staffed by a specialist in disorders of the nervous system, including the brain. The clinic provides assessments and consultations for problems that include seizure disorders, headaches, stroke, neuromuscular disorders and Parkinson’s disease.
- The clinic is located on the ground and first floors of the Glendale wing and runs:
- Tuesdays and Thursdays from 8:30 a.m. to 11:30 a.m.
- Wednesdays and Fridays from 12:30 p.m. to 3:30 p.m.
COPE (Osteoporosis) Clinic
Osteoporosis is a chronic condition characterized by a low bone mass and deterioration of the bone tissue, causing bones to become thin and weak. The team assesses and tests patients who have been diagnosed with osteoporosis to optimize treatment and self-management to maintain bone health and preventing fractures.
The COPE clinic is staffed by a team of endocrinologists and a dietitian specializing in care of patients diagnosed with osteoporosis.
- The clinic is located on the ground floor of the Glendale wing and runs Wednesdays and Thursdays from 8:30 a.m. to 11:30 a.m.
The Pacemaker Clinic is an outpatient clinic that provides education and follow-up for patients with implanted pacemakers to ensure safe and proper function. Pacemaker appointments are typically scheduled every six months. At each scheduled visit, your pacemaker will be checked by a device certified technologist and reviewed by a cardiologist.
The Pacemaker Clinic is open from Monday to Friday from 8:00 a.m. to 4:00 p.m. Pacemaker implantation and pack changes can be arranged through the clinic and are done at St. Joe’s in the main operating room.
Referrals for implant can be faxed to 416-530-6702 with attention to Pace Maker Clinic. Transfer of pacemaker follow-up requests can be faxed to the above number with attention to the pacemaker clinic.
To contact the clinic directly please call 416-530-6325.
Plastic Surgery Clinic
Our dedicated team of health professionals will provide assessment and treatment for a wide range of issues, specializing in hand-related injuries. Our hand therapy program provides assessment and treatment of hand conditions, including tendon and nerve lacerations, fractures and crush injuries. Our hand therapists fabricate custom hand splints. The Plastic Surgery Clinic is staffed by a team of plastic surgeons, nurses, a physiotherapist and occupational therapist.
- The clinic is located on the Ground floor, Glendale Wing, and runs Tuesday and Friday from 12:30 p.m. to 3:30 p.m.
Respiratory Syncytical Virus Clinic
What is Respiratory Syncytial Virus (RSV)?
RSV is a common virus. In most people RSV causes a mild illness such as a cold, however, RSV can make some newborns and young children very sick. RSV spreads easily from person to person by contact or when someone coughs or sneezes. The virus can live on hands and objects for up to six hours. The first signs of RSV are runny nose, fever and sneezing. The more serious signs are a bad cough, trouble breathing and fast breathing.
The RSV Clinic and Prophylaxis Program
The Pediatric Outpatient Clinic for RSV prophylaxis immunization currently has Wednesday clinics during RSV season (generally November to April) to service the approved paediatric patients referred by the NICU, family physicians and paediatricians within St. Joe’s catchment area.
Ontario’s RSV Prophylaxis for Infants Program is a Ministry-managed program under the Ontario Public Drug Programs (OPDP) Division of the Ministry of Health and Long-Term Care.
For paediatric patients meeting the eligibility criteria for the Ministry-managed program, prophylactic treatment is provided in the form of monthly injections of Synagis (Palizumab), an anti-viral drug.
Eligible infants include all babies born before 33 weeks gestation and less than six months old at the beginning of or during the RSV season, and some babies born between 33-35 weeks who are less than six months old at the beginning of the RSV season and are assessed as being moderate to high risk. Other children under two years of age with a diagnosis of chronic lung disease (CLD), bronchopulmonary dysplasia (BPD), Down’s Syndrome, congenital heart disease, cystic fibrosis or other neuromuscular disorders may also qualify.
For more information about this government-funded drug program and referral forms visit www.health.gov.on.ca/en/pro/programs/drugs/funded_drug/fund_respiratory.aspx (opens in new tab).
What should you bring to the clinic?
- Your child’s health card.
- Any questions you may have.
How to refer?
Jody Kew, R.N
Phone: (416) 530-6486 ext. 4406 (press 2)
Staffed by physician specialists in rheumatology, we provide care for patients with a wide variety of rheumatic diseases including rheumatoid arthritis, psoriatic arthritis, ankylosing, spondylitis and other seronegative arthritis such as gout, scleroderma, polymyositis and various types of vasculitis.
- The clinic is located on the first floor of the Glendale wing (Area F) and runs Fridays from 12:30 p.m. to 3:30 p.m.
St. Joseph’s Health Centre provides sleep study testing. Typical symptoms of a sleep disorder are tiredness during the day, snoring at night, frequent headaches, dry mouth when you wake up, sleepiness after lunch, restless legs that keep you awake at night and insomnia.
Patients who are referred by their doctor, come in for their appointment at approximately 7:30 p.m. at night. They will be met by a sleep technologist who will explain the procedure and prepare the patient.
All we ask is that you bring comfortable bed clothing to wear, a favorite pillow and if you like a snack before bed, you may bring that too. Patients are woken around 6:00 a.m. and are able to leave shortly thereafter.
If you have any questions regarding the sleep lab, call our office at 416-530-6000 ext. 4599.
The clinic is staffed by a team of urologists who assess and treat diverse diseases of the urinary tract including the kidneys, bladder, genitals and prostate. These include health problems such as kidney stones, urinary incontinence, bladder dysfunction, prostate disease/cancer or bladder cancer.
- The clinic is located on the first floor of the Glendale wing (Area F) and runs Monday, Tuesday and Wednesday from 8:00 a.m. to 11:30 a.m.
The team provides preventative care, treatment and management for a variety of acute and chronic wounds within an outpatient clinic.
The clinic is staffed by a dermatologist and nurses specializing in wound care. The team works collaboratively with the Community Care Access Centres (CCAC) to provide on-going care for patients in need.
- The clinic is located on the first floor of the Glendale wing (Area F) and runs on Mondays from 8:00 a.m. to 3:30 p.m.