Family Medicine › Chronic care

Long-term conditions, steadily managed.

Diabetes, blood pressure, asthma, thyroid, heart and kidney. One doctor who knows your history, bloodwork and ECG down the hall, and a plan that gets adjusted rather than restarted.

Book a review Register as a new patient

OHIP-insured. Bring every medication and supplement to the first visit.

Physician reviewing a care plan with a patient

Same doctor every visitBloodwork and ECG on siteTiếng Việt spoken

What are you managing?

Pick a condition to see how we follow it.

How often we meet, what gets checked, what to bring and what is covered.

A1c every 3 monthsFoot checkEye referral

Steady numbers, fewer surprises.

A1c and kidney bloodwork drawn here every three to six months, blood pressure and cholesterol managed alongside, feet checked yearly, eye exam referral arranged. Medication is adjusted in small steps and explained each time. Pharmacist review available for complex regimens.

VisitsEvery 3 months, 20 minutes

BloodworkA1c, kidney, lipids, on site

CoverageOHIP; test strips through ODB or your plan

AlsoDiabetes education referral

Book a diabetes review Know your numbers ›

The rhythm

A plan that is adjusted, not restarted.

Recall reminders come from us. You should never have to remember when your next bloodwork is due.

First visitFull pictureHistory, every medication, bloodwork and ECG on site. We agree on targets and how often to meet.

Every 3 to 6 monthsReview visitNumbers checked against targets, medication adjusted in small steps, one thing to work on until next time.

Between visitsRecall and refillsBloodwork reminders before the visit so results are ready. Refills without a visit when you are stable.

YearlyAnnual reviewVaccines, screening, feet, eyes, kidneys and a fresh look at whether the plan still fits your life.

Not sure which you need?

Chronic care and the Pain Centre are different doors.

They share one chart and one hallway. Start with your family doctor if unsure.

Chronic care isLong-term management of a condition: diabetes, blood pressure, asthma, thyroid, heart, kidney. Your family doctor, ongoing, OHIP.

This page ›

The Pain Centre isProcedures for pain itself: image-guided injections, nerve blocks, medication review. A pain physician, by referral, OHIP for most procedures.

Pain Centre ›

Both, ifYou have chronic back or joint pain alongside another condition. Your family doctor refers down the hall and keeps the rest of the plan. One chart.

How referrals work ›

Questions about chronic care.

Ask anything else at your visit. Longer appointments are available for complex care.

Every three to six months once stable, more often when starting or changing medication. Bloodwork is timed the week before so results are ready.

Bring every bottle. We will sort the rest.

A first chronic care visit is 30 minutes. Medications reconciled, bloodwork and ECG done on the way out, targets agreed before you leave.

Book a first visit Bloodwork and ECG on site ›