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Healthy Babies Healthy Children Referral Form for Service Providers

Entry stage
Name of parent or caregiver(Required)
Address(Required)
Prenatal due date (if applicable)
Name of youngest child (if applicable)
Youngest child's date of birth
Name of other child (if applicable)
Other child's date of birth
Reason(s) for referral(Required)
Client consents to being contacted by a Public Health Nurse(Required)
Only clients that provide their consent will be contacted by a public health nurse
Referred by(Required)
This field is for validation purposes and should be left unchanged.

What's Happening Soon

View Our Calendar

Pembroke Let's Grow with Immunization

BY APPOINTMENT ONLY - Call RCDHU's Family Health Intake Line at 613-735-9774

141 Lake St, Pembroke, ON K8A 5L8, Canada

October 21, 2025

1:00 PM - 4:00 PM

Immunization Clinic - COVID-19, Flu & Adult RSV Vaccines

Immunization Clinic - COVID-19, flu & adult RSV vaccines for older adults and high-risk Populations.In order to book an appointment, visit this link: COVID-19, Flu and Adult RSV Vaccine Booking System.

myFM Centre, 1 Ma Te Way Park Dr, Renfrew, ON K7V 4J4, Canada

October 21, 2025

1:00 PM - 4:00 PM

Outreach - Eganville Food Bank

165 John St, Eganville, ON K0J 1T0, Canada

October 22, 2025

9:30 AM - 12:00 PM

Arnprior Let's Grow with Immunization

BY APPOINTMENT ONLY –Call RCDHU’s Immunization line at 613-732-9436

16 Edward St S suite 130 Arnprior, ON K7S 3W4, Canada

October 22, 2025

10:15 AM - 3:00 PM

Pembroke Office

141 Lake Street, Pembroke, Ontario K8A 5L8

Phone: 613-732-3629
Toll Free: 1-800-267-1097
Fax: 613-735-3067

Hours of Operation
Monday to Friday, 8 a.m. - 4 p.m.

Renfrew Service Hub (By Appointment Only)

120 Plaunt Street South, Renfrew, Ontario, K7V 1M5

Services offered by appointment only.

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If you require an alternative accessible format or assistance accessing information on this page, please contact us at contact@rcdhu.com or 613-732-3629.

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