Skip content
Welcome to Erie Shores HealthCare's Website
Æ
Font Size:
a
a
Search:
Connect with us
About Us
Senior Leadership Team
Mission, Vision and Values
Board of Directors
Strategic Plan
Public Reporting and Accountability
Accessibility
Accessibility Compliance Report
Freedom of Information
Hospital Service Accountability Agreement
Quality Improvement Plan
Financial Statements
BPSO Attestation
Executive Contracts
Executive Salary Disclosure
Executive Reimbursement
Energy Conservation and Demand Management (CDM) Plan
Annual Reports
History of ESHC
Departments & Services
A-Z Listing
Windsor-Essex County COVID Response Team
Emergency Department
ED Wait Times
Ambulatory Care
Outpatient Clinic
CT Scan
Ultrasound
Nuclear Medicine
Cardiopulmonary Program
Stress Test
ECG
Respiratory Services
Diagnostic Imaging & Therapeutic Services
Ontarion Breast Screening Program
Family and Hospitalist Medicine
Intensive Care Unit
Internal Medicine
Laboratory Services
Maternal Newborn Program
Operative and Surgical Services
Orthopedics
Pharmacy Services
Rehabilitative Program
Patient & Visitors
Patient and Visitors
Patient Safety
Declaration of Patient Values
Patient Family Advisory Council
Patient Representative
Parking
Visitor Hours
Infection Control & Prevention
Send an E-Card
Tell Us What You Think
Virtual Family Visit Request
ESH Foundation
ESHF Website
Donate Now
Join Our Team
Job Opportunities
COVID-19 Vaccine
Intent to Travel
Become a Volunteer
Student Opportunities
Contact Us
How to Find Us?
Address and Telephone Numbers
Search:
About Us
Senior Leadership Team
Mission, Vision and Values
Board of Directors
Strategic Plan
Public Reporting and Accountability
Accessibility
Accessibility Compliance Report
Freedom of Information
Hospital Service Accountability Agreement
Quality Improvement Plan
Financial Statements
BPSO Attestation
Executive Contracts
Executive Salary Disclosure
Executive Reimbursement
Energy Conservation and Demand Management (CDM) Plan
Annual Reports
History of ESHC
Departments & Services
A-Z Listing
Windsor-Essex County COVID Response Team
Emergency Department
ED Wait Times
Ambulatory Care
Outpatient Clinic
CT Scan
Ultrasound
Nuclear Medicine
Cardiopulmonary Program
Stress Test
ECG
Respiratory Services
Diagnostic Imaging & Therapeutic Services
Ontarion Breast Screening Program
Family and Hospitalist Medicine
Intensive Care Unit
Internal Medicine
Laboratory Services
Maternal Newborn Program
Operative and Surgical Services
Orthopedics
Pharmacy Services
Rehabilitative Program
Patient & Visitors
Patient and Visitors
Patient Safety
Declaration of Patient Values
Patient Family Advisory Council
Patient Representative
Parking
Visitor Hours
Infection Control & Prevention
Send an E-Card
Tell Us What You Think
Virtual Family Visit Request
ESH Foundation
ESHF Website
Donate Now
Join Our Team
Job Opportunities
COVID-19 Vaccine
Intent to Travel
Become a Volunteer
Student Opportunities
Contact Us
How to Find Us?
Address and Telephone Numbers
Home
Windsor-Essex County COVID Response Team
Windsor-Essex County COVID Response Team
Windsor-Essex County COVID Response Team
Please note: This form is for
GROUP TESTING.
Details on individual testing can be found here.
This referral is for: (choose one):
This referral is for: (choose one)
Long Term Care
Retirement Home
Assisted Living
Congregate Care
School
Agrifarm
Packing plant
Hospital
Other
Please specify (other):
*
Organization name:
*
Primary Contact Name:
*
Primary Contact Number::
ext.
*
Primary contact Email:
*
What do you require?:
What do you require?
COVID-19 Testing
Health Assessments
Health and Human Resources Assessment
*
How many employees need the above?:
*
How many of the above are symptomatic?:
*
Do you have the capabilities for administrative support (health card numbers, labels, organizational support the day of)?:
*
Do you have someone who can work with our team the day of?:
*
Does the site have an indoor room that is or will be sanitized to perform the requested task(s)?:
We are processing your submission.
Please do not press back or refresh.