Intake

We Welcome You

NBIH welcomes you and your family! Our intake process is the first step in accessing services through the hub, ensuring a smooth connection with the most appropriate clinician for your or your family member’s needs. As a patient with NBIH, you will have access to interprofessional healthcare providers, collaborating with our traditional health and healing team to provide comprehensive, client-centered care that prioritizes your health and healing.

When you join the NBIH, you enter a circle of care, where you have the right to culturally safe and informed services, supporting your health and wellness on physical, mental, emotional, and spiritual levels. Upon contacting us, we will provide you with our intake form. Once we receive your completed intake form, you will be added to a waitlist. When your turn comes, someone will give you a call to book your initial appointment.

During your first visit, you will have an intake appointment to discuss your current health status. We will collect additional information to guide the most appropriate care pathway for you and/or your family. Proof of lineage may be required to confirm eligibility for service.

What to Expect at Your Intake Appointment

Please bring the following to your intake appointment:

  • Your health card.
  • Proof of Indigenous lineage (e.g., status card, Métis/Inuit registration).
  • A list or print-out of current medications, including traditional medicines, supplements, and over-the-counter medications.

We will review the intake form together and address any concerns. The intake appointment may last up to an hour, depending on your needs, and will focus on getting to know you and your story to ensure we provide the best possible service.

We recognize that our intake form is comprehensive. Your privacy is respected, and our process is delivered in a culturally safe and confidential manner. The information collected during the intake process helps us provide the best care and supports our advocacy work for future possibilities. While it’s appreciated, you are not obligated to answer every question on the form. You can skip questions or select “prefer not to answer,” and you will still receive the same culturally safe, high-quality care.

Self-Identification

The North Bay Indigenous Hub receives funding from the Ministry of Health and Long-Term Care’s Primary Health Branch to support the Indigenous community. Please note that this funding is specifically designated for the Indigenous community only (First Nation, Métis, and Inuit). We may request proof of ancestry (e.g., membership in a First Nation or Métis Nation) to ensure that services are provided to those who meet the criteria.

Intake Forms

Please download our Intake Form, Patient Service agreement, and Electronic Communications Consent Form from the links below. After completing the forms, you can submit them either by mailing it to the North Bay Indigenous Hub at 1040 Brookes Street, North Bay, ON P1B 2N6, or by faxing it to our secure line at 705-995-2155. Please note that we do NOT accept intake forms via email.

If you do not have access to a printer, you may pick up a hard copy of the intake form at the Hub, located at 1040 Brookes Street, North Bay, ON P1B 2N6.

Once we receive your intake, you will be placed on a waiting list and someone will give you a call to book an intake appointment once it is your turn on the list.

Important: Please ensure intake forms are fully completed before submission, as incomplete forms will not be accepted.

Intake Form

DOWNLOAD

Patient Service Agreement

DOWNLOAD

Electronic Communications Consent Form

DOWNLOAD
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