Department Impact/utilization forms Pricing and Fees Contact CardioPulmonary Services Ginette Greffe-Laliberté, RRT, RRCP Chief of Respiratory Therapy Cardiopulmonary Services 1301 Eye Institute, Mailbox 123 General Campus Phone: 613-737-8258 Fax: 613-737-8074 Email: greffelaliberte@ottawahospital.on.ca Clinical Investigation Unit Dr. Bill Cameron - Acting Medical Director – Phone: 613-737-8523 Email: bcameron@ohri.ca Isabelle Seguin Phone: 613-737-8811 Email: iseguin@ottawahospital.on.ca Data Warehouse/Performance Measures Deanna Rothwell Manager Performance Measurement, Innovation Phone: 613-798-5555 x 19231 Email: drothwell@ohri.ca Data requests: datarequest@toh.on.ca $70/hr Tri-Campus Corporate Modality Managers Caroline Mimeault - General Radiography Phone: 613-737-8899 ext. 78570 Email: cmimeault@toh.on.ca Department of Medical Imaging Research Summary for Department of Medical Imaging Service Requests (.pdf, .doc) Industry and Grant Funded PDF Kathy Knight - Nuclear Medicine & Ultrasound Phone: 613-737-8899 ext. 78129 Email: kknight@toh.on.ca Paul Healey - Angiography, CT & MRI Phone: 613-798-5555 ext. 16143 Email: phealey@toh.on.ca Sue Domina - Breast Imaging, Neurodiagnostics, & Sleep Lab Phone: 613-798-5555 ext. 17446 Email: sdomina@toh.on.ca Eastern Ontario Regional Laboratory Association (EORLA) For Protocol Review and costing, forward the Protocol and Lab Impact forms to Carol-Ann Jodouin Carol-Ann Jodouin Corporate Manager, Clinical Research Civic and General Campus EORLA/ALREO Site Phone: 613-737-8899 ext. 79010 (General) 613-798-5555 ext. 16038 (Civic) Fax: 613-761-5401 (Civic) Email: cjodouin@ottawahospital.on.ca Emergency Department Angela Marcantonio Department of Emergency Medicine Research Facilitator Ottawa Hospital Research Institute Civic Campus Tel: 613-798-5555 x17469 Fax: 613-761-5351 Email: amarcantonio@ohri.ca Health Records Cynthia Penner Corporate Manager, Coding & Abstracting / CCA / Clinical Information Phone: 613-737-8899 ext. 78376 (General) FAX: 613-737-8217 (General) Email: cpenner@toh.on.ca Heath Records Email request to dms@ohri.ca for impact and pricing Methods Centre / Data Management Services Data Management Services Email: dms@ohri.ca Website http://dms.ohri.ca Dong Vo Phone:(613) 737-8899 x 73804 Jodi Peters Or 79842 Nutrition and Food Services Kevin Peters Director Nutrition and Food Services The Ottawa Hospital. (613) 798-5555 ext 16703 Obstetrics and Gynecology Impact Form Ruth White Clinical Research Program Manager Department of Obstetrics, Gynecology and Newborn Care Phone: 613-737-8663 Email: rwhite@ohri.ca Ophthalmology Impact form .doc Research Requisition .doc Mélanie R. Lalonde, PhD, CCRP Vision Program Manager University of Ottawa Eye Institute, The Ottawa Hospital Phone:613-737-8519 Fax: 613-739-6970 Email: mlalonde@ohri.ca Ottawa Hospital Radiation Safety Committee Approval flow chart (.pdf) ADM XII 105 Research Projects w-Nuclear Substances or Radiation Emitting Devices Involving HUMANS (.doc, .pdf) Contact Persons Dosimetry Human Studies (.doc, .pdf) Human Studies $200 Start-up Fee Dr. Laurent Dinh Phone: 613-737-8528 ext. 78528 Email: LDINH@ottawahospital.on.ca Submission Cmtee Deadlines (.doc, .pdf) Radiation Dosimetry References Human Studies December (.doc, .pdf) Radiation Safety Form (.doc, .pdf ) General Campus: Celine Corman Phone: 613-737-8899 ext. 72863 Fax: 613-737-8891 Email: CCORMAN@toh.on.ca or Anne Marie Dugal Phone: 613-737-8970 Fax: 613-739-6834 Email: amdugal@toh.on.ca Research Fees Memo (.doc, .pdf) Pharmacy Study Support Fees Pharmacy Study Support Fees 20122015 Peer Reviewed Studies (.doc, .pdf) Support Fees 20122015 IndustrySponsored Studies (.doc, .pdf) Industry Funded PDF Grant Funded PDF Riverside Campus: Celine Corman Phone: 613-737-8899 ext. 72863 Fax: 613-737-8891 Email: CCORMAN@toh.on.ca Civic Campus: Sherry Weir Phone: 613-798-5555 ext. 16772 Fax: 613-761-4350 Email: sweir@toh.on.ca or Jane Mackenzie Phone: 613-798-5555 ext. 16154 Fax: 613-761-4350 Email: jmackenzie@toh.on.ca Request for Pharmacy Services (.doc, .pdf) Space Planning & Management Kim Adams Director of Administration, OHRI Phone: 613-798-5555 ext. 16810 Email: kadams@ohri.ca TOH Nursing Kathy Momtahan Corporate Coordinator Nursing Research and Associate Clinical Investigator Nursing Professional Practice Department Phone: 613-798-5555, ext. 16035 Email: kmomtahan@ottawahospital.on.ca UOHI Appendix A Clinical Services Impact Form Impact Form $250 donation to the Nursing Education Fund is appropriate. Heather Sherrard, VP Clinical Services (alternate in her absence: Sharon Ann Kearns) Room H2408 Phone: 613-761-4700 Fax: 613-761-5323 UOHI Appendix B Diagnostic Services UOHI Cardiac Catheterization Impact Form Mary Dalipaj, Director Cardiac Imaging Room H1214 Phone: 613-761-5474 Fax: 613-761-5342 Email: MDalipaj@ottawaheart.ca Dr. Marino Labinaz, Medical Director, Cath Lab Room H1264A Phone: 613-761-5427 Email: MLabinaz@ottawaheart.ca