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This healthcare service has 1 current healthcare service locations.
Geriatric Central Access   at
Edmonton Zone and Area
Central Access Healthcare Service
Specialty: Geriatric Medicine
Connect Care Department: EDMONTON ZONE SENIOR/GERI CAT
Estimated time to routine appointment: test
Alberta Health Services - Edmonton Zone
CENTRAL ACCESS SERVICES
This central access referral service provides a single point of entry for older adults who require a comprehensive geriatric assessment. Provides a referral service for clinicians who need to refer people to a geriatric clinic for issues.
This central access referral service provides a single point of entry for older adults who require a comprehensive geriatric assessment. Provides a referral service for clinicians who need to refer people to a geriatric clinic for issues.
ELIGIBILITY REQUIREMENTS
Service is targeted to:
  • Adults 65 and over with complex medical problems
  • Frail older adults who need a full assessment and consultation with community health professionals
  • Patients with long-term mental health diagnoses may be more appropriately referred to the Mental Health Service
EXCLUSIONS (Non-Admitted Clinic Services)
  • Patients living in a long term care facility
  • Currently referred or being followed by another service for the same issue unless clear goals provided for geriatric assessment
  • Capacity assessment 
  • Medical-Legal assessments
  • Third party assessments (immigration, WCB assessments, fitness to work, placement issues, co-signatures for PD & EPOA)
  • Primary reason for the consult is to help transition patient to Facility Living OR assessment for placement (Please refer to community care access/homecare 780-496-1300 phone 780-496-8438 fax)
  • Driving Assessment (See the Glenrose Hospital program Drivers Evaluation and Training Service (DETS) Referral Form or Driveable Program)
  • Cognitive assessments for clients < 65 with no other geriatric syndromes (refer to neurology, psychology, cognitive neurology or mental health)
  • For geriatric psychiatry/mental health guidelines: Geriatric Psychiatry Clinic
  • Primary mental health issues complete the mental health integrated referral form and submit to the programs listed on the referral form Seniors Mental Health Integrated Referral Form
  • Severe BPSD= Behavioral & Psychological Symptoms of Dementia complete the mental health integrated referral form and submit to the programs listed on the Seniors Mental Health Integrated Referral Form
  • Requests to assume/provide primary care
  • Additional opinions on an issue without a clear indication as to why a geriatric assessment is specifically needed
  • Rehabilitation or Falls programming: refer to CRIS or SROP. Referral criteria: Specialized Rehabilitation Outpatient Program (SROP) - Referral Form
  • Glenrose Inpatient assessment: please review service on Geriatrics - Inpatient Rehabilitation
  • Telehealth (see additional service details).
  • Continence Clinic Glenrose - Bowel and Bladder Continence Referral Form
Service is targeted to:
  • Adults 65 and over with complex medical problems
  • Frail older adults who need a full assessment and consultation with community health professionals
  • Patients with long-term mental health diagnoses may be more appropriately referred to the Mental Health Service
EXCLUSIONS (Non-Admitted Clinic Services)
  • Patients living in a long term care facility
  • Currently referred or being followed by another service for the same issue unless clear goals provided for geriatric assessment
  • Capacity assessment 
  • Medical-Legal assessments
  • Third party assessments (immigration, WCB assessments, fitness to work, placement issues, co-signatures for PD & EPOA)
  • Primary reason for the consult is to help transition patient to Facility Living OR assessment for placement (Please refer to community care access/homecare 780-496-1300 phone 780-496-8438 fax)
  • Driving Assessment (See the Glenrose Hospital program Drivers Evaluation and Training Service (DETS) Referral Form or Driveable Program)
  • Cognitive assessments for clients < 65 with no other geriatric syndromes (refer to neurology, psychology, cognitive neurology or mental health)
  • For geriatric psychiatry/mental health guidelines: Geriatric Psychiatry Clinic
  • Primary mental health issues complete the mental health integrated referral form and submit to the programs listed on the referral form Seniors Mental Health Integrated Referral Form
  • Severe BPSD= Behavioral & Psychological Symptoms of Dementia complete the mental health integrated referral form and submit to the programs listed on the Seniors Mental Health Integrated Referral Form
  • Requests to assume/provide primary care
  • Additional opinions on an issue without a clear indication as to why a geriatric assessment is specifically needed
  • Rehabilitation or Falls programming: refer to CRIS or SROP. Referral criteria: Specialized Rehabilitation Outpatient Program (SROP) - Referral Form
  • Glenrose Inpatient assessment: please review service on Geriatrics - Inpatient Rehabilitation
  • Telehealth (see additional service details).
  • Continence Clinic Glenrose - Bowel and Bladder Continence Referral Form
Referral instructions for primary care, community care, private
providers etc. who do not send referrals via Connect Care.
REFERRAL PROCESS - FOR NON-CONNECT CARE USERS
Referral must be signed or authorized by a physician or nurse practitioner.
Complete the referral form and a referral letter and send it to the service using the contact information in this profile.
Use QURE Digital referral checklist for referrence.

For Complex Preoperative Assessment of adults aged 50 years and over with complex medical needs being considered for surgical intervention.
  • Fax a completed Specialized Geriatric Outpatient Referral form and under service "other", indicate request for Preoperative evaluation and include in the comments: 
    • Type of surgery and date of surgery
    • Concerns (e.g. cognition/memory, frailty/strength/conditioning, continence)
    • Optimization of Medications (medications to hold/continue prior to procedure, polypharmacy).
  • Please include any other required information described in the referral guidelines below for the preoperative evaluation.  Fax to 780-735-8846 and indicate on the cover sheet, "Request for Complex Preoperative Evaluation".
GRH Outpatient Clinic staff will provide information to the referring physician regarding any preassessment work to be completed for the Preoperative Assessment. Clinic Phone #780-735-6233.
Referral must be signed or authorized by a physician or nurse practitioner.
Complete the referral form and a referral letter and send it to the service using the contact information in this profile.
Use QURE Digital referral checklist for referrence.

For Complex Preoperative Assessment of adults aged 50 years and over with complex medical needs being considered for surgical intervention.
  • Fax a completed Specialized Geriatric Outpatient Referral form and under service "other", indicate request for Preoperative evaluation and include in the comments: 
    • Type of surgery and date of surgery
    • Concerns (e.g. cognition/memory, frailty/strength/conditioning, continence)
    • Optimization of Medications (medications to hold/continue prior to procedure, polypharmacy).
  • Please include any other required information described in the referral guidelines below for the preoperative evaluation.  Fax to 780-735-8846 and indicate on the cover sheet, "Request for Complex Preoperative Evaluation".
GRH Outpatient Clinic staff will provide information to the referring physician regarding any preassessment work to be completed for the Preoperative Assessment. Clinic Phone #780-735-6233.
REFERRAL PROCESS - FOR CONNECT CARE USERS
Send an Internal Referral using the Ambulatory Referral Order to Geriatric Medicine, type EDMONTON ZONE SENIOR/GERI CAT in the “To Department” section and complete order.

Search in SmartPhrase manager "GERIMEDREFERRAL" to add yourself as a user of the SmartPhrase. This SmartPhrase contains the complete Specialized Outpatient Referral Form, and a referral letter template. Please be sure to fill both sections out completely to avoid any delay in service. 

For Complex Preoperative Assessment of adults aged 50 years and over with complex medical needs being considered for surgical intervention.
  • please complete an internal referral order to geriatrics for the department of EDM GRH GERI MEDICINE CLINIC for provider Rajabali, Naheed with the reason of Preoperative Evaluation and include in the comments:
    • Type of surgery and date of surgery
    • Concerns (e.g. cognition/memory, frailty/strength/conditioning, continence)
    • Optimization of Medications (medications to hold/continue prior to procedure, polypharmacy).
Send an Internal Referral using the Ambulatory Referral Order to Geriatric Medicine, type EDMONTON ZONE SENIOR/GERI CAT in the “To Department” section and complete order.

Search in SmartPhrase manager "GERIMEDREFERRAL" to add yourself as a user of the SmartPhrase. This SmartPhrase contains the complete Specialized Outpatient Referral Form, and a referral letter template. Please be sure to fill both sections out completely to avoid any delay in service. 

For Complex Preoperative Assessment of adults aged 50 years and over with complex medical needs being considered for surgical intervention.
  • please complete an internal referral order to geriatrics for the department of EDM GRH GERI MEDICINE CLINIC for provider Rajabali, Naheed with the reason of Preoperative Evaluation and include in the comments:
    • Type of surgery and date of surgery
    • Concerns (e.g. cognition/memory, frailty/strength/conditioning, continence)
    • Optimization of Medications (medications to hold/continue prior to procedure, polypharmacy).
COMMUNICATION PROCESS
  • Referral receipt to referring source within 7 days.
  • Acceptance via appointment details or wait list status letter to referring source and patient within 14 days.
  • Appointment outcome to referral source within 30 days.
ADDITIONAL SERVICE DETAILS
In the meantime while your patient/family are waiting for a geriatric outpatient appointment we can offer the following Community Supports:
  • Continuing Care Access: single point of entry assessment for homecare/day programs/respite care. P: 780-496-1300- family & patients may self-refer.
  • If your patient is a current Home Care patient and is in urgent need of a geriatric assessment, please contact their case manager  through 780-496-1300 to discuss in home assessment through Home Care - Care of the Elderly Physician  Program. If your patient is to be seen by this service please contact us to cancel the referral so we can avoid a duplication of services.
  • If your patient is in a supportive living facility, discuss with the facility manager if they have access to the GEM team through facility living. If your patient will be assessed by the GEM team please contact us to cancel the referral so we can avoid a duplication of services.
  • Dementia Advice line: physicians can make a referral to the Dementia Advice line through the Alberta Referral Directory for telephone support.  Family can self-refer by calling 811
Consultant Lead clinics are: Geriatric, Psychogeriatric, Rehabilitation
Allied Health and Specialist Nursing Clinics: Aged Care Assessment Teams, Incontinence, Memory clinics and Dementia Care and Parkinson's Disease in the Elderly

Dr.Rolfson's Telehealth Referrals are not booked through Central Access.
Dr.Rolfson works with Seniors Consultation Team out of Grande Prairie to provide Telehealth services for Geriatric Assessment in the Grande Prairie and surrounding area:
  • Please Contact the Grande Prairie Seniors consultation team at  phone 780-538-7510  fax 780-830-2811
  • Please find the referral form & referral criteria on Alberta Referral directory Seniors Consultation Team Queen Elizabeth II Hospital
  • Appointments for Telehealth are coordinated by staff at Kaye Edmonton Clinic. Contact 780-407-6947 for further questions.
Glenrose Geriatric Medicine Telehealth Referrals are not booked through Central Access
Dr Triscott provides works with community physicians in Northern Alberta, Fort McMurray, Fort Chipewyan and Yellowknife
  • Please fax the completed Specialized Geriatric outpatient referral form  under service "other" indicate request for Telehealth.  Fax to 780-735-8873 along with fax cover  identifying that the request is for a geriatric medicine Telehealth appointment.
  • Glenrose outpatient clinic staff will provide information to the referring provider regarding the pre-assessment work to be completed for Telehealth assessment.  Appointments for Telehealth are coordinated by the staff at the Glenrose Outpatient clinic call 780-735-8880.
In the meantime while your patient/family are waiting for a geriatric outpatient appointment we can offer the following Community Supports:
  • Continuing Care Access: single point of entry assessment for homecare/day programs/respite care. P: 780-496-1300- family & patients may self-refer.
  • If your patient is a current Home Care patient and is in urgent need of a geriatric assessment, please contact their case manager  through 780-496-1300 to discuss in home assessment through Home Care - Care of the Elderly Physician  Program. If your patient is to be seen by this service please contact us to cancel the referral so we can avoid a duplication of services.
  • If your patient is in a supportive living facility, discuss with the facility manager if they have access to the GEM team through facility living. If your patient will be assessed by the GEM team please contact us to cancel the referral so we can avoid a duplication of services.
  • Dementia Advice line: physicians can make a referral to the Dementia Advice line through the Alberta Referral Directory for telephone support.  Family can self-refer by calling 811
Consultant Lead clinics are: Geriatric, Psychogeriatric, Rehabilitation
Allied Health and Specialist Nursing Clinics: Aged Care Assessment Teams, Incontinence, Memory clinics and Dementia Care and Parkinson's Disease in the Elderly

Dr.Rolfson's Telehealth Referrals are not booked through Central Access.
Dr.Rolfson works with Seniors Consultation Team out of Grande Prairie to provide Telehealth services for Geriatric Assessment in the Grande Prairie and surrounding area:
  • Please Contact the Grande Prairie Seniors consultation team at  phone 780-538-7510  fax 780-830-2811
  • Please find the referral form & referral criteria on Alberta Referral directory Seniors Consultation Team Queen Elizabeth II Hospital
  • Appointments for Telehealth are coordinated by staff at Kaye Edmonton Clinic. Contact 780-407-6947 for further questions.
Glenrose Geriatric Medicine Telehealth Referrals are not booked through Central Access
Dr Triscott provides works with community physicians in Northern Alberta, Fort McMurray, Fort Chipewyan and Yellowknife
  • Please fax the completed Specialized Geriatric outpatient referral form  under service "other" indicate request for Telehealth.  Fax to 780-735-8873 along with fax cover  identifying that the request is for a geriatric medicine Telehealth appointment.
  • Glenrose outpatient clinic staff will provide information to the referring provider regarding the pre-assessment work to be completed for Telehealth assessment.  Appointments for Telehealth are coordinated by the staff at the Glenrose Outpatient clinic call 780-735-8880.
 
CLICK + TO VIEW REFERRAL GUIDELINES
Routine Reason for Referral
Access Targets convey the clinically appropriate timeframe patients should be seen within, by reason for referral and priority level.
Access Target
Required Information/Investigations
Investigation Timing
Additional Details
At risk for falls
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Description, onset and duration of symptoms
 
Current

All lab work done within Previous month
 
Within 1 month

All lab work done within previous month
 
Within 1 month

All relevant DI - reports and films
 
If available

Completed referral form
 
Within 1 month

Chronic physical disability
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Description, onset and duration of symptoms
 
Current

CT brain scan
 
Within 3 months

Completed Referral Form
 
Within 1 month

Existing Supports in family and community to provide collateral history
 
Within 12 months

FBC, LFT, Ca, TSH, Vit B12, Folate, ESR and Vitamin D
 
Within 1 month

Full Physical Examination
 
Current

History of Functional Decline and social information
 
Within 6 months

History of hospitalizations, previous referrals and investigation results
 
Within 6 months

Past medical history (Items not on Netcare)
 
Within 1 month

Up to date medication list include exact dosage details
 
Current

Decline in functional status
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Description, onset and duration of symptoms
 
Current

All lab work done within Previous month
 
Within 1 month

All lab work done within previous month
 
Within 1 month

All relevant DI - reports and films
 
If available

Brain Imaging
 
Within 3 months

Completed Referral form
 
Within 1 month

History of functional decline and social information
 
Within 6 months

MSU
 
Within 3 months

Dementia
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Description, onset and duration of symptoms
 
Current

Behaviour problems
 
Within 3 months

Brain imaging - If applicable
 
Within 3 months

Cognitive Assessment MMSE or similar
 
Within 3 months

Completed Referral Form
 
Within 1 month

Dementia screen
 
Within 3 months

Existing Supports in family and community
 
Within 12 months

Full Physical Examination
 
Current

History of Functional Decline and social information
 
Within 6 months

History of hospitalizations, previous referrals and investigation results
 
Within 6 months

Past medical history
 
Within 1 month

Up to date medication list include exact dosage details
 
Current

Falls
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Description, onset and duration of symptoms
 
Current

Completed Referral Form
 
Within 1 month

Exiting Supports in family and community
 
Within 12 months

Full Physical Examination
 
Current

History of Functional Decline and social information
 
Within 6 months

History of hospitalizations, previous referrals and investigation results
 
Within 6 months

MSU (if ataxic, rapid onset, recurrent or altered mental status)
 
Within 3 months

Occupational Therapy report - If applicable
 
Within 3 months

Past medical history
 
Within 1 month

Physiotherapy report - If applicable
 
Within 3 months

Primary neurology / cardiology assessment
 
Within 3 months

Up to date medication list include exact dosage details
 
Current

Impaired cognition
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Description, onset and duration of symptoms
 
Current

CT brain scan
 
Within 3 months

Completed Referral Form
 
Within 1 month

Exiting Supports in family and community
 
Within 12 months

FBC, LFT, Ca, TSH, Vit B12, Folate, ESR and Vitamin D
 
Within 1 month

Full Physical Examination
 
Current

History of Functional Decline and social information
 
Within 6 months

History of hospitalizations, previous referrals and investigation results
 
Within 6 months

MSU
 
Within 3 months

Past medical history
 
Within 1 month

Up to date medication list include exact dosage details
 
Current

Incontinence
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Description, onset and duration of symptoms
 
Current

Associated medical conditions: mobility, infection, gynecological history, cognition, constipation, etc
 
Within 3 months

Completed Referral Form
 
Within 1 month

Exiting Supports in family and community
 
Within 12 months

FBC, LFT, Ca, TSH, Vit B12, Folate, ESR and Vitamin D
 
Within 1 month

Full Physical Examination
 
Current

History of Functional Decline and social information
 
Within 6 months

History of hospitalizations, previous referrals and investigation results
 
Within 6 months

MSU
 
Within 3 months

Past medical history
 
Within 1 month

Renal function
 
Within 3 months

Up to date medication list include exact dosage details
 
Current

Urinalysis, post void volume, voiding diary
 
Within 3 months

Memory function
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Description, onset and duration of symptoms
 
Current

CT brain scan
 
Within 3 months

Completed Referral Form
 
Within 1 month

Exiting Supports in family and community
 
Within 12 months

FBC, LFT, Ca, TSH, Vit B12, Folate, ESR and Vitamin D
 
Within 1 month

Full Physical Examination
 
Current

History of Functional Decline and social information
 
Within 6 months

History of hospitalizations, previous referrals and investigation results
 
Within 6 months

MSU
 
Within 3 months

Mini mental state examination (MMSE)
 
Within 3 months

Past medical history
 
Within 1 month

Up to date medication list include exact dosage details
 
Current

Mobility poor
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Description, onset and duration of symptoms
 
Current

CT brain scan
 
Within 3 months

Completed Referral Form
 
Within 1 month

Existing Supports in family and community
 
Within 12 months

Full Physical Examination
 
Current

History of Functional Decline and social information
 
Within 6 months

History of hospitalizations, previous referrals and investigation results
 
Within 6 months

Occupational Therapy report
 
Within 3 months

Past medical history
 
Within 1 month

Physiotherapy report
 
Within 3 months

Primary neurology / cardiology assessment
 
Within 3 months

Up to date medication list include exact dosage details
 
Current

Parkinson's disease
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Description, onset and duration of symptoms
 
Current

Assessments of impairments and disability
 
Within 3 months

Caregiver burden and stress
 
Within 3 months

Completed Referral Form
 
Within 1 month

Exiting Supports in family and community
 
Within 12 months

Full Physical Examination
 
Current

History of Functional Decline and social information
 
Within 6 months

History of hospitalizations, previous referrals and investigation results
 
Within 6 months

Motor symptoms including fluctuations
 
Within 3 months

Non-motor symptoms including neuropsychiatric evaluation
 
Within 3 months

Past medical history
 
Within 1 month

Up to date medication list include exact dosage details
 
Current

Preoperative coordination
3 Days
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Description, onset and duration of symptoms
 
Current

Completed Referral Form
 
Within 1 month

Existing Supports in family and community
 
Within 12 months

History of Functional Decline and social information
 
Within 6 months

History of hospitalizations, previous referrals and investigation results
 
Within 6 months
Please provide current:
  • Up-to-date medication list, including exact dosage details
  • Full Physical examination

Weight loss
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Description, onset and duration of symptoms
 
Current

Appropriate radiology
 
Within 3 months

Completed Referral Form
 
Within 1 month

Exiting Supports in family and community
 
Within 12 months

FBC, LFT, Ca, TSH, Vit B12, Folate, ESR and Vitamin D
 
Within 1 month

Full Physical Examination
 
Current

History of Functional Decline and social information
 
Within 6 months

History of hospitalizations, previous referrals and investigation results
 
Within 6 months

MSU
 
Within 1 month

Past medical history
 
Within 1 month

Up to date medication list include exact dosage details
 
Current


The primary purpose of the All Locations list is to let the user easily access any location of a healthcare service without going back to the main search screen.

The locations listed have 3 background colors:
  • Green means the healthcare service@location has referral information attached to it.
  • Brown means the healthcare service@location never had referral information attached to it, or it has unpublished referral information.
  • Red means
    • IA changed the healthcare service@location's status to something other than Current
    • It was deleted if it is an ARD healthcare service@location.
Green  and Brown are always at the top of the list. These are the Healthcare Service@Locations with the status of Current.
The Red list at the bottom consists of non-current Healthcare Service@locations that once had Published referral information in the ARD.
If the referral information was never published in ARD the Healthcare Service@location will not show in the Red list.

The secondary purpose of the All Locations list is to allow ARD Administrators to recover (copy) referral information from the non-current Healthcare Service@Locations to ones that are current.

Common Scenario:
A Healthcare Service moves from one location to another. In this case the IA Healthcare Service@Location record will be made defunct (non-current) and a new Healthcare Service@Location record will be created with a current status. In this scenario the captured referral guidelines in ARD can become "orphaned" as they are not attached to any current IA healthcare service.

Categories of non-current or orphaned referral guidelines: INDIVIDUAL and COMMON.
The REFERRAL GUIDELINES section of the profile has the prefix INDIVIDUAL or COMMON to help you choose the method below when transferring referral guidelines from a non-current Healthcare Service@Location to a current healthcare service@location.

Individual referral process
  1. Click on a non-current (Red) Healthcare Service@Location at the bottom of the All Locations list.
  2. The non-current referral info is displayed with the link Copy this Referral Process to another Healthcare Service@Location link on the upper right hand corner. Click on the copy link.
  3. Choose a current location (Green or Brown) from the All Locations list. This will be the Healthcare Service@Location you are pasting the referral info into.
  4. The system will display the Edit Referral Info screen populated with the referral info from the non-current Healthcare Service@Location you viewed in the first step.
  5. Click Save and the referral info is transferred from the non-current Healthcare Service@Location to the current one.
  6. Repeat these steps for each Healthcare Service@Location that needs attention.

Common referral process - 2 sub cases.
Case 1: At least 1 current Healthcare Service@Location with common referral info is with current status for this healthcare service; One or more Healthcare Healthcare Service@Locations where replaced by new one.
  1. Click on any current Healthcare Service@Location whether it has referral info (Green) or not (Brown).
  2. The healthcare service location opens in the Edit Referral Info screen populated with the current common referral info.
  3. Save it. 
  4. All locations will be updated with the common referral information, including all the locations that don't have referral info yet (Brown). The non-current referrals (Red) will also be updated.
Case 2:  All Healthcare Healthcare Service@Locations for a healthcare service are set to a non-current status and replaced by new ones. In this case there is no current additional referral info to copy from, so the only alternative is to pick up the non-current common referral process (Red). Follow the steps described in the section Individual Referral Process above to copy/paste the non-current common referral info to the current healthcare service locations.
Generally we want to replicate current common referral info to new or replaced healthcare service locations. We only resort to copying non-current common referral info if there is no other option.

Remember: Some fields can be location specific with the common referral process:
Parking Instructions, Directions, Parking Map, Wait Time, Referral Phone or Referral Fax.
To update these items you have to edit each Healthcare Service@Location separately.

ADDITONAL NOTES:
  • The info icon after the All Locations drop down will be visible to ARD Administrators.
  • The system doesn't allow you to copy referral information from one non-current Healthcare Service@Location to another.

 

V6.5