Patients now have the opportunity to complete the preferred accommodation form electronically.
Please print and bring the completed form with you on your next visit to Waterloo Regional Health Network OR Email your completed form to kwpreferredaccommodations@wrhn.ca.
Please include the date of your surgery in the subject field (if known).
Click here to download the form [opens in new tab].
Please note: Waterloo Regional Health Network does not encourage the transmission of personal information via email, as email transmission is not entirely secure. You may prefer to drop the completed forms to preferred accommodations (located on floor 2C @ Midtown or 1st Floor Central Registration @ Queen’s Blvd) at your next visit. If you are comfortable utilizing email – you may choose to do so.
Waterloo Regional Health Network offers three types of rooms for hospitalized patients:
| Type of room | Number of people per room | Cost (for provincially-insured* residents) | 
|---|---|---|
| Ward | 3 or more | No cost | 
| Semi-private | 2 | $300 a day (updated September 2025) | 
| Private | 1 | $350 a day (updated September 2025) | 
- *Provincially-insured residents refer to patients who have valid Ontario Hospital Insurance Plan (OHIP) insurance, or valid insurance from another Canadian province.
For semi-private and private rooms, you may choose to pay directly or use an eligible insurance plan.
If you have additional insurance please complete page 2 of the Preferred Accommodation Form
We will make every effort to give you the type of room you prefer. Please note:
- It is your responsibility to know your INSURANCE coverage.
- Hospital volume and activity and/or infection prevention and control reasons may prevent us from accommodating your request.
- The first inpatient day begins and includes any time of admission until 11:59pm that day.
- Charges are based on your Room Selection – see examples:
 - If you choose a private room and are placed in a semi-private room, you will be charged for the SEMI
- If you choose a semi-private room and are placed in a private room, you will be charged for the SEMI
 

If you have any questions or would like to change the type of room you have chosen. Please contact us:
@ Queen’s Blvd – Phone: 519-744-3311 ext 2112
@ Midtown – Phone: 519-749-4300 ext 5985
Email: kwpreferredaccommodations@wrhn.ca
Patient Accounts Contact Information – regarding Charges:
| @ Queen's Blvd | @ Midtown | @ Chicopee | 
|---|---|---|
| 911 Queen's Blvd | 835 King St. W | 3570 King St. E | 
| 519-749-6660 | 519-749-4300 ext. 2352 or 2604 | 519-749-4300 ext.7082 or 2604 | 
| patientaccounts.queens@wrhn.ca | patientaccounts.midtown@wrhn.ca | patientaccounts.chicopee@wrhn.ca | 
