Sector 4: Clinical Care Services

The Akwesasne Medical Clinics provide primary health care across all three districts: Kana:takon (AMC), Kawehno:ke (KMC), and Tsi Snaihne (TMC — currently a satellite site at Iakhihsohtha Lodge). Clinic teams include Physicians, Nurse Practitioners, and Nurses who deliver wholistic, team-based care that adheres to professional clinical guidelines.

Services:

• Booked telephone appointments and follow-up visits
• Assessment and treatment of acute and chronic conditions
• Prescription renewals and medication reviews
• Lab result review and referral coordination
• Immunizations and preventive care programs (including diabetes prevention/management)

Contact Primary Care:

Kanonhkwa'tsheri:io Health Facility
31 Hilltop Drive, Kana:takon 
Akwesasne, QC H0M 1A0
Phone: 613-575-2341 ext. 3103
Email: clinic@akwesasne.ca 

Program Manager: Veena Tirkey

As part of Primary Care, Chronic Disease Management supports people living with long-term health conditions (e.g., diabetes) through education, prevention and ongoing clinical support. The program emphasizes self-management, early intervention, and coordinated care with primary and specialist services. 

Program Components:

• Individualized care planning and multidisciplinary case management.
• One-to-one diabetes education with registered nurses and certified diabetes educators.
• Nutrition counselling with a registered dietitian.
• Blood sugar and blood pressure screenings, foot care clinics
• Community education: group presentations, health promotion fairs, school-based nutrition, and cooking/food-preservation workshops.
• Physical activity programs, youth and community fitness activities, Green Food Bag distribution.

Our goal is to reduce complications, improve quality of life, and equip individuals and families with practical tools to manage chronic conditions.

Foot Care Services Criteria:

Sector 4 is proud to provide foot care services to the community through both clinic appointments and home visits. Currently, home visits are reserved for individuals who:

• Have limited mobility
• Do not drive
• Have no access to transportation from family, friends or NIHB transportation services.

This approach allows staff to prioritize those who truly require in-home care due to physical or logistical limitations.

Whenever possible, clients are encouraged to attend appointments in the clinic. The clinic setting allows for the most hygienic, efficient, and comprehensive care, while also enabling staff to serve a greater number of community members each day.

Contact Chronic Disease Management:

Kanonhkwa'tsheri:io Health Facility
31 Hilltop Drive, Kana:takon 
Akwesasne, QC H0M 1A0
Phone: 613-575-2341 ext. 3247

Indigenous Patient Navigators help Akwesasronon navigate the health system with cultural safety and practical support. Navigators advocate for patients, coordinate care, and bridge communication between clients, families, and health providers.

What Navigators Do:

• Assist with appointment coordination and follow-up. 
• Explain diagnoses, treatment options, and hospital processes in plain language. 
• Liaise with hospitals and external providers (for example, Cornwall Community Hospital) to support continuity of care
• Support medical travel, referrals, and access to provincial and local services. 
• Advocate for culturally respectful care and help clients identify culturally appropriate options. 

No referral required — clients may self-refer. Providers or caregivers may also make referrals. 

Contact the Indigenous Patient Navigators:

April White, RN, CFNHM
Cornwall Community Hospital Liaison
Phone: 613-938-4240 ext. 4542
Cell: 613-577-5445
Email: april.white.doh@akwesasne.ca 
Hours: Monday–Thursday | 7:00 a.m. – 3:00 p.m.

Daryl Diabo
Community Paramedic/Quebec Navigator
Phone: 613-575-2341 ext. 3207 
Email: daryl.diabo@akwesasne.ca 

The Home & Community Care Program provides in-home nursing, personal support, and community-based services that help clients remain safely in their homes and maintain independence. Care is delivered by licensed nursing staff, PSWs, and allied health personnel.

Services include:

• Nursing care (wound management, IV therapy, palliative nursing, post-operative care). 
• Personal Support Worker (PSW) services (personal care, meal prep, vital signs, medication reminders, respite). 
• Medical social liaison (advocacy, long-term care placement assistance, case conferencing). 
• Home maintenance and safety assessments (minor repairs, smoke detector checks, referrals for contractors). 
• Physiotherapist Assistant services to continue outpatient physio plans in the home. 

Eligbility & Intake:

• Residency: must live within the three MCA districts of Akwesasne. 
• Referral: written referral from a Physician or Nurse Practitioner required, including health goals and a treatment plan. 
• Health card: clients must have a valid provincial health card (OHIP or RAMQ) for services in that province. 
• Status card: a valid status number is required to access NIHB funding for prescriptions, home medical equipment, and supplies when not provincially covered. 
• Assessment: an in-home assessment will be scheduled to determine needed services. 
• Environment & consent: clients/families must provide a respectful, safe environment for staff and sign consent before services begin. 
• No age requirement: services are available to eligible clients of all ages. 

No referral required — clients may self-refer. Providers or caregivers may also make referrals. 

Contact HCC:

Home & Community Care
24B Frank Benedict Memorial Lane
Akwesasne, ON K6H 5R7
Phone: 613-575-2341 ext. 1754
Fax: 613-745-6984

Program Manager: Mary Ann Lazore, CFNHM