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Four Counties Health Services Corporation in Newbury, Ontario is a rural primary care hospital serving the intersection of Chatham-Kent, Middlesex, Lambton, and Elgin Counties, approximately 40 minutes west of London. The emergency department operates 24 hours a day, 7 days a week, supported by a physician on-call and 19 visiting specialists, providing accessible emergency and acute care close to home for surrounding villages, hamlets, and farms. Patients requiring advanced or specialized services may be transferred to Strathroy Middlesex General Hospital or London-area facilities through the Middlesex Hospital Alliance network.
Services & Specialties
24-hour Emergency Department, Acute Care (12 inpatient beds), Diagnostic Imaging Services, Ambulatory Care Clinics, Rehabilitation / Physiotherapy, Palliative Care Program, Diabetes Education Program, Respirology Clinic, Adult Day Away Program, Community Support Services, Minor Surgical Services, On-site Pharmacy, Visiting Specialist Clinics (19 specialists), Meals on Wheels support, VON Palliative Care Volunteer Program.
FCHS is a rural primary care hospital — for life-threatening emergencies such as major trauma, cardiac events, or stroke, call 911 so paramedics can determine the most appropriate facility.
The hospital is part of the Middlesex Hospital Alliance; your patient records may already be accessible across partner hospitals, which can speed up care if you've been treated at Strathroy Middlesex General Hospital or other alliance sites.
If you need a specialist, ask about FCHS's 19 visiting specialists who hold clinics on-site — this can save you a long drive to London.
The hospital is located at the crossroads of four counties, so residents of Chatham-Kent, Lambton, and Elgin Counties all have access — plan your route via Highway 2 or local county roads.
Call 519-693-4441 ahead of a non-emergency visit to confirm clinic hours, specialist schedules, or pharmacy availability.
What to Bring
Ontario Health Card (OHIP card)
Government-issued photo ID
List of current medications and dosages
List of known allergies
Any relevant medical records or recent test results
Emergency contact information
Payment method for any applicable fees (parking, prescriptions)
Comfort items for a potential wait (water bottle, snack, phone charger)
Frequently Asked Questions
Does Four Counties Health Services have a 24-hour emergency department?
Yes, the emergency department at Four Counties Health Services in Newbury is open 24 hours a day, 7 days a week, with a physician on-call at all times.
What happens if I need care that isn't available at Four Counties?
If your condition requires services beyond what FCHS offers, you will be transferred to Strathroy Middlesex General Hospital or referred to hospitals in London. FCHS is a member of the Middlesex Hospital Alliance, making transitions between facilities more coordinated.
Is Four Counties Health Services part of a hospital network?
Yes. FCHS and Strathroy Middlesex General Hospital operate together as the Middlesex Hospital Alliance. They also share a common electronic patient record system with ten additional regional hospital partners, allowing your health information to be accessed across the network.
What specialist services are available at the Newbury hospital?
Four Counties Health Services hosts 19 visiting specialists who hold outpatient clinics on-site. Specialty programs include a Respirology Clinic, Diabetes Education Program, and Ambulatory Care Clinics, reducing the need to travel to London for many appointments.
Is there a pharmacy at Four Counties Health Services?
Yes, there is an on-site pharmacy located at 1824 Concession Dr, Newbury, ON. You can reach it by calling 519-693-4441.
Who does Four Counties Health Services primarily serve?
FCHS serves the rural communities at the geographic intersection of Chatham-Kent, Middlesex, Lambton, and Elgin Counties — including surrounding villages, hamlets, and farming communities — approximately 40 minutes west of London, Ontario.