The Humber River Family Health Team (HRFHT) is a multi-site organization providing primary health-care services and programs using a team-based model. The organization implemented the Person- and Family-Centered Care best practice guideline (BPG) in collaboration with the North Western Toronto Best Practice Spotlight Organization® Ontario Health Team (NWT BPSO OHT). This BPG was piloted with interdisciplinary health professionals including nurses, social workers, dietitians, chiropodists and a pharmacist to provide holistic care.