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Patients
How to become a patient
Book an Appointment Online
Rights and Responsibilities
Healthcard
Useful Links
Patient Experience Survey
New Patient Form
NPF
Patient Information
First Name
Last Name
Health Card Number
Health Card Version Code
Date of Birth
Gender
Female
Male
Other / Prefer not to disclose
Address
City
Postal Code
Home Phone #
Work Phone #
Mobile Phone #
Email
Name of current physician (if any)
Current physician city
Language Preference
English
French
Physician Preference
Male
Female
Either/First Available