For your convenience and reference we summarized the steps of completing the forms included below:
Please return the completed form (pages 1 AND 2) to our office by clicking here or mail, at
Attention: Forms
Hespeler Medical Clinic
B12-350 Conestoga Blvd.
Cambridge, ON N1R 7L7
If you are uploading a digital copy of the completed roster form we do not require the original form provided that the scan is clear and your signature is legible.
Thank you