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.
Lastly, if you have not yet had an appointment with me I would like you to please CLICK ON THIS LINK and then click on “New Patient” to complete the secure, online new patient form to help me prepare for our first visit.
Thank you
Attachment (click to download):