HealthLink Patient Forms

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Outside of Ontario?

Please be advised that the HealthLink Family Practice Physicians cannot be expected to provide virtual care, including video, telephone, and email, to patients when they are outside of Ontario.

Rather than reaching out to our clinic, please ensure you seek medical care locally for health concerns when you are outside of Ontario. This might even include going to the nearest emergency department in the foreign  country or province you are in.

Please do not book telephone visits if you know you will be outside of Ontario at the time of your visit.

Thank you for your understanding and attention to this.

Do you see the name of your doctor among the list below of the doctors at our HealthLink location:

Dr. Alison Delorme

Dr. Jay Geddes

Dr. Mekalai Kumanan

Dr. Sana Mashhadi

Dr. Kathryn Morgan

Dr. Sarah Pengelly

Dr. Raj Shah

Dr. Andrew Smith

If NO, then please click on the Hespeler Patient Forms link on the right hand side of this screen.

If YES and you have been directed to complete an online form by a staff member, please click the below Patient Forms link.

Note, any forms you complete will be reviewed at your next appointment.  If your issue needs immediate attention, please call the office to determine if you need immediate care.

To complete an online form you will select either “New Patient” if you just joined or “Existing Patient”.  Then select the appropriate form(s) to complete.

Please note that you will need the Health Card Number of the person for whom the form is being completed for.

You can now provide your Blood Pressure Readings to your Doctor using on line patient forms.


If you have been asked to submit a picture or document, please click on the following link.

Please note that you will need the Health Card Number of the person for whom the picture and/or document is being submitted for.