Hespeler Patient Forms

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

Dr. Amany Attalla

Dr. Prabhu Benjamin

Dr. Ioana Costin

Dr. Jennifer Coulson

Dr. Keith Hankinson

Dr. Meghan King

Dr. Matthias Klomfass

Dr. Katherine McLean-Lemieux

Dr. Jaskarn Sahota

Dr. Melissa Schurter

Dr. Laura Siddall

Dr. Deborah Whan

Dr. Taryn Williams

Dr. Cindy Zhu

If NO, then please click on the HealthLink 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.

Click Here to Complete Online 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.

Click Here to Submit Pictures and/or Documents