Submit intake form
The intake form must be submitted for each member of your family intending to join the practice. The forms are not used to screen your admissibility: all individuals with a valid Ontario health card are eligible to enrol in our practice.
Interested in enrolling?
View and print the form below. If you can't print the document, you may pick up as many copies as you need at our clinic during regular hours.Complete form
current waitlist time
Allow for processing
Due to high demand for our family doctors in Caledonia, we have a waitlist. Individuals and families are rostered on a first-come-first-served basis while prioritizing based on need.
Book your Meet & Greet
Soon a member of our team will call you to book a Meet & Greet appointment. This is your orientation and opportunity to meet our healthcare team. We'll also update your health record and schedule any necessary future care appointments.
Still have questions?
What about my medical history?
When we are ready to enrol you as a patient, and only with your permission, we will request a copy of your health records from your former physician.
Who can I contact with questions?
If you have questions that are not answered on this page, please use the message form to contact us here.