Our healthcare team
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Dr. Stephen Tytus
BSc.(Eng), MD, CCFPFamily PhysicianAfter earning his Medical Doctor degree, Dr. S. Tytus accepted a residency in Family Medicine with the Northern Ontario School of Medicine. He also has a Bachelor of Science in Engineering.
Dr. Stephen Tytus
BSc.(Eng), MD...Family Physician -
Laura Rusu
MSc, PHCNPNurse PractitionerLaura began her career in healthcare as an RN before returning to school to attend the MSc Primary Health Care graduate program. Her professional satisfaction comes from helping clients achieve optimal health.
Laura Rusu
MSc, PHCNPNurse Practitioner -
Dr. Ian Metcalfe
BSc, MSc, MD, CCFP, FCFPFamily PhysicianDr. Metcalfe has a passion and interest in rural medicine. He also practices family medicine in Hamilton, Ontario at the Main Medical clinic downtown.
Dr. Ian Metcalfe
BSc, MSc, MD, CC...Family Physician -
Dr. Ewa Pasyk
MSc, PhD, MD, FRCPCInternal MedicineDr. Pasyk earned her Ph.D. degree in Medical Sciences from McMaster University. She worked as a Postdoctoral Fellow and Research Associate and is accomplished with extensive internal medicine research experience.
Dr. Ewa Pasyk
MSc, PhD, MD...Internal Medicine -
Dr. Richard Tytus
BSc.Phm, MD, CCFP, FCFPFamily PhysicianDr. Tytus was recently awarded the "Physician of the Year" by the OFCP. He practiced medicine in northern Ontario before moving to Hamilton. His areas of interest are metabolic disease and stress management.
Dr. Richard Tytus
BSc.Phm, MD, CC...Family Physician -
Ashley Lai
CCPA, BScPhysician AssistantAshley graduated from McMaster University with a BSc before returning to Mac to complete the PA program. She enjoys the outdoors, working out, and watching reality tv. Buy her some wine and she'll be your friend forever!
Ashley Lai
CCPA, BScPhysician Assistant -
Dr. Susan Teschke
BSc, MD, RCPSCEndocrinologistDr. Teschke did her Bachelors in Kinesiology at the University of Waterloo before completing medical school at the University of Toronto, residency at the University of Manitoba, and a fellowship in Endocrinology at McGill.
Dr. Susan Teschke
BSc, MD, RCPSCEndocrinologist -
JenniferOffice Manager
Jenn has been working at the clinic since it first opened its doors. Outside of clinic hours, you might find her spending time on the Grand River with her husband and two children.
JenniferOffice Manager
Our vision
At Haldimand Medical Clinic we believe that healthier individuals make a better community and a better world. Healthcare professionals today must empower patients to take an active role in the treatment and maintenance of their own health.
The healthcare team should be scrupulously open-minded to integrating technology that can benefit short and/or longterm outcomes.

Our core values
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Transparency
We'll keep you informed and identify the members of your health team.
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Communication
We'll listen, provide care, and respond thoughtfully to your concerns.
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Understanding
We won't just treat your symptom; we treat you as a whole person.
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Innovation
We'll stay at the forefront of technology to benefit your care.
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It's not hard to make decisions when you know what your values are.