New Family Patients Register Here

This intake form is for patients that would like to become a new patient of a Family Physician at Westside Medical.   

You can now request to schedule appointments for late 2021 and Q1 2022 with Dr Anne Kemp. Please note that Meet and Greet appointments with Dr Anne Kemp are now being booked out about 12 weeks (currently December 2021 as of mid-Oct.). Due to a backlog of patients waiting to join the clinic, and high workloads due to COVID-19, you may not be contacted for up to 6 weeks with your notification of appointment with Dr. Kemp.

 Please note: we are experiencing higher than normal call volumes due to the COVID-19 pandemic. Your request is important to us. If your request has exceeded 45 days please contact us by phone at 403-686-3628. 
All new patients are required to fill out this intake form for accuracy of demographic information. Please enter the information exactly as it is represented on your Alberta Health Insurance Plan Card.

All Physicians at Westside Medical currently see patients by appointment only.

One form is required for each family member you would like a file to be created for.  You will become a new patient of Westside Medical only after you have signed the “New Patient Clinic Protocol“. We respectfully request the signed document within 4 weeks of your initial appointment.  

Please be aware that if you do not show up, or fail to cancel this initial appointment with 24 hours notice, you won’t be able to reschedule it.  

Please do not use this form to seek medical advice, or if you have urgent medical concerns. If you require urgent medical care and do not have a doctor call 811 HealthLink. They can provide you a list of doctors and clinics   Thank you. 

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*Family Physician Accepting New Patients
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