This intake form is for patients that would like to become a new patient of a Family Physician at Westside Medical. Currently, we are wait-listing patients because one of our doctors is evaluating the size of their practice, and may be accepting more. Also, a new doctor is joining us in the summer of 2021 the doctor will be accepting patients. You can now request to schedule appointments for August with Dr Anne Kemp.
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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