New patients for family practice

 

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

All new patients are required to fill out this intake form for accuracy of demographic information. Please enter the information exactly as it is on your Alberta Health Care Card. All our physicians see patients by appointment only. 

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

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.  Thank you. 

Please do not use this form for medical advise, urgent appointment request, request for specialist referrals, forms to filled out, prescription refills , fax requests of lost requisitions or prescriptions, for all of those requests please book an appointment to see your doctor. Staff members can not fax lost prescriptions or lost requisitions.

Are patients able to switch doctors between clinic physicians? Unfortunately no.

 

BOOK ME AS A NEW PATIENT FOR  FAMILY PRACTICE AT WESTSIDE MEDICAL

*Family Physician Accepting New Patients
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WESTSIDE MEDICAL 3D TOUR CLICK


 

 

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