New Patient Registration Form


New Patients should download, print and fill the enclosed pdf  Patient Registration Form

Patients can either:
  • Mail the completed  form to:
                              Physician Applications
                              1515 Gordon Street - Unit 103
                               Guelph, Ontario, N1L 1C9

Please note, to open this file, you will need Adobe Reader software.  You can download the installer and instructions free from the Adobe Web site