Please choose your applicable clinic location,
in order to get the correct forms and documents for that site.
in order to get the correct forms and documents for that site.
| Title | Description | Fee | Where to submit | Download |
|---|---|---|---|---|
| New Patient Questionnaire | This form is designed to streamline your appointment and to reduce the likelihood that important issues are overlooked with your healthcare. Please complete this form prior to seeing the provider. |
|
You can submit this document via:
289-292-0451 |
Download |
| Release of Medical Records FROM
MedCare Clinics |
Complete this form when you are requesting your medical records to be released from our clinic to another provider, third-party agency, hospital, etc.. | Paper: $50
USB: $65 Courier: $20 (flat fee - no mailing charge if sent via regular mail)
|
You can submit this document via:
289-292-0451 |
Download |
| Release of Medical Records TO MedCare Clinics | Complete this form when you are requesting your medical records to be sent to our clinic and be released from another provider, third-party agency, hospital, etc.. |
|
You can submit this document via:
289-292-0451 |
Download |
| Schedule of Uninsured Services | This is a list of uninsured services that are not covered by the Ontario Health Insurance Plan (OHIP). Patients are responsible for the payment of these services. |
|
|
Download |
| Title | Description | Fee | Where to submit | Download |
|---|---|---|---|---|
| New Patient Questionnaire | This form is designed to streamline your appointment and to reduce the likelihood that important issues are overlooked with your healthcare. Please complete this form prior to seeing the provider. |
|
You can submit this document via:
905-455-0123 |
Download |
| Release of Medical Records FROM
MedCare Clinics |
Complete this form when you are requesting your medical records to be released from our clinic to another provider, third-party agency, hospital, etc.. | Paper: $50
USB: $65 Courier: $20 (flat fee - no mailing charge if sent via regular mail)
|
You can submit this document via:
905-455-0123 |
Download |
| Release of Medical Records TO MedCare Clinics | Complete this form when you are requesting your medical records to be sent to our clinic and be released from another provider, third-party agency, hospital, etc.. |
|
You can submit this document via:
905-455-0123 |
Download |
| Schedule of Uninsured Services | This is a list of uninsured services that are not covered by the Ontario Health Insurance Plan (OHIP). Patients are responsible for the payment of these services. |
|
|
Download |
| Title | Description | Fee | Where to submit | Download |
|---|---|---|---|---|
| New Patient Questionnaire | This form is designed to streamline your appointment and to reduce the likelihood that important issues are overlooked with your healthcare. Please complete this form prior to seeing the provider. |
|
You can submit this document via:
905-687-9338 |
Download |
| Release of Medical Records FROM
MedCare Clinics |
Complete this form when you are requesting your medical records to be released from our clinic to another provider, third-party agency, hospital, etc.. | Paper: $50
USB: $65 Courier: $20 (flat fee - no mailing charge if sent via regular mail)
|
You can submit this document via:
905-687-9338 |
Download |
| Release of Medical Records TO MedCare Clinics | Complete this form when you are requesting your medical records to be sent to our clinic and be released from another provider, third-party agency, hospital, etc.. |
|
You can submit this document via:
905-687-9338 |
Download |
| Schedule of Uninsured Services | This is a list of uninsured services that are not covered by the Ontario Health Insurance Plan (OHIP). Patients are responsible for the payment of these services. |
|
|
Download |
| Title | Description | Fee | Where to submit | Download |
|---|---|---|---|---|
| New Patient Questionnaire | This form is designed to streamline your appointment and to reduce the likelihood that important issues are overlooked with your healthcare. Please complete this form prior to seeing the provider. |
|
You can submit this document via:
905-646-0202 |
Download |
| Release of Medical Records FROM
MedCare Clinics |
Complete this form when you are requesting your medical records to be released from our clinic to another provider, third-party agency, hospital, etc.. | Paper: $50
USB: $65 Courier: $20 (flat fee - no mailing charge if sent via regular mail)
|
You can submit this document via:
905-646-0202 |
Download |
| Release of Medical Records TO MedCare Clinics | Complete this form when you are requesting your medical records to be sent to our clinic and be released from another provider, third-party agency, hospital, etc.. |
|
You can submit this document via:
905-646-0202 |
Download |
| Schedule of Uninsured Services | This is a list of uninsured services that are not covered by the Ontario Health Insurance Plan (OHIP). Patients are responsible for the payment of these services. |
|
|
Download |
| Title | Description | Fee | Where to submit | Download |
|---|---|---|---|---|
| New Patient Questionnaire | This form is designed to streamline your appointment and to reduce the likelihood that important issues are overlooked with your healthcare. Please complete this form prior to seeing the provider. |
|
You can submit this document via:
905-303-4305 |
Download |
| Release of Medical Records FROM
MedCare Clinics |
Complete this form when you are requesting your medical records to be released from our clinic to another provider, third-party agency, hospital, etc.. | Paper: $50
USB: $65 Courier: $20 (flat fee - no mailing charge if sent via regular mail)
|
You can submit this document via:
905-303-4305 |
Download |
| Release of Medical Records TO MedCare Clinics | Complete this form when you are requesting your medical records to be sent to our clinic and be released from another provider, third-party agency, hospital, etc.. |
|
You can submit this document via:
905-303-4305 |
Download |
| Schedule of Uninsured Services | This is a list of uninsured services that are not covered by the Ontario Health Insurance Plan (OHIP). Patients are responsible for the payment of these services. |
|
|
Download |