MedCare Clinics | Family Practice + Walk-In Clinic + Specialist Care |

Your Neighborhood Healthcare Provider

[email protected]

Please choose your applicable clinic location,
in order to get the correct forms and documents for that site.

Niagara Falls
St. Catharines (Pen Centre)
St. Catharines (Scott Street)
Vaughan

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.	None	You can submit this document via: Email: [email protected] Fax: 289-292-0451In-person at the clinic	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: Email: [email protected] Fax: 289-292-0451In-person at the clinic	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..	None	You can submit this document via: Email: [email protected] Fax: 289-292-0451In-person at the clinic	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.	TBD	N/A	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.	None	You can submit this document via: Email: [email protected] Fax: 905-687-9338In-person at the clinic	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: Email: [email protected] Fax: 905-687-9338In-person at the clinic	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..	None	You can submit this document via: Email: [email protected] Fax: 905-687-9338In-person at the clinic	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.	TBD	N/A	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.	None	You can submit this document via: Email: [email protected] Fax: 905-646-0202In-person at the clinic	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: Email: [email protected] Fax: 905-646-0202In-person at the clinic	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..	None	You can submit this document via: Email: [email protected] Fax: 905-646-0202In-person at the clinic	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.	TBD	N/A	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.	None	You can submit this document via: Email: [email protected] Fax: 905-303-4305In-person at the clinic	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: Email: [email protected] Fax: 905-303-4305In-person at the clinic	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..	None	You can submit this document via: Email: [email protected] Fax: 905-303-4305In-person at the clinic	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.	TBD	N/A	Download