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: 905-646-0202 |
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 |