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

niagara falls

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:

Email: niagara@medcareclinics.com

Fax: 289-292-0451

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..

Fee:

Paper: $65 starting rate

You can submit this document via:

Email: niagara@medcareclinics.com

Fax: 289-292-0451

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:

Email: niagara@medcareclinics.com

Fax: 289-292-0451

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.

Fee:

View & Download PDF

brampton

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:

Email: riverview@medcareclinics.com

Fax: 905-455-0123

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..

Fee:

Paper: $50 starting rate

You can submit this document via:

Email: riverview@medcareclinics.com

Fax: 905-455-0123

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:

Email: riverview@medcareclinics.com

Fax: 905-455-0123

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.

Fee:

TBD

st. catharines (pen centre)

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:

Email: pc@medcareclinics.com

Fax: 905-687-9338

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..

Fee:

Paper: $65 starting rate

You can submit this document via:

Email: pc@medcareclinics.com

Fax: 905-687-9338

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:

Email: pc@medcareclinics.com

Fax: 905-687-9338

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.

Fee:

View & Download PDF

st. catharines (scott street)

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:

Email: stc@medcareclinics.com

Fax: 905-646-0202

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..

Fee:

Paper: $65 starting rate

You can submit this document via:

Email: stc@medcareclinics.com

Fax: 905-646-0202

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:

Email: stc@medcareclinics.com

Fax: 905-646-0202

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.

Fee:

View & Download PDF

vaughan

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:

Email: vaughan@medcareclinics.com

Fax: 905-303-4305

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..

Fee:

Paper: $50 starting rate

You can submit this document via:

Email: vaughan@medcareclinics.com

Fax: 905-303-4305

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:

Email: vaughan@medcareclinics.com

Fax: 905-303-4305

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.

Fee:

TBD

welland

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:

Email: welland@medcareclinics.com

Fax: 905-984-8881

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..

Fee:

Paper: $65 starting rate

You can submit this document via:

Email: welland@medcareclinics.com

Fax: 905-984-8881

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:

Email: welland@medcareclinics.com

Fax: 905-984-8881

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.

Fee:

View & Download PDF

Markham

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:

Email: markham@medcareclinics.com

Fax: (905) 205-0088

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..

Fee:

Paper: $65 starting rate

You can submit this document via:

Email: markham@medcareclinics.com

Fax: (905) 205-0088

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:

Email: markham@medcareclinics.com

Fax: (905) 205-0088

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.

Fee:

View & Download PDF