Patient Registration


For a more efficient first visit, we encourage new patients to pre-register at home. This can be done online or with a printable paper form. If you require any assistance or have any questions, please call our office at (613) 389-1099 so that one of our team members can assist you.

Please click the appropriate link below to complete either an online or printable form.

Online Patient Registration:

After you have completed the form, please make sure to press the Submit button at the bottom of the page to automatically send us your information. On your first visit to our office, we will have your completed form available for you to sign. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Printable Patient Registration Form:

You will require Adobe Acrobat Reader [download here] to view and download this form. Please complete this form to the best of your ability and hand it in at your first visit. If there are any sections of the form that you are not sure about, our staff will gladly assist you.


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