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New patient Form and Consents

Please kindly download the form below and upload them prior to your visit. If you are unable to upload, please bring the completed forms with you to your next appointment. Thank you. 

Step 1. Click the image below to download the New Patient form 

Step 2. Kindly fill out the form 

Step 3. Click the image below to send the form electronically

Documents
Note Pad
Mail

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Thanks for your submission

You will receive a confirmation email in 24 hours to acknowledge your submission. We sincerely ask you to bring your insurance card to your appointment (if applicable).  For any further inquiries, please contact us at (705) 294-5005

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