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New Patient Registration

We are pleased to announce that new physicians will be joining our clinic soon.

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If you would like to be considered for patient registration, please click on the link below or scan the QR code, complete the form, save a copy for your records, and email it to info@reliancemedical.ca.

 

Kindly note that submissions will be reviewed on a first-come, first-served basis. While we strive to accommodate as many patients as possible,

registration cannot be guaranteed.

New patient registration form Word format QR code
New patient registration form PDF QR code
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