New Patient Form

Please complete our patient registration form below prior to your appointment. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Patient Registration – Dartmouth/Bridgewater

Patient Registration – Newfoundland

Patient Registration – Truro

save and exit iconNote to Patient: Upon filling out your first name, last name, email and at least one phone number field (a valid home or cell phone) a button will appear in the upper right corner titled “Save and Exit” . This button allows you to save and exit your form to complete at a later date. The system will send a registration email to the email provided on the form, so that you may setup a login to go back and finalize your registration form online.

 

Downloadable Forms

Health History Form

PRIVACY Consent Form- Nova Scotia locations

PRIVACY Consent Form- Newfoundland Location

PRIVACY STATEMENT