Registration Forms (All are required)
Below are links to the registration forms in PDF format. Please print, complete, sign and date all 4 forms.
- Ontario Health Clinics - Brantford Patient Privacy Agreement & Consent Form
- Patient Pre-Registration Form
- Patient Pre-Registration For Children Form
- Ontario MoHLTC Patient Enrolment and Consent to Release Personal Health Information Form
- Ontario MoHLTC Primary Health Care New Patient Declaration Form