TrustyMed Clinic

TrustyMed ClinicTrustyMed ClinicTrustyMed Clinic

(905) 505-6555

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  • More
    • Home
    • About Us
    • Services
    • Family Medicine
    • Allergy Clinic
    • Travel Clinic
    • Pharmacy
    • Aesthetics
    • Contact Us
    • Privacy Policy

TrustyMed Clinic

TrustyMed ClinicTrustyMed ClinicTrustyMed Clinic

(905) 505-6555

  • Home
  • About Us
  • Services
  • Family Medicine
  • Allergy Clinic
  • Travel Clinic
  • Pharmacy
  • Aesthetics
  • Contact Us
  • Privacy Policy

Now accepting new patients!

New Patient History Form

1) Save and complete this new patient form. 

2) Print and drop off the completed form to our office

3) We will contact you with an appointment time

*WE DO NOT ACCEPT EMAILED PATIENT FORMS, ONLY PHYSICAL COPIES*


*WAIT TIME IS NOW UNTIL MID MAY FOR INITIAL APPOINTMENTS*

new_patient_form condensed (docx)

Download

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