Instructions for New Patients

To become a new patient at our clinic, please follow the steps below to complete and submit your intake forms. This process is essential for us to provide you with the best care possible.

Step 1: Obtain the Necessary Intake Forms

Please download the required forms below:

1. Form A (Policy Form): Mandatory for all new patients. Include your designated doctor’s name on the first page.
2. Form B (Adult History Form): Required for patients aged 18 or older.
3. Form C (Pediatric History Form): To be completed by parents or legal guardians for patients under 18 years old.
4. Transfer of Records Form: Required if you have a previous family doctor or have been a patient at another clinic. If not applicable, you may skip this form.

Step 2: Complete the Forms

Carefully fill out all applicable forms. It is crucial for adults to complete both the Policy Form and the relevant History Form.

Step 3: Submit the Completed Forms

Once completed, email your forms to intake@divinemedicalclinic.ca with the subject line “New Patient Request – [Name of Doctor]”. For example, “New Patient Request – Dr. Alam.”

Include a Copy of Your Care Card: For identification purposes, please attach both the front and back copies of your care card. If you are uncomfortable sending this information via email, you may bring a hard copy to the clinic later.

What Happens Next?

After receiving your completed forms, we will begin processing your application. This process may take a few weeks to 2 months, depending on doctor’s availability. We will contact you with further instructions or to schedule your first appointment.

Important: Ensure that all provided information is complete and accurate to receive the best possible care.

Click the links below to access intake forms:

Adult Intake Forms

Pediatric Intake Forms