Your first visit

UPDATE: June 21, 2024
 
We are pleased to announce that we are now accepting waitlist applications for three physicians who will be joining iHealthMD Medical Centre within the next 3-12 months. Applications are prioritized based on complexity. Please note that filling out an application does not guarantee that you will be contacted or accepted.
 
Nurse Practitioner Vesna Papuga IS accepting patients on a limited basis. Please, complete our New Patient intake form online. Our office will be in touch with you.
 
Our physiotherapist Shirin Hatami is accepting New Patients. Please see online booking for her availability and her scheduling. Once booked, please complete the Physiotherapy Intake form online.
 
Our podiatrist is accepting New Patients. Check the link for more information.
 
New patient intake form

    New Physician Wait-list Request

    *Please complete ALL sections as wait-list requests are prioritized on a complexity basis.

    Patient Information:

    Gender

    MaleFemaleOther

    Medical History:

    Do you have any of the following conditions?


    Acid Reflux


    AIDS/HIV


    Anxiety


    Arthritis Osteo/Rheumatoid


    Back pain


    Bleeding disorders


    Blood clot


    Cancer


    Cholesterol


    Circulation


    Diabetes (Type 1/2)


    Fibromyalgia


    Gout


    Heart Attack


    Heart disease


    Hepatitis A / B / C


    Hernia


    High blood pressure


    Kidney problems


    Liver problems


    Lung problems


    Lupus


    Mental Health


    Migraines


    Osteoporosis


    Prostate


    Psoriasis


    Stroke


    Thyroid


    Tuberculosis


    Other

    Medications:

    List any past hospitalizations / surgeries: