Become A Patient

Interested in becoming a patient?

STEP 1 – Submit a registration form

Fill out and submit the form below to start your process in becoming a patient at the Eastside Medical Clinic. Please note, a form must be submitted for each member of your family intending to join.

STEP 2 – Allow some time for processing

A member of staff will contact you as soon your registration form has been processed.

Thank you for your application. A member of staff will contact you soon.
There was an error submitting your application. Please try again later.

OPENING HOURS

Monday 9:00 – 17:00
Tuesday 9:00 – 17:00
Wednesday 9:00 – 17:00
Thursday 9:00 – 17:00
Friday 9:00 – 17:00
Saturday Closed
Sunday Closed

FORMS

requisition form
rapid access tia form

CONTACT INFORMATION

+1 (289) – 800 – 9376

LOCATION

OUR SERVICES