435 King St. N, Waterloo
Tuesday, February 21, 2023
4pm - 7pm
Open to all Physicians, Allied Health Professionals, Directors and Coaches of Sport Organizations in Waterloo Region

New Patient Registration Form

Please complete and submit this new patient information form below PRIOR TO YOUR INITIAL CONSULTATION with your orthopaedic surgeon or sports medicine physician.  Completing this form in advance will help prevent the spread of COVID-19 by reducing your time spent in the waiting room and by limiting unnecessary handling of stationary materials at the office.

Please bring your health card for validation to every appointment.