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Patient Registration

Download the PDF Form

*By downloading this form, you must manually fill it out and bring it to the clinic.

Patient Registration

Personal Details

Emergency Details

 

Patient Registration Brampton at Lakeridge Medical Clinic

Frequently Asked Questions From Patients

How to register virtually ?

You can easily register as a new patient by filling out our online form. The clinic will receive your information and contact you as soon as possible to confirm your appointment.

What is the next step after registration?
After registration, you can  book an appointment with the doctor and select the data and time which ever is available.

Book Appointment
What is the last steps after booking appointment ?

During your first visit, your family doctor will take the time to review your medical history, address your concerns, and outline a care plan tailored to you. This is the foundation for a trusted, long-term relationship focused on your well-being.

Change Your Life

Schedule An Appointment