New Patient Forms



For your convenience, some of our common patient forms are available below. 

 

Feel free to complete any of these forms prior to seeing your doctor to save yourself time and ensure that you are able to get the most out of your appointment.


Download
New Patient Form
New patients are requested to complete this form to provide Main Street Medical Centre with all relevant information.
New Patient Form (6).pdf
Adobe Acrobat Document 517.3 KB

Download
Transfer of Records Consent Form
New patients are requested to complete this form to enable Main Street Medical Centre to request your medical history/information from your previous physician.
Request for Medical Information (4) (2).
Adobe Acrobat Document 220.8 KB

Medical Disclaimer

(1) No advice: This website contains general information about medical conditions and treatments. The information is not advice, and should not be treated as such.

(2) Limitation of warranties: The medical information on this website is provided without any representations or warranties, express or implied. Main Street Medical Centre makes no representations or warranties in relation to the medical information on this website. Main Street Medical Centre does not warrant that: (a) the medical information on this website will be constantly available, or available at all; or (b) the medical information on this website is complete, true, accurate, up-to-date, or non-misleading.

(3) Professional assistance: You must not rely on the information on this website as an alternative to medical advice from your doctor or other professional healthcare provider. If you have any specific questions about any medical matter you should consult your doctor or other professional healthcare provider. If you think you may be sufferring from any medical condition you should seek immediate medical attention. You should never delay seeking medical advice, disregard medical advice, or discontinue medical treatment because of information on this website.

(4) Liability: Nothing in this medical disclaimer will limit any of our liabilities in any way that is not permitted under applicable law, or exclude any of our liabilities that may not be excluded under applicable law.

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