Getting Registered.

New Patients are welcome. Currently all our 3 doctors namely Dr. Gurdev S Toor, Dr. Hargunbir S Toor and Dr.(Mrs.) Namrata Toor are accepting new patients.Patients are requested to bring in there Alberta Health Card and 1 Piece of Govt. Photo I.D. e.g Driver License etc at the time of first visit to the clinic.

1: Personal information:

Initial:*

Preferred Name:*

Last name:*

Middle Name:

First name:*

Date Of Birth:*

Sex:*

Male Female Others

Marital Status:*

Married Unmarried

2: Health Care Information:

Health Care Number:*

Is this an Alberta Health Care Number?:*

3: Contact Information:

Email:*

Street Address:*

City:*

Province:*

Postal Code:*

Home Phone:*

Work Phone:

Preferred Contact Method:*

4: Other Information:

Occupation:*

Spouse/Parent/Guardian's Name:*

Relation:*

How did you hear about the our clinic:*

Doctor Preference:*

Your past medical history:*

Registration