Patient forms


Patient Intake Form

Are you a new patient of Orleans Family Health Clinic?
All new patients of the clinic are required to fill out a patient intake form.

Patient Intake Form

Doctor Waitlist

Do you need a family doctor?
Fill out one of our waitlist forms to be put on one of our doctor’s waitlists. The clinic will contact you as soon as a spot becomes available.

Doctor Waitlist

Contact Form

Become a patient of our accepting family physician!
Fill out the contact form below and we will contact you to schedule an appointment to meet our accepting physician.

Contact Form

Authorization Release of Medical Information

This form gives Orleans Family Health Clinic permission to release health information to ensure you are receiving the proper care.

Authorization Release of Medical Information

Patient Forms
Ambulance-Icon

EMERGENCY? CALL 9-1-1

If you have a life-threatening medical emergency, contact 911 immediately!

Dial 911 to call an ambulance. Calling this number is free from any phone. Once in contact with the 911 operator, notify them of any health problems you or someone you know is facing. They will be able to evaluate the urgency of the situation and send an ambulance if needed.

For non-life-threatening conditions, same day emergency appointments are available with your doctor. (Please note that same day emergency appointments MUST be booked in the morning.) If your family doctor is fully booked, you can also visit our walk-in doctor.

After hours or on holidays, please call Telehealth Advisory (1-866-797-0000) to speak with a registered nurse. This service is free, confidential and available 24/7.