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Orleans Medical CenterOrleans Medical Center
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Patient Enrollment Form FHGShahin Abdullah2022-05-17T11:14:44-05:00

Patient Enrollment Form FHG

For new patients to the clinic that require enrollment with one of our doctors.  Please print and complete the form and mail it to our office address or drop it off at the clinic.  Please ensure you have done your COVID Screening prior to arrival at the clinic.

Patient Enrollment Form FHG

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address icon210 Centrum Blvd #110

Orléans, ON K1E 3V7

phone icon613 837-5454

email iconinfo.ofhc@gmail.com

Address

Orleans Family Health Clinic
210 Centrum Blvd,
Suite 101 & 110
Orleans, ON

Opening Hours

Family Health Clinic:
MON-THURS: 9 a.m. - 8 p.m.
FRI: 9 a.m. - 5 p.m.
SAT: 9 a.m. - 1 p.m.
SUN: CLOSED

Upcoming Holiday Closures

Mon, Aug. 2, 2021
Mon, Sept. 6, 2021
Mon, Oct. 11, 2021
Mon, Dec. 27, 2021
Tues, Dec. 28, 2021
Mon, Jan. 2, 2022
Mon, Feb. 21, 2022
Fri, Apr. 15, 2022
Mon, May 23, 2022

Important Numbers

Emergency Call   911

During After Hours TeleHealth Ontario
1(866) 797-0000

Orleans Family Health Clinic
(613) 837-5454

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© Copyright 2016-2017. All Rights Reserved.
  • About Us
    • Our History
    • Vision, Mission, Values
    • Career Opportunities
  • Our Services
    • Pharmacy
    • Travel Medicine Clinic
  • Our Medical Staff
    • Family Doctors
    • Specialists
    • Nurses
    • Management
    • Reception and Administrative
  • Clinic Info
    • Privacy Policy
    • Clinic Policies
    • Directions
    • Patient News
    • Patient Forms
      • Patient Intake Form
      • Patient Enrollment Form FHG
      • OFHC Patient Email Consent Form
      • OFHC Pediatric Forms
      • Authorization of Record Release
      • Document Upload
    • Uninsured Services
  • Contact
  • Medical Blog