• Zoom in Regular Zoom out
  • FAMILY HEALTH CLINIC WALKIN CLINIC PHARMACY TRAVEL CLINIC SHOP ONLINE
  • (613) 837-5454
Orleans Medical CenterOrleans Medical Center
  • About Us
    • Orleans Physicians FHO
    • 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 FHO
      • OFHC Patient Email Consent Form
      • OFHC Pediatric Forms
      • Authorization of Record Release
      • Document Upload
    • Uninsured Services
  • Contact
  • Medical Blog
Patient Enrollment Form FHOShahin Abdullah2022-12-15T10:30:45-05:00

Patient Enrollment Form FHO

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 FHO

average-time-to-call-clinic

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

Phone Lines:
MON-THURS: 8:30 a.m. - 8p.m.
FRI: 8:30 a.m. - 5 p.m.
SAT 8:30 a.m. - 1 p.m.
SUN: CLOSED

Upcoming Holiday Closures

Mon, Sept. 5, 2022
Mon, Oct. 10, 2022
Mon, Dec. 26, 2022
Tues, Dec. 27, 2022
Mon, Jan. 2, 2023
Mon, Feb. 20, 2023
Mon, Apr. 10, 2023
Mon, May 22, 2023

Important Numbers

Emergency Call
911


During After Hours TeleHealth Ontario
811

Orleans Family Health Clinic
(613) 837-5454

Social Media

FacebookInstagram
© Copyright 2016-2017. All Rights Reserved.
  • About Us
    • Orleans Physicians FHO
    • 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 FHO
      • OFHC Patient Email Consent Form
      • OFHC Pediatric Forms
      • Authorization of Record Release
      • Document Upload
    • Uninsured Services
  • Contact
  • Medical Blog