IMG_20200405_121724~2.jpg

Forms + Documents

Click to Download

All forms should coincide with an appointment with your family physician.
Any questions about forms can be directed to reception. Please phone (306) 789-4677 to inquire.

 

Authorization

Your medical information is private and confidential. If you want certain family members or caregivers to be given special access to your medical information, this form tells us who you've given authorization to. For example, those given access can phone on your behalf to book appointments and speak with our medical professionals about your care.  If you feel this would be beneficial, please fill out this form and return to the clinic.

Physiotherapy Clinics

Here is a list of physiotherapy clinics in Regina and their contact information.

Blood Pressure Log

Feel free to print a copy of our blood pressure log to help document readings for your doctor. You can bring the completed copy to your next appointment or drop off with reception.