Tudor Glen - 780.705.8400

2520 Tudor Glen
St. Albert
T8N 3V3

Milbourne - 780.705.8400

7629 38 Ave
Edmonton, AB, T6K 3Y7

Trail South – 51st Ave - 780.705.8400

10407 51 Ave
Edmonton, AB, T6K 0H4

Online Booking

NEW PATIENTS

The PDF form found below¬†is for new patients only, if you have already visited our clinic please see the instructions under “Existing Patients”.

For all new patients, please download & fill out the following PDF application form (found below) making sure to bring it with you during your first visit¬†in addition to filling out the application form to the right. Please fill out & submit the section titled “New Patient”; all other sections require you to be a current patient of our clinic. Once we have your information on file following your first visit you’ll be able to book online, paperwork free!

NEW PATIENT REGISTRATION FORM

EXISTING PATIENTS

If you have scheduled a previous visit with us in the past you’re ready to book online, paperwork free. Fill out & submit the form to the right using one of the following sections:

  • Personal Health Number
  • Chart Number
  • Date of Birth

ONLINE REGISTRATION FORM

Before filling out our online application form, please read all instructions in the appropriate category to the left to make sure you have all proper documentation for your visit.