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For the New Patients of Dr Cheung

Please complete this form for you and/or your family and return it to us as soon as possible to ensure your spot in Dr. Cheung's practice.

 

Instructions:

First, download the below form to your computer, fill out the information then re-save it.

     Next

 

Upload your completed form HERE 

     OR...

email it to admin@uxbridgehealth.ca, or print it off and send it to us by regular mail, or drop it

off in-person drop off to our reception desk

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