Helpful forms for your next visit

For all visitors to ConnectCare:

COVID-19 Screening Form

Print and complete your COVID-19 Screening Form at home to expedite entry into our facility.

Download COVID-19 Screening Form

Permission to Use Electronic Communication Form

To ensure seamless electronic communication between our staff and patients via email and other forms of electronic communication, can you please take a moment to provide your approval if you have not done so already. This allows us permission to communicate with you by email during COVID-19. Thank you for your support.

Submit Online Form

For new patients wishing to transfer existing patient chart info from another clinic to a specific ConnectCare Family Doctor

Authorization for Release Form

Once you have booked and confirmed a “meet and greet” appointment with a new doctor at ConnectCare Medical Clinic, please print and complete your Authorization for Release of Information Form. We will submit your completed form to your existing doctor on your behalf after your appointment

Download Authorization for Release Form