Skip to Content | A A A A
Home page
About Us
Our Services
Patients
Resources
Contact Us
Patients

Hespeler Medical Clinic - Patient Forms

Do you see the name of your doctor among the list below of the doctors at our Hespeler Medical Clinic location:

Dr. Amany Attalla 

Dr. Prabhu Benjamin 

Dr. Ioana Costin 

Dr. Jennifer Coulson 

Dr. Keith Hankinson 

Dr. Meghan King 

Dr. Matthias Klomfass 

Dr. Maryse Mazerolle 

Dr. Katherine McLean-Lemieux 

Dr. Melissa Schurter 

Dr. Laura Siddall 

Dr. Deborah Whan 

Dr. Taryn Williams 

Dr. Cindy Zhu

If NO, then please click on the HEALTHLINK PATIENTS ONLY Online Forms link on the left hand side of this screen.

If YES and you have been directed to complete an online form by a staff member, please click the below Patient Forms link.   Note, any forms you complete will be reviewed at your next appointment.  If your issue needs immediate attention, please call the office to determine if you need immediate care.

To complete an online form you will select either "New Patient" if you just joined or "Existing Patient".  Then select the appropriate form(s) to complete. 

Please note that you will need the Health Card Number of the person for whom the form is being completed for.

If you have been asked to submit a picture or document, please click on the following link.  

Please note that you will need the Health Card Number of the person for whom the picture and/or document is being submitted for.