Doctor Request Form - Medicentres

Did you know that many of our physicians have family practices? If you or anyone in your family needs a family doctor, we have you covered.

Please fill out the form below and one of our staff will contact you once we have a family physician in your area accepting new patients. For your convenience, the following physicians are currently accepting patients, please feel free to call the clinic directly to book a time that works for you:

Alberta — Calgary | Heritage Hill : Dr. Emezie (male) Book a Meet and Greet
Alberta — Calgary | Panorama : Dr. Agunbiade (male) Book a Meet and Greet
Manitoba — Winnipeg : Dr. Aref (male)
Ontario — Newmarket : Dr. Azumah (male)
Ontario — East Gwillimbury : Dr. Bedi (male)
Ontario — Richmond Hill : Dr. Jae Won Phee (female)

By providing us your contact information you consent to Medicentres contacting you directly.

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First Name *

Last Name *

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Email *

Cell Phone # *

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Patient's Location *

Please select your preferred location:

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Province *

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