Patient Enrolment (Roster) Form

Please complete the online intake form and return the roster form by fax, in-person during clinic hours or by email.

FAX: 613-507-7006

EMAIL: admin@greenwoodmedicalcentre.com (use subject heading: Roster Form)

Greenwood Medical Centre will consider you an active patient after you complete your online intake form, send your roster form with proof and address and we verify these items.  Please do not book an appointment before we notify you this verification process is complete.

Clinic staff will require proof of address at your first visit in addition to the fax/email submission with a valid drivers license, purple Ontario ID card or 2 pieces of recent mail from a known company or government branch addressed to you (e.g. utility bill, health card renewal, etc.).  Addresses will be checked to ensure that patients reside within the catchment area.