Clyde Medical Centre

Please be advised that registration is available online only!!! through the website and the waiting time is 3-6 months and we will contact you once your application is accepted

Patient Information

First Name

Last Name

Phone

Date of Birth

Health Card Number

Version Code

Patient Address

Street Address

Address Line 2

City

Province

ZIP / Postal Code

Preferred Pharmacy

Preferred Pharmacy Address

Message (Optional)

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