Privacy & Confidentiality Disclaimer

All personal and health information collected on this form is kept strictly confidential and is collected for the purpose of providing medical care and managing your patient record at Lakewood Medical Centre.Your information will only be accessed by authorized healthcare providers and administrative staff and will not be shared without your consent, except where required or permitted by law.

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Cancellation Policy

Please note that you may be charged a fee for a missed appointment without 1 business days notice.

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New Patient Acceptance Notice

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Please be aware this form is for information purposes only and not an agreement to becoming a new patient. You will be advised by telephone if accepted. A first visit appointment is for information gathering only. It does not guarantee that you will be accepted as the Doctor may be at full capacity for some of your conditions. Please allow 2-3 weeks for a call back.