Coming Soon

Medical Questionnaire

Please fill out the following form to help us understand your physical condition.

Have you been hospitalized in the last 12 months?
Are you currently suffering from a medical condition, illness, or injury?

Thanks for submitting!

 If you have a medical emergency please call 911.

 

If you have any medical questions/concerns you can call 

Telehealth Ontario at 1-866-797-0000.