Becoming a Patient at the hub

INTAKE FORM

 
DSC00067.JPG

Step 1:

If you would like to join our waitlist to become a patient at the Dorset Health Hub, please complete the following Intake Form (pdf).

We prioritize patients who do not have a family doctor/nurse practitioner. To become a patient of the hub you must live within a one hour radius from our clinic.


Step 2:

Once you have completed the form, please send it to the Hub. You can mail, fax, or drop off the form to the address below:

P.O. Box 564

1096 Main St, Dorset ON P0A 1E0

Fax: 705-766-1487


Step 3:

Once we receive your completed form, we will review and assess your form for eligibility to become a patient of the Dorset Health Hub. If eligible we will then CALL you for an intake appointment when a spot opens up. If you are on any medications, please bring ALL of your medications in their bottles to your first appointment. At this appointment you will meet the nurse practitioner and final decisions regarding becoming a patient will be made.


Step 4:

If you have and questions or concerns, please call the Hub at 705-766-0866. One of our staff would be happy to provide further information. 

DSC00062.JPG

Screen Shot 2018-10-22 at 9.02.16 AM.png