Book a Meet & Greet Appointment

Name

This field is for validation purposes and should be left unchanged.

New Patient Pre-registration Form

Accepting Patients

Spruce Grove

Your Information

Which location would you like to pre-register for?*

Spruce Grove, Edmonton

I am registering for:*

myself
my family

Your contact details

Your Name*

First Last

Email*

Enter Email Confirm Email

Phone*

Date of Birth*

Gender*

Home Address

Street Address City Province Postal Code

Your Family Information

Number of members in my family:*

Family member names

This optional section is provided to help save you time from registering each member individually.

First Name	Last Name	Relation (spouse, child, etc.)	DOB	Gender	Phone Number	Health Card Number + Province

Doctor Preferences

I am interested in:*

Family Care
Children Care
Women's Health
Long Term Illness
Other

Request your Meet & Greet Appointment beginning September 8th, 2026

Please note that this is a meet-and-greet appointment to meet your new doctor. No medical assessment or treatment will be provided during this visit. If you decide to move forward, we'll be happy to help you schedule a new date for a comprehensive medical examination at that time.

1. Preferred Appointment Date*

Preferred Time Range*

Early Morning
Late Morning
Early Afternoon
Late Afternoon

2. Alternative Appointment Date

Alternative Time Range

Early Morning
Late Morning
Early Afternoon
Late Afternoon

Alberta Health Requirement

Alberta Health Requirement*

Yes, I will ensure to bring my ID and Alberta Health Care Cards which is required for all appointments

Alberta Health Card Number*

Or, other provincial health card number

Confirm Province of Health Card Number

Province

Additional Information

Message (optional)

Website terms of use*

Yes, I accept the terms of use of this website

How did you hear about us?

Can we contact you?

Yes

Accepting New Patients today!