FORMS & APPLICATIONS

Do you have a form or application that you need your

healthcare provider to complete?

The patient section MUST be completed prior to submitting your form
or application to your healthcare provider. 

Please bring your completed form or application to the clinic and place it in our drop box, located outside the front door of the clinic. 

OR, you can mail it to the clinic.

Before you leave or mail your documents, please ensure:

  • The patient’s information is complete

  • The patient has signed the form or application

Are you eligible for a

Disability Tax Credit?

 

CLICK HERE to find out.

Manitoulin Central Family Health Team

2120B HWY 551 Box 150

Mindemoya, ON P0P 1S0

Phone:  705-377-5371

Fax:  1-855-908-2517

For Life-Threatening Emergencies Call 911
For Non-Life-Threatening medical advice, call Telehealth Ontario 1-866-797-0000