Medical Clinic Intake Form
Kindly submit the forms at the clinic’s reception
Finding a family doctor is essential for maintaining your health and wellness. If you’re looking for a trusted medical clinic in Surrey, BC, or White Rock, BC, you’re in the right place! At our walk-in clinic, we’re dedicated to providing personalized and comprehensive care for all our patients. Here’s how you can join our clinic and take a step toward better health by submitting your intake form.
Why Choose Us?
Our walk-in clinics in Surrey and White Rock are designed to offer quality healthcare for everyone. Whether you need routine check-ups, help managing chronic conditions, or urgent care services, we’ve got you covered. From children to seniors, we cater to diverse health needs with compassion and expertise.
How to Submit Your Intake Form
Joining our clinic is simple! Follow these steps to ensure a smooth process:
- Download the Intake Form
Visit our website or contact us directly to get your intake form. Be sure to complete all sections with accurate information.
- Choose Your Submission Method
- In-Person Submission: This is the most secure method. Drop off your completed form at the reception desk of our walk-in clinic near you.
- Email Submission: If visiting in person isn’t possible, you can email the form. However, email submissions may carry privacy risks.
Email Addresses for Submission
- White Rock Clinic: wrmoa@citymedhealth.ca
- Surrey Clinic: medical@citymedhealth.ca
Important Notes
Temporary Pause in Surrey Intake
Currently, we’re unable to accept new patients at our Surrey walk-in clinic due to high demand. Please avoid emailing or dropping off forms for the Surrey location until we reopen intake. Updates will be shared on our website and social media.
Specify Your Practitioner
On the intake form, clearly indicate whether you’re applying for care from a family doctor or a nurse practitioner. This helps us process your application faster.
What Happens After Submission?
Once you’ve submitted your form:
- Our team will carefully review it.
- We’ll notify you once your application is processed.
- Please avoid calling the clinic for updates—we’ll reach out as soon as possible.
Walk-In Services Availability
If you need immediate care, our walk-in appointments are available at the Surrey clinic. Keep in mind that slots fill up quickly due to high demand.
Walk-In Clinic Hours
- Monday to Thursday: 4:00 PM – 8:00 PM
- Saturday: 11:00 AM – 3:00 PM
To book, call +1 (604) 503-9966.
Comprehensive Healthcare Services
Family Medicine
Our team of skilled family doctors provides care for all age groups, from newborns to seniors.
Women’s Health
We offer specialized services such as wellness check-ups, prenatal care, and menopause management.
Men’s Health
From annual physicals to chronic condition management, we prioritize men’s health needs.
Senior Care
Our clinics are experienced in handling geriatric health concerns with compassion.
Why Timely Enrollment Matters
Having a family doctor near you ensures continuous care for your medical needs. By joining our clinic, you gain access to:
- Preventative care
- Chronic disease management
- Personalized health advice
Join Us Today!
Your health is our priority. If you’re looking for a reliable family doctor in Surrey or White Rock, don’t wait! Complete and submit your intake form today. We look forward to helping you and your family stay healthy.