Forms
Schedule an Appointment
Complete Medical Questionnaire
If you are booked for a complete medical visit with your provider, please print and fill out the Complete Medical Questionnaire, then bring it to your Complete Medical visit. This form will provide your physician with an update on your most pressing concerns. If you do not bring this form, you can see your provider but your Complete Medical visit will likely need to be re-booked. Your provider cannot provide comprehensive care without having the necessary information available at the time of the visit.
Health Questionnaire
If you are a new patient at LIFEBRIDGE Health Centre, and have booked a Meet & Greet appointment (1st visit) with one of our providers, please complete this Health Questionnaire form and bring it to your Meet & Greet appointment.
Pediatrics Health Questionnaire
Please complete this questionnaire prior to your Pediatrician consult.
Pediatrician Referral
To be filled out by your family doctor.
Consent form For Neurodevelopmental
Consent form For Neurodevelopmental Disorder Assessment and Treatment
Fee Schedule
In some cases, a physician’s review of a form is not a service covered by the Medical Services Branch of Sask. Health. In these cases, a private fee, payable by the patient, applies. This fee will be explained and collected when you check in for your appointment. Please see the link to a fee schedule below for more details.
