Lifebridge Forms

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.

Complete Medical Questionnaire

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.

Health Questionnaire

Pediatrics Health Questionnaire

Please complete this questionnaire prior to your Pediatrician consult.

Pediatrics Health Questionnaire

Pediatrician Referral

To be filled out by your family doctor.

Pediatrician Referral

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.

Fee Schedule