Welcome to Dixie Road Medical Associates

Policies and forms

New Patients : Please complete and sign the new patient intake form. You could either download, fill in and email back the manual copy or you could fill the online registration form that comes integrated with the Virtual care & email communication policy and consent form. You will also be required to fill in the New patient declaration form ( at your earliest convenience) and that will need to be emailed back to us here.

New Patients : To get your records transferred from your previous family doctor please complete and sign this form and e-mail it back to us HERE or drop it off at the office.

Change to personal information- please update your details here.

POLICIES AND FORMS: Authorization of disclosure of medical records. Please complete and sign this form and e-mail it back to us HERE or drop it off at the office.

POLICIES AND FORMS: For e-mail communication. Please read, complete and sign this form and e-mail it back to us HERE or drop it off at the office.