New patient registration
Your details, your baby's details and your health card. Fill this in once, before your first visit.
Open formFilling these in before you come means more of your appointment is spent on you and your baby, and less on paperwork. Take your time โ you can stop and come back.
The forms are slightly different for each location, so pick the one you're visiting.
Brantford Clinic โ 379 St. Paul Ave, Brantford. Open Mondays, Tuesdays and Thursdays, 9 am to 2 pm. Questions about a form? Text 226โ450โ0040 or email brantford.pediatrics@gmail.com.
Your details, your baby's details and your health card. Fill this in once, before your first visit.
Open formHow your birth went, how feeding has been going, and what's worrying you most. This is what we read before we meet you.
Open formA shorter update for return visits. Tell us what's changed since we last saw you.
Open formHamilton Clinic โ 1300 Garth St, Hamilton. Open Monday to Friday, 9 am to 3 pm. Questions about a form? Text 289โ326โ1257 or email rapidaccesspediatrics@gmail.com.
Your details plus a full feeding history. This is the form to start with if you haven't been seen in Hamilton before.
Open formA shorter update for return visits โ how feeding is going now, and what you'd like help with this time.
Open formFor midwives, family doctors, nurses and hospital teams referring a family to the Hamilton clinic. Parents don't need a referral to come.
Open formYour information stays private. Forms are submitted securely and are only read by your clinic team. Please don't send health information by regular email or text.
Nothing here is a test. If you forget something, come anyway.
Call or text us and we'll point you to the right one. It takes a minute.