Military Family Doctor Network - Primacy Management Inc. · 2016-01-06 · West Mississauga Care...
Transcript of Military Family Doctor Network - Primacy Management Inc. · 2016-01-06 · West Mississauga Care...
Main Contact:__________________________________________________________________________________________
Patient’s Name: ________________________________________________________________________________________
Patient’s Name: ________________________________________________________________________________________
Patient’s Name: ________________________________________________________________________________________
Patient’s Name: ________________________________________________________________________________________
Patient’s Name: ________________________________________________________________________________________
Phone Number: _____________________________________
Email:______________________________________________
For verification of eligibility for this program we require the CAF member’s:
Name: ___________________________________________ Work Phone:___________________________________
Rank:____________________________________________ Work Location:_________________________________
Current status: Serving Retiring Releasing
Calian is pleased to offer a Military Family Doctor Network (MFDN) in support of the Military Families across Canada. The program is presented in coordination with the local Military Family Resource Centre. This is the beginning of a national program that will link Military Families with doctors within the network of 140 Calian Primacy health clinics.
If you require a family doctor, follow these three simple steps:
Step 1: Complete the form Step 2: Fax to: 1-888-511-0219 Scan and email to: [email protected] Call: 1-877-633-7722 x 550 Step 3: A representative from Primacy will contact you at the phone number provided below
Physician preferences: Male Female Either
Language Preference: ______________________________________________________
Medical coverage: Ontario Health Other: ________________________________________________
In what area do you live? Please include your postal code:______________________________________________
How did you learn about the MFDN ? ____________________________________________________________Note: Please ensure that you inform your doctor when you change doctors as another family may be waiting.Disclaimer: MFDRP is limited to connecting CAF families with participating physicians. MFRC-Toronto is not involved in the patient-doctor relationship beyond the introduction.
Revised 23.09.15 MFDN REF #
WALK-IN CLINICSPlease see reverse for a list of convenient Walk-In Clinics should you require immediate medical assistance.
As the Canadian Armed Forces long-time health services partner, Calian is honoured to extend our services to support Canadian Military Families within the communities where they live, work and play.
Military Family Doctor Network
* Call for hourswww.primacyclinics.ca
Pharmacy on-site at each location!
Ajax Family Care Centre
30 Kingston RoadWest Ajax, ON L1T 4K8 (905) 426-2501
Oak Park Family Care Centre
201 Oak Walk Drive Oakville , ON L6H 6M3 (905) 257-3297
Leslieville Medical Centre
17 Leslie St Toronto, ON M4M 3H9 (416) 465-6606
Doctors on Bayview
15900 Bayview Avenue Aurora, ON L4G 7Y3 (905) 726-9755
Harmony Medical Clinic
1385 Harmony Rd North Oshawa , ON L1H 7K5 (905) 436-9646
Weston Road Medical Clinic
2549 Weston Road Toronto, ON M9N 2A7 (416) 240-8282
Milton Family Care Center
820 Main Street East Milton, ON L9T 0J4 (905) 864-9898
Golden Mile Walk-In Clinic
1880 Eglinton Ave EastScarborough, ON M1L 2L1 (416) 285-7575
North York Family Physicians After Hours2901 Bayview Avenue Toronto, ON M2K 2S3 (416) 491-6338
West Mississauga Care Centre3050 Argentia Road Mississauga, ON L5N 8E1 (905) 785-3627
Carlton & Church Medical & Walk-In Clinic60 Carlton Street Toronto, ON M5B 1J2 (416) 646-1890
Lansdowne Dundas Medical Clinic200-222 Lansdowne Ave.Toronto, ON M6K 3C6 (647) 725-6555
Trinity Medical Centre & Travel Clinic
18120 Yonge Street Newmarket, ON L3Y 4V8 (905) 895-0008
Dufferin Family Care Centre
51 Gerry Fitzgerald Dr Toronto, ON M3J 3N4 (416) 739-1562
Don Mills Medical Clinic
825 Don Mills Road Toronto, ON M3C 1V4 (416) 383-1251
N
NN
W
W
W
E
E
S
Primacy Walk-In ClinicsWhile you are waiting to be referred to a Family Physician, we welcome you to visit
one of our Walk-in Clinics with any urgent care needs.
SE SE
N
N
S S