Registration With a Family Doctor

About this form

This form enables patients to designate a single general practitioner as their regular family doctor under the provincial agreement for the ongoing provision of primary care. It captures patient identification details, representative information where applicable, the designated place of usual follow-up, practice and facility information, and the family physician’s acceptance of responsibility for the patient’s ongoing care. The form also records the effective date of registration and supports the maintenance of accurate medical records. Heidi helps clinicians efficiently generate structured registration documentation, reducing administrative workload while supporting continuity of primary care and accurate patient enrolment.