FORMULAIRE D’INSCRIPTION

FR — To become a client of the Centre and receive primary care:

Given the numerous requests for services that we receive, the WNCHC places a client’s request for primary care services on a waiting list. The WNCHC regularly accepts new clients, respecting the order in which application are submitted.

Persons who wish to become a client of primary care services at WNCHC must meet the following criteria:

  • Does not have a family physician;
  • Resides in the Municipality of West Nipissing;
  • Agrees to receive all his primary care services at WNCHC (i.e. not registering only to get a second opinion);

If you wish to become a client of the Centre, please fill out the registration form and return it in person to our reception desk, by fax to 705-753-5387, by email at info@cscno-wnchc.org, or by mail to the West Nipissing Community Health Centre, 68 Michaud St, P.O. Box 6308, Sturgeon Falls, ON, P2B 1B8.

Click here to print a registration form 

Vous aurez besoin de votre numéro de carte de santé et de votre date de naissance.

C'est simple et rapide !