Family Medicine Waitlist

Thank you for your interest! We have reached the maximum number of submissions at this time. Unfortunately, we are unable to accept additional entries. Please stay tuned for future opportunities!

Patient Waitlist Registration Form

The waitlist is open for the following groups in order of priority:

Anyone who has a valid OHIP or RAMQ card.
We are not accepting patient who already have a family doctor.

We will consider patients who have a family doctor retiring in the next 12 months.

Please complete the following information

If registering more than one patient, please complete one form for each patient.

First name

Last name

Birthday

Year

Month

Day

Health Card Number + Version Code (E.g. 1234 567 890 EG or RAMQ 1505 1505)

Phone

Address

Do you currenlty have a family doctor (check no if your family doctor is retiring in the next 12 months)?

Yes, I have a family doctor.

No, I do not have a family doctor / my family doctor is retiring in the next 12 months.

Do you have a...?

Ontario health card (OHIP)

Quebec health card (RAMQ)

Other (private plan or refufee plan)

Applicant Eligibility Confirmation

I confirm that all the information I have provided is true. I am eligible to apply because I do not have a family doctor, or my current family doctor is retiring within the next 12 months. I also have an OHIP card or a RAMQ card.

Yes, subscribe me to your newsletter to continue to receive information about my registration.

Once you have submitted your application to the waitlist, it may take up to 12 months for your submission to be processed.

Due to the high volume of messages regarding the waitlist, any emails about accepting patients outside of these groups will be discarded.

Please do not contact Dr. El-Haddad for further information as this will only slow down patient care.

Thank you for your understanding.