New Patient Booking Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.1 Do you have a family physician or nurse practitioner now? *--- Select Choice ---YesNoYes, but my family physician/nurse practitioner is retiring/retired/stopping primary care. care care your Registration Eligibility Notice Sorry, our providers do not accept the patient who already has a family physician or nurse practitioner. 2 Did your family physician or nurse practitioner inform you to look for a new primary care provider because she/he is retiring/retired/stopping primary care? *YesNoRegistration Update Thank you for your interest in registering with our clinic. At this time, we are only accepting patients who do not currently have a family physician or nurse practitioner, or whose current provider has advised them to find a new primary care provider due to retirement or discontinuation of primary care services. If your situation changes in the future, we would be happy to have you return and complete the registration screening again. 3 Which primary care provider would you like to register with?Dr. Seah, TaylorNP Ding, MasonDr. Ng, KaCongratulations! You are eligible to proceed. Please click the button below to continue with your online registration. Congratulations! You are eligible to proceed. Please click the button below to continue with your online registration. 4 Do you know Mason Ding is a nurse practitioner, not a family physician? *--- Select Choice ---YesNoCongratulations! You are eligible to proceed. Please click the button below to continue with your online registration. 提交评论
