Norfolk Family Medical

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  • About Us
    • Maternity Care
    • Family Medicine
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    • New Patients
    • Contact Us
  • Book Online
  • Current Patients
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    • Submitting a form
    • CANCELLATION POLICY
  • Resources
    • TB Skin Testing
    • Online Booking FAQ
    • After Hours Clinic
    • Related Links
    • Updates
    • Mental Health Resources
  • More
    • Home
    • About Us
      • Maternity Care
      • Family Medicine
      • Civil Aviation Medicine
      • New Patients
      • Contact Us
    • Book Online
    • Current Patients
      • Clinic Policies
      • Nursing Station
      • Submitting a form
      • CANCELLATION POLICY
    • Resources
      • TB Skin Testing
      • Online Booking FAQ
      • After Hours Clinic
      • Related Links
      • Updates
      • Mental Health Resources

Norfolk Family Medical

Norfolk Family MedicalNorfolk Family MedicalNorfolk Family Medical
  • Home
  • About Us
    • Maternity Care
    • Family Medicine
    • Civil Aviation Medicine
    • New Patients
    • Contact Us
  • Book Online
  • Current Patients
    • Clinic Policies
    • Nursing Station
    • Submitting a form
    • CANCELLATION POLICY
  • Resources
    • TB Skin Testing
    • Online Booking FAQ
    • After Hours Clinic
    • Related Links
    • Updates
    • Mental Health Resources

New Patients

We are now collecting Patient Intake Forms for new

Family Physician Dr. Dean.

Intake forms are accessible through our website only.

Please download, complete, and submit the appropriate intake form as shown below. 

Once completed, upload and submit your form by  clicking "submit online". 

Please ensure all pages of the form are fully completed before submitting.

Thank you.


CLICK HERE TO SUBMIT ONLINE


We understand that it may be difficult waiting to hear from us, we ask for your patience while the office

collects, processes and arranges introductory appointments.

Please refrain from calling the office for updates, we are unable to provide a timeline of the booking process.

New Patient Intake Adult 16 yrs and older (pdf)

Download

New Patient Pediatric Intake Newborn to 15 yrs (pdf)

Download
  • Maternity Care
  • Family Medicine
  • Civil Aviation Medicine
  • New Patients
  • Contact Us
  • Clinic Policies
  • Nursing Station
  • After Hours Clinic
  • Related Links

Norfolk Family Medical

85 Norfolk St., Suite 305, Guelph, ON N1H 4J4

(519) 836-9440 or (519) 766-1490

Copyright © 2018 Norfolk Family Medical - All Rights Reserved.

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Previous Patients of Dr. Jolley

How to request your medical records:

Option 1: Complete the online form: www.recordsolutions.ca/DrKJolley/

Option 2: Call RSRS at 1-888-563-3732 to make arrangements.

Option 3: Submit a completed authorization form:

  • Email: medicalrecords@rsrs.com
  • Fax: 1-877-398-5932
  • Mail: Dr. Jolley c/o RSRS, 111 St. Regis Cres. south, Toronto, ON M3J 1Y6

*Record transfers are NOT covered by OHIP and will be subject to a fee.