Thank you for your interest in becoming a patient at the Health Zone Nurse Practitioner-Led Clinic.

Upon completion of this form, we will review your information and place you on the waitlist. When we have availability, you will receive an email requesting additional medical information. Once returned, we will call you to book a meeting with one of our Nurse Practitioners to determine if your needs can be met at this clinic. This may occur several months after you submit your form.

Only those patients who currently live in London and surrounding area and do not have access to a primary care provider will be considered.

Filling out the wait list form DOES NOT guarantee you will become a patient.

By submitting your email address with the wait list form, you consent to receive emails from the NPLC.

Please DO NOT CALL the clinic to follow-up on our wait list form status.

We also recommend that you register at Health Care Connect to be put on a waiting list for a Family Physician or Nurse Practitioner in your area @ https://www.ontario.ca/page/find-family-doctor-or-nurse-practitioner

 

CLICK HERE to be added to our wait list

 

Thank You