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Local: 1.416.507.6600

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Patient Forms

Please complete and/or download the appropriate forms below before your visit. If you have questions, please call 416.507.6600.

You can submit the Colorectal Health form confidentially via email to or by fax to 416.507.6750; for the Executive Health forms submit confidentially via email to or by fax to 416.507.6610.

For Returning Executive Health Patients: Kindly complete this form with any changes since your last physical only. If nothing has changed, there is no need to complete the form.

If you are using a browser other than Internet Explorer, please save the questionnaire to your computer before you complete the form.

Name Description  
Colorectal Health This prep information is for patients who require a colonoscopy. Download
Executive Health Program – Year One This form is to be completed by first year Executive Health patients. Download
Executive Health Program – Returning Patient This form is to be completed by patients who are returning to the Executive Health program. Download