The purpose of the form is to collect data in order to facilitate registration to our clinic. Forms will be reviewed as they are collected and you will be contacted with more information in the near future.
It is expected that clients will see one provider on a regular basis, however you may be required to see alternative providers within the clinic from time to time. At the North Muskoka Nurse Practitioner-Led Clinic, your main health care provider will be a Nurse Practitioner. The Nurse Practitioner works within a scope of practice set forth by the College of Nurses of Ontario whereby she/he is able to order common lab and diagnostic tests, order and/or renew certain medications, and diagnose certain illnesses. Requirements beyond this scope of practice require our Nurse Practitioners to consult with our affiliated Family Physician. Your Nurse Practitioner may make arrangements for you to see our Family Physician at our clinic or may discuss your health care needs with her/him as required. In the future, our team will add a dietician, a social worker, a pharmacist, and a registered nurse, enabling us to better serve your health care needs.
This registration form will be considered a confidential document and if accepted into care will become part of your medical record. The North Muskoka Nurse Practitioner-Led Clinic will only collect, use and disclose your personal health information with your consent, unless a particular collection, use, or disclosure is permitted or required by law without your consent. It is understood that when attending Ministry of Health and Long Term Care funded services, there will be a requirement on the part of the clinic to submit some information regarding service usage to the Ministry.