The last time you were sick or were concerned you had a health problem, how many days did it take from when you first tried to see your Nurse Practitioner to when you actually saw her/him or someone else in their office?
Did you get an appointment on the day you wanted or within an acceptable timeframe?
When you see your Healthcare Providers, how often do they or someone else in the office…?
Give you an opportunity to ask questions about recommended treatment
Involve you as much as you want to be in decisions about your care/treatment
Spend enough time with you
How many times in the past 12 months have you received care from a walk-in clinic or Emergency Department?
If you have received care from a walk-in clinic or Emergency Department, what was the reason for the visit?
Have you been hospitalized in the past 12 months?
If yes, did you book a follow-up appointment with this clinic?
(Note: We strongly recommend you book a post-hospital discharge follow-up within 7 days)
Do you take prescription medication(s) on an ongoing basis?
If yes, in the past 12 months, did you review your medications with your Nurse Practitioner and/or Pharmacist?
We are a Team-Based healthcare model. Please let us know whom you saw in the past 12 months? Please check ALL that apply.
Do you feel you have received comprehensive care by seeing a team of health care professionals?
Overall, how would you rate your experience with this clinic?
Would you recommend our services to friends or your family?
Please list any areas in which our service could be improved or any other comments/suggestions about our clinic.
New Patient Application