Brooklin Medical Centre Secure File Upload

IMPORTANT

If this is an emergency call 911. Please note this form/email is not monitored on a regular basis. Do not send any communication unless specifically requested by your physician. If you have any medical or time sensitive concerns or questions please contact the office directly at 905-655-3321

First Name

Enter Your First

Last Name

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Phone Number

Enter Best Number to Reach you

Email address

Health Number

Please indicate the reason for your contact or the document you are uploading

Submit Files or Photos Please Select The Link below to Upload Files Securely to your Doctor or NP

Add file

Please upload a file

Your information will be encrypted.