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CBT for Anxiety & Depression - 7 Classes
Chronic Disease Self-Management Program
Chronic Pain Self-Management Program - 6 Sessions
Cooking Class
Falls Prevention
Heart Health
Learn To Manage Osteoarthritis - 3 Sessions
Learn To Manage Your Fibromyalgia
Mood & Food
Relaxation & Stress Management Skills - 6 Sessions
Understanding & Managing Your Diabetes - 2 Sessions
Understanding Pre-Diabetes
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Waitlist Form

Waiting List Patient Information
First Name
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Date of Birth
Gender
Female  Male  Other / Prefer not to disclose  
Address
City
Postal Code
Home Phone #
Work Phone #
Mobile Phone #
Email
Do you have any significant health concerns?
Have you been a patient of East Wellington Family Health Team in the past?
Yes No
Name of current physician (if any)
Current physician city
Clinic Preference
Erin  Rockwood  Either/First Available  
Physician Preference
Male  Female  Either/First Available  
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Copyright 2019 East Wellington FHT
Copyright 2008 - 2019 FHT Solutions.
Unit 1 • 6 Thompson Crescent • Erin ON N0B 1T0 • Phone: (519) 833-9396
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