Patient Intake Form

Patient Intake Form

Thank you for your interest in Axis Primary Care Clinic. We have currently paused patient intakes as we diligently work through the pending applications. We will reopen online applications in the near future but are unable to provide an exact timeline. If you have any questions or concerns, please feel free to contact the clinic at 604-330-8989. Thank you for your understanding. 

Child Intake Form

We require that you submit a separate child intake form for each of your children (age 17 years or younger).

Spousal Intake Form

We require your spouse fill out a separate patient intake form.