ENROLMENT FORMS FOR SOMC PATIENTS
*** THIS ONLY APPLIES TO PATIENTS ALREADY REGISTERED WITH AN SOMC PHYSICIAN ***
1) Click on PDF icon below to download the enrolment forms.
2) Fill out forms electronically or manually and SIGN PAGE 1 + 2:
a. Patient Enrolment and Consent to Release Personal Health Information (on page 1)
b. Patient Health Care New Patient Declaration form (on page 2)
3) Return signed forms via following options:
a. PATIENT PORTAL
Scan or take a photo with your phone of the form (signature must be legible).
Click on link below to access the new portal and attach a copy.
Reminder: NO PASSWORD is needed to access the Ocean portal.
You just need your name, date of birth and health card number.
b. DROP OFF
You may drop off the forms at the South Ottawa Medical Centre during our hours of operation.
You can send the forms back to our office by mail.
Our mailing address is:
South Ottawa Medical Centre
2-1650 Queensdale Avenue, Gloucester, ON K1T 1N8
Any forms completed by individuals who are not currently registered patients at SOMC will be discarded.