In certain circumstances patients of Associate Clinic are able to communication with their physician electronically through secure e-mail or arrange a video appointment using Medeo Virtual Care.

If you would like the option to arrange secure video-chat appointments or communicate with your physician via secure e-mail please print out and complete the form below and e-mail a copy of the completed from to and your consent will be recorded in your Associate Clinic patient file. Alternatively you can bring the completed form with you to your next in-person appointment.

Consent my be withdrawn at any time by e-mailing