Patient Document Upload

Please use this form to submit visit-related documents to our clinics. Please note, this form is not encrypted.


We accept photos of documents and insurance cards only. We cannot accept photos of injuries, skin conditions, etc. meant for assessment or diagnosis.

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*If seeing urgent care, type "Urgent Care" below. If occupational health (employment/work related) write "Occ Health" and please include the expiration date if applicable.

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Please attach your documents here.

Drag and drop files here or
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