Online Patient Triage Form
Complete this form to reserve your position on today's triage list before traveling to the clinic. Please ensure all legal names match your physical Health Card.
Priority Triage Ticket Issued
Please present this number to the reception desk upon entering:
#W-185
Arrival Deadline: 45:00 Remaining
Patient Legal Name: John Doe
OHIP Number on File: ****-***-890
Check-In Timestamp: Oct 10, 2026
Attending Preference: First Available Doctor
*You must present your physical plastic Health Card to reception within 45 minutes to confirm this triage spot.
OHIP Number on File: ****-***-890
Check-In Timestamp: Oct 10, 2026
Attending Preference: First Available Doctor
*You must present your physical plastic Health Card to reception within 45 minutes to confirm this triage spot.