519.873.1700    

Thank you for your interest in becoming a patient at Advanced Medical Group.

If you are interested in learning more about becoming a patient at AMG, feel free to call 519.873.1700,

Alternatively, you can provide some brief information on the form to the right. We will use this information to begin the process of placing you on the AMG Physician Wait List.

We will contact you when one of our Doctors has a meet and greet appointment available. Your AMG application does not preclude you from looking elsewhere for another doctor who may be able to accept you as a patient sooner.

Please feel free to use our walk-in clinic if needed.

By submitting this form, you understand that your information will be shared with AMG London Inc, and acknowledge that this consent has been made freely, voluntarily and without coercion. Your information will be used solely by AMG, and will not be distributed for any other purpose.