Entering Patient Information

Learn how to fill in patient details for your appointment.

The Patient Information Form

After selecting your date and time, you'll need to enter patient details:

Required Information

For each patient, you must provide:

Personal Details:

• First Name - Legal first name
• Last Name - Legal last name
• Date of Birth - Select Month, Day, and Year
• Gender - Male, Female, Non-binary, or Other

Contact Information:

• Email Address - For confirmation and reminders
• Phone Number - 10 digits, Canadian format (optional but recommended)

Booking for Multiple People

If you're booking for more than one person:

1. Each person's information will appear as a separate section
2. Fill in the details for each person
3. The contact information (email/phone) is usually shared

Tips for Filling the Form

Name:

• Use legal names as they appear on ID
• Avoid nicknames

Date of Birth:

• Use the dropdown menus for Month, Day, and Year
• Make sure the date is accurate for eligibility purposes

Email:

• Use an email you check regularly
• Confirmation and reminders will be sent here

Phone:

• Enter 10 digits without dashes or spaces
• Example: 4165551234

Validation Errors

If you see error messages:

• Check all required fields - Look for red asterisks (*)
• Verify email format - Must be valid (e.g., [email protected])
• Check phone format - Must be 10 digits
• Verify date of birth - Must be a valid past date

What Happens Next?

After entering all patient information:

1. Click "Review Appointment"
2. You'll see a summary of all appointment details
3. Review and confirm to complete your booking

Need Help?

Click the chat icon in the bottom-right corner for support.