Click on the links below to open and download or print the form appropriate to your request or upcoming appointment.
NEW PATIENT FORMS
Adult New Patient Packet (all forms)
Child New Patient Packet (all forms)
Child New Patient Information Form (individual form)
Child Privacy Directives (individual form)
Child Health Information Release Form (individual form)
Please return your forms to Dr. Maijer's office in person, by email, fax or mail.
Dr. Rolf Maijer
4464 West Saanich Road
Victoria, BC V8Z