Varsity Medical & Wellness Clinic
Suite 230
8 Varsity Estates Cir NW
Calgary, AB, T3A 2Z3
Phone: 587.329.8279
Fax: 403.648.3765

View Clinic Map and Hours

We welcome all new patients. To register as a new patient please fill out the form below, upon receipt our office will contact you to book an initial meet and greet appointment with one of our physicians to complete your registration.
Fields marked with the * denote required information.

First Name *
Last Name *
Middle Name
Initial
Salutation	-- choose -- Mr. Mrs. Ms. Miss
Birth Date (Day/Month/Year)*
Street Address*
Apartment / Suite Number
City*
Province*
Postal Code*
Preferred Phone Number*
Email Address*
Parent / Guardian (if applicable)
Relation
How did you hear about our clinic?