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Medical forms to be filled out by a physician are not covered under provincial health care (Alberta or Saskatchewan)

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Single Page/ Signature Only

2-3 Pages

4+ Pages

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Doctor Note

Copy of results

Transfer of File (within Lloydminster)

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(We only accept Cash)

$25 CAD

$50 CAD

$100 CAD

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$25 CAD

$10 CAD

$50-100 CAD

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Patient Forms

Lloyd Women's Clinic

OBSTETRICS   GYNECOLOGY

Office

 

1812 50th Ave, Unit 7

Lloydminster, AB  T9V2W7

info@lloydwomensclinic.com

Tel: 780-875-8755

Fax: 780-875-5868

©2022 Lloyd Women's Clinic | All Rights Reserved

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