Office Policies and Documents

Dr Sylvie Tellier’s Practice Documents

  • Bio and Practice Policies

    Please familiarize yourself with our Practice Policies. These policies are relevant for any practice in our office.

  • Patient Intake Questionnaire

    Please complete and return this questionnaire to help us get to know you, your health and how we can best support you.

Office Documents

COVID-19 Safety Plan - current as of Sept 5, 2020

Electronic communication consent so that we can include you in our goals and communicate with you in the most efficient way.

 

Dr Wall Intake Health Questionnaire

This questionnaire is used to build your patient medical profile, and help inform your first visit as your physician helps you make the best plan for your health. Please fill it out with your full name and send it back to the office as you’ve been directed by our staff.

Uninsured Services

Some services, such as insurance forms, prescriptions for allied health, sick notes and cosmetic procedures are not covered by your Carecard/MSP and are the financial responsibility of the patient. Payment for uninsured services is due upon receipt of the services. A list of uninsured services and associated fees is available here.