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DR. RHONDA EISNER PATIENTS

Please complete to confirm you would like to continue to be a patient of Malvern Medical Centre. MOST patients will be booked with Dr. Gordana Popovic but some will be placed with a different doctor in the clinic

Please note: Patients will be divided up between Dr. Popovic and the other physicians RANDOMLY in keeping with CPSO policy.
**This is beyond clinic and staff control**
PLEASE COMPLETE A SEPARATE FORM FOR EACH FAMILY MEMBER

Select to confirm you want to continue as a patient
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