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DR. EISNER'S 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.
**T
his 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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