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important information about roster forms

Please note that these roster forms and intake packages are only for patients who have been contacted and instructed to complete them.  People who are not current patients or who have not been contacted by our office to complete forms will NOT be accepted as patients by submitting the above forms.


All forms should be returned to our office via the Pomelo (HealthMyself) online portal (ideally) or dropped off in person to our office.


IF YOU DO NOT COMPLETE YOUR NEW PATIENT INTAKE FORM (like below) AND RETURN YOUR ROSTER FORM AT LEAST 7 DAYS PRIOR TO YOUR INTAKE APPOINTMENT, YOUR APPOINTMENT WILL BE CANCELED.


INTAKE FORM: https://ocean.cognisantmd.com/eRequest/eb6b74ec-7ec5-45ee-a2b7-fec1dfe9da46

(please note - intake form NOT required for patients transferring between doctors withIN our office)

Office Policies (pdf)Download
Roster Form - Dr. Elaine Ma (pdf)Download
Roster Form & Welcome Letter - Dr. Anthony Vu (pdf)Download
Roster Form & Welcome Letter - Dr. Olivia Spohn (pdf)Download
Roster Form & Welcome Letter - Dr. Jacqueline Sproule (pdf)Download
Roster Form & Welcome Letter - Dr. Brent Wolfrom (pdf)Download
Roster Form - Dr. Frank Pankewich (pdf)Download
Roster Form - Dr. Caitlin Lundell-Creagh (pdf)Download
Back of Roster Form (pdf)Download

how to submit your roster

Please submit your roster forms by one of the following methods:

1. Through our secure portal at https://portal.healthmyself.net/#/


2. By fax to 613-634-8595


3. In person at either of our Kingston or Wolfe Island locations, during our normal business hours.

Kingston - Monday/Wednesday/Thursday 8 am to 7:45 pm, Tuesday/Friday 8 am to 4:30 pm, Saturday 9 to 11:15 am


4. By mail to Frontenac Doctors, 189 King St W, Kingston, ON, K7L 2W8

Copyright © 2018 Frontenac Doctors - All Rights Reserved.

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Changes to After hour clinics

As of June 1, 2025  our After Hour clinics will be 

Tuesday 5:00 - 7:45

Thursday 5:00 - 7:45

Saturdays 9:15 - 11:15