Patient Interest Form

If you are interested in becoming a patient, please fill out the following form. This form is for brand new patients interested in Bing MD’s practice. Your information will be reviewed by Bing MD, after which we’ll set-up a meet and greet appointment so that we can decide whether we’ll be a good fit for each other.

If you’ve already been in contact with Bing (e.g. former patient) and need to register as a patient, please use the REGISTRATION FORM instead.

This is a secure form that collects information in compliance with the Health Information Act of Alberta.