Dr Jeffrey Werger
Telephone: 905-472-6511 Fax: 905-472-5436
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Patient Forms

Click on the PDF file below to view the Patient forms you are interested in.

Confidential Personal History

Sinonasal Outcome Test-22 Questionaire (SNOT-22)

Dizziness Questionnaire

Sleep Apnea Parents Observe

WSIB Application for Noise Induced Hearing Loss

Anaesthesia Patient Questionnaire

Location

We are located in the Boxgrove Medical Arts Centre Suite 105
110 Copper Creek Drive, Markham, ON

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Office Hours

  • Monday to Thursday:
    8:30am-5:00pm
    (closed 12-1pm)
  • Friday: 8:00am-1:00pm

 

  • Home
  • About Us
  • Patient Education
  • Patient Forms
  • Useful Links
  • FAQ
  • Contact

Copyright © 2019 J. Werger Medicine Professional Corporation