Join Our Guelph Practice

Dr Nipun Madan and Dr Seema Gupta presently have a wait list for accepting new patients at our Guelph office.  You can find out more about Dr Madan and Dr Gupta in the “meet our team” tab of our main page.

To become patient kindly  complete the online form below and we will mail you an enrollment form.

First Name, Last Name (required)

Street Address (required)

City (required)

Postal Code (required)

Age

Preferred Email (required)

Home #

Mobile #

Are you registered with Health Care Connect?(required)

Previous Family Doctor (required)

Medications (required)

If you are not currently taking any medications, please write "None" in the field above.

Medical Conditions

Additional Message

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  • News

    • Coronovirus update 04/20/2020Our staff are working in both locations to provide telephone and virtual visits. Telephone refills are now free and can be requested through your pharmacy....
    • Coronavirus Update 03/24/2020We are open during the pandemic and working hard to ensure you get the care you need. Please call before coming to the office as...
    • Dr Ye Htun practice closure 09/27/2019Hello, Dr Ye Htun's practice is now closed. Assistance to find a new doctor should have been mailed to you and will be posted here shortly....
    • Mango Tree FHT Guelph Has Moved 01/07/2013The Mango Tree FHT is pleased to announced that it has moved to it's new location at 28 Brock Road North in Puslinch. We are...