Physical Examination Questionnaire (PDF format)
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Download Female Complete Physical ExamQuestionnaire
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If you do not have Acrobat Reader, please click here to download it from the Adobe website.
 
Physical Exams
   

Dr. Kelpin offers the opportunity for a yearly complete physical examination to all patients in his Family Medical practice. A yearly, screening physical examination, for those over the age of 40 years, is considered good preventative medical care and is valuable in detecting and following illness and in encouraging wellness.

The medical services plan does not cover periodic or screening health examinations. These examinations must be paid for privately but should be covered by your extended health plans. All appropriate documentation for cost recovery can be provided by our office.

NEW PATIENTS
All new patients will be required to have a complete screening examination as a way of allowing Dr. Kelpin to comprehensively follow your past medical history and any on-going medical issues and preventative health care issues.

Please download the appropriate Physical Examination Questionnaire and complete all three pages prior to coming in for your examination. The Questionnaires are on the left side of this page in Adobe PDF format.

EXISTING PATIENTS
Current patients of Dr. Kelpin's practice, over the age of 40, are encouraged to complete such an examination yearly but the decision on this will be left up to the patient.

Tiddlycove Medical Clinic 4915 Marine Drive West Vancouver, BC V7W 2P5
Phone: 604-922-8216 Fax: 604-925-8031. All rights reserved.