April 1, 2020

A note to our patients. We have suspended all in-office visits at this time due to COVID 19. However, if you have an appointment currently booked with our office you will receive a call 2 days prior to that appointments. We will advise you how we will be able to proceed. Wishing you and your family safety and vitality during this challenging time.

If you need a renewal your prescriptions during the COVID-19 #stayathome period, please have your pharmacy fax your renewal request. Our fax number is 905-639-7647. Be well!

Update About Our Office During This Outbreak of Corona Virus : March 15, 2020

On the advice of the Ministry of Health we are changing our office protocols to ensure minimization of risk to our patients and our staff.

Starting the week of March 16, 2020 we will try to change as many patients visits as we can to virtual electronic visits. Initially most will be by phone. There are some patients who have already made arrangements to come to the office and, if they do, we will see them, once again minimizing risks by using frequent hand washing and minimized personal contact.

For the majority of scheduled patients we will set up visits through OnCall Health. One of the problems with phone visits is that each person requires individualized attention and some visits unexpectedly may take longer than others. We will make every effort to keep on schedule but at times we may be delayed.

Dr Lawrence Komer
Medical Director
The Komer Clinics

Great news! The Komercare Clinics are accepting new patients for brain health, women's health, and men's health. Contact your physician for a referral to the Komercare Clinics. We look forward to serving you! 905-639-2571

Patient Forms | Dr. Lawrence D. Komer Medical Professional Corporation

Dr. Lawrence D. Komer Medical Professional Corporation

Patient Forms

Patient Forms

Before Your Appointment

Preparing in advance allows us to make the best use of your consultation time.

Please complete the appropriate forms before your appointment whenever possible. This helps our clinical team review your information and prepare for your visit.


New Patient Information

Complete your contact information, emergency contacts, family physician information, and referral details.


Comprehensive Medical History

Provide details of your medical history, previous surgeries, medications, allergies, family history, and current health concerns.


Lifestyle Assessment

Help us understand the factors that influence your health, including:

  • Nutrition
  • Physical activity
  • Sleep
  • Stress
  • Tobacco and alcohol use
  • Occupational factors
  • Personal health goals

Current Medications & Supplements

Please provide a complete list of prescription medications, over-the-counter medications, vitamins, herbal products, and nutritional supplements.


Laboratory Results

If requested, please arrange for recent laboratory reports or diagnostic studies to be forwarded before your appointment.


Referral Information

Referring healthcare professionals can download referral forms and submission instructions from this page.


Privacy & Consent Forms

Download consent forms, privacy information, and policies regarding the collection and protection of your personal health information.


Appointment Preparation

To help you get the most from your consultation:

  • Bring your health card and identification.
  • Bring a complete medication list.
  • Bring copies of recent laboratory results if requested.
  • Write down your questions.
  • Arrive a few minutes early if attending in person.

Secure Document Submission

Where available, completed forms may be submitted securely before your appointment using the clinic's approved secure submission process or patient portal.