Sign Up Now

Looking for a family physician? Start your search right now! Mint is proud to offer employees and their friends and families the opportunity to sign-up for a family doctor. These family doctors are located at our partner clinic, Mayfield Medical Clinic, 16825 Stony Plain Rd, Edmonton, Alberta, T5P 4B1. These openings will fill fast, so make sure you sign up as soon as possible. It’s also important to note that signing up doesn’t guarantee you a spot, but simply gets you on a list.

To get on the list, fill out the information below and the clinic’s team will get back to you with more information.

Family Physician Sign-up

Personal Information - Primary Applicant

First Name

Surname

Email Address

Phone Number

Postal Code

Were you referred by a Mint staff member?(Required)

Yes

Referrer’s Full Name

Add another patient(s)?

Yes - 1 Additional Patients

Yes - 2 Additional Patients

Yes - 3 Additional Patients

Personal Information - Additional Patient 1

First Name

Surname

Email Address

Phone Number

Postal Code

Personal Information - Additional Patient 2

First Name

Surname

Email Address

Phone Number

Postal Code

Personal Information - Additional Patient 3

First Name

Surname

Email Address

Phone Number

Postal Code

Untitled

First Choice

Second Choice

Third Choice

At Health Box, our team is committed to your care and well being while fostering and growing a healthy community. For more information please visit Our Services page.