Dr. Nicolaas van As, Family Practice

T: 519 813 9196
F: 519 491 5272  

Dr. van As is accepting new patients to our Waitlist 

Applications will be processed according to Date received.

Step 1 - Apply

Fill out all Information Accurately using the application link below

Applications can be submitted in the following ways:

  • In person

  • Fax: 519-491-5272

  • Email: noreplyvanas@protonmail.com

Once received, you will be added to our waitlist. Please do not call the office for updates on application status. Our office will call you if your application is approved. There is approximately a 6-9 month waiting list 

Step 2 - Accepted

You get a Phone Call

Once your application is approved, we call you to set up a consult.

Applying does not guarantee acceptance into the practice.

Please be patient. We received many applications and doing our best to get through them.

Step 3 - Initial Consult

What to Expect

Initial appointment will be a 10 minute In person Consult with the Doctor. During this time, you will review office expectations, your expectations, office operations, your brief health status and initial testing required to join the practice.

At end of the appointment, if the office is deemed a good fit by both parties, you will be Rostered as a patient.

New Patient Application