The Whitestone Clinic - Financing Application Form

12 - 38 Auriga Drive, Nepean, ON K2E 8A5

Fill out our secure online form below or use our printable PDF form that you can complete and fax or mail to us.

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Medicard is Canada's premier medical financing company, and we are proud to be partnered with The Whitestone Clinic.

Please complete the form below to be one step closer to a new you. Go ahead ... Now you can afford to!


Financing Application Form

Begin the application

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About You

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Procedure information


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Additional information

If you have any further information, or have any questions, please contact us at and we will be happy to assist you.

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