Meditax

Client information form

This form gives us the information we need for your file.

It takes about five minutes. Once you submit it, we will ask you for one last thing: a photo of one piece of government-issued photo ID, sent by email to cathy@meditax.ca.

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01Identification

Date of birth *

02Addresses

Home address *

Professional address *

03Profession

Professional order *

04Accountant

Do you have an accountant? *

05Photo ID

Which photo ID will you send us? *

After you submit this form, email a clear photo or scan of this ID to cathy@meditax.ca, from the email address above. A phone photo is fine (JPEG, HEIC or PDF). Please send the front, and the back if it has information on it.