1

Patient Intake & Eligibility

Required

Before We Begin

This intake collects personal health information including symptoms, medical history, and medications. Your information is:

✓ Reviewed by a licensed Ontario physician (CPSO-registered)

✓ Used to assess eligibility and generate your prescription via electronic prescription

✓ Stored securely on Canadian servers in accordance with PHIPA

✓ Never shared with third parties without your explicit consent

You can withdraw consent at any time by contacting privacy@clinic.ca

2

Service Details & Add-ons

Charged to your card today clinic.ca

Service fee

MD review · prescription · electronic Rx delivery

$49

Mental Health Rx Renewal

Symptom assessment · contraindication screen · sildenafil or tadalafil Rx via electronic prescription

~$22

Optional add-ons paid at pharmacy

Select any tests to add to your requisition

No optional add-ons for this service.

Charged today

$49

to your card

At LifeLabs

~$22

self-pay base panel

$49 service fee charged today.

3

Your Information

For your prescription

First Name *

Last Name *

Date of Birth *

Phone *

Email Address *

Your prescription confirmation will be sent here

Street Address *

City *

Postal Code *

4

Payment

🔒 Secure

Card Details

VISA

MC

AMEX

Name on Card *

Card Number *

VISA

Expiry *

CVC *

🔒 Secure · PHIPA-compliant · Powered by Stripe

Full refund if req can’t be issued · MD reviews within 24–48 hrs

✅

You're Booked!

Your intake is with a clinic.ca MD now. Your prescription will be sent to your pharmacy via electronic prescription within 15–30 min during business hours.

Order —

🔐 Your Private Patient Portal

You'll receive a separate email from TELUS Health Patient Portal with your documents (lab req, prescription, or letter). First-time patients: click the link to create a free TELUS Health account (takes ~2 minutes). This is normal — not phishing.

🔗 Access Your Portal →

Two emails: 1) clinic.ca confirmation · 2) TELUS Health portal link · PHIPA-compliant

📋

Booking Confirmation

⚡

What Happens Next

1

Check your email — req arrives in 15–30 min

Your lab requisition PDF will be emailed. Check spam if you don't see it within 30 min during business hours.

2

Pick up your prescription at any pharmacy

Your prescription is sent electronically via electronic prescription to your chosen pharmacy. No paper needed.

3

Results delivered by the lab

LifeLabs shares your results directly with you, typically in 3–5 business days.

4

Questions about results?

Message your MD through the portal with any questions about your results.

📄

Patient Record

Download your complete intake record for your files or to import into Telus CHR.

Contains intake answers · OHIP status · test ordered

🔬

Test Information

Panel details, biomarkers & FAQ

▾

Biomarkers Included

ED Symptom Intake

IIEF-5 score and symptom duration assessment

Cardiovascular Screen

ED is an early warning sign of heart disease

Contraindication Check

Nitrate use, severe hypotension, recent MI

Medication Selection

Sildenafil (on-demand) vs tadalafil (daily or on-demand)

Faxed Rx

Prescription faxed directly to your Ontario pharmacy

FAQ

Is this confidential?

Yes. All clinic.ca consultations are PHIPA-compliant. Your prescription is sent securely via electronic prescription.

Is OHIP covered?

The $49 clinic.ca fee covers the MD consult. ED medications (sildenafil, tadalafil) are typically not covered by OHIP or most drug plans as they are classified as lifestyle medications.

Can I take sildenafil with my other medications?

Sildenafil and tadalafil are contraindicated with nitrates (e.g. nitroglycerin) and some blood pressure medications. Your MD will screen for interactions during intake.

What is the difference between sildenafil and tadalafil?

Sildenafil (Viagra) lasts 4–6 hours and is taken on demand. Tadalafil (Cialis) lasts up to 36 hours and can be taken daily for spontaneous activity. Your MD will discuss which fits your lifestyle.