Please complete the application form below. Accepted patients will be contacted via email and text and provided with a link to book an appointment with Dr. Amro Amasha.* </noscript><iframe class="lazy" src="" data-src="https://docs.google.com/forms/d/e/1FAIpQLSfKeNubiEiRKH8IFg7FOiqNqoRlqIg-tnldriT5l5V8pfDvbQ/viewform?embedded=true" width="2100" height="3146" frameborder="10" marginheight="0" marginwidth="0">Loading… Please note that submitting this form does not guarantee acceptance into the Wellness Medical Clinic Family Practice.
