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Enrolling for membership with Maple Primary Care is easy. Just fill out the form below for each patient and someone from Dr. Kainth's office will contact you within 2 business days. We will never share your private information.

If you have questions about enrollment, please call or email us.

No payment will be due until your initial consultation with Dr. Kainth by phone, video or office visit.

For patients on a mobile device, please click here to complete the enrollment form.

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