<p>Canada’s growing immigrant population faces significant challenges in accessing primary healthcare services, particularly older adult immigrants from Arab countries. This study explores the experiences of Arab older adults and family caregivers in Ontario in navigating relationships with family physicians. We conducted a secondary analysis of data from a primary study that included interviews with 17 participants, comprising of caregivers and older adults. Findings revealed three central themes: the importance of community connections, person-centred care, and preferences for in-person over remote consultations. Participants emphasized the value of family physicians who shared cultural or linguistic backgrounds, which facilitated trust and access to care. However, care quality and attentiveness were equally praised among non-Arab physicians when cultural sensitivity and clear communication were demonstrated. Caregivers and older adults differed in their preferences for telehealth services, with older adults favoring in-person visits for their perceived thoroughness, while caregivers appreciated the convenience of remote appointments. The study highlights the role of relational care in building trust and addressing the unique needs of Arab older adults. It also underscores the importance of cultural humility among healthcare providers, fostering culturally safe environments regardless of shared ethnic or linguistic backgrounds. These findings offer insights for improving primary care practices and inform training for healthcare professionals in serving diverse immigrant populations effectively.</p>