Register as a New Patient

Have questions first? Call us at (416) 609-1100.

Already a patient here? This form is for new patients only. Please book online instead.

Refugee patients with Interim Federal Health Program (Blue Cross) coverage are welcome to register.

Your Details

Please enter your name exactly as it appears on your health card. Fields marked with * are required.

Website

First Name *

Last Name *

Cell Phone # *

Where our team will reach you to arrange the next steps.

Email (optional)

Date of Birth *

Health card number / UCI# *

Please include the version code (the letters after the number). If you do not have an Ontario health card, enter your UCI number.

Gender (optional) Select… Female Male X Prefer not to say

Tell us more about your concern(s) (optional)

No need to include detailed medical history. We'll go over the details by phone.

Submitting a request does not guarantee acceptance as a patient or placement with a specific physician. We match new patients based on availability.

Register

Your information is submitted securely and used only to process your request.