New Patient Information Form

Once you have completed the form, please call the office at (905) 830-1030 to book an appointment if you have not already.

Please note: If after sending the form, you do not see a confirmation, please scroll up to see if you missed a required field. (It will be marked with a red "X".

Once you have completed the form, please call the office at (905) 830-1030 to book an appointment if you have not already.