905-918-3560

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Forms and Registration

1383 16th Avenue, Richmond Hill

If you would like to register for a family doctor, please download and complete the patient intake form (link below). This form can be filled out electronically or if you prefer, you may print it and fill it out by hand.


Please contact us directly through phone or e-mail to get the latest information on which of our doctors are currently accepting new patients or have an open wait list. 






Please complete and return this form via fax, e-mail or in person at the clinic. Once we have received your form, our staff will contact you within 1 to 2 business days to schedule your first appointment. 


Note: If you are sending completed registration forms via email for more than one person, please attach each person's registration form as a separate file to the email.


When you arrive for your first appointment, please remember to bring your Ontario Health Card and a list of all medications you are currently taking, including vitamins and over the counter medications.