New Patients

Please fill out the form below to start registering your child.  Also, be sure to read the practice policies and ensure that you agree to the terms.

When you arrive for your first appointment, please be sure to bring your child’s OHIP card.

Your Name (required)

Your Child's Name (required)

Your Email (required)

Your Child's Date of Birth or expected DOB (required)

Your Child's Gender (required)

Please include any important information about your child we should know about.