Forms for new patients

TEL: (416) 487–3668 FAX: (416) 487–8886

1849 YONGE STREET, SUITE 816 TORONTO, ONTARIO M4S 1Y2

Please print out and complete the forms below

Patient Enrolment and Consent
to Release Personal Health Information

Primary Health Care
New Patient Declaration

Personal Information and Medical History

Bring the completed forms with
you on your first visit