Skip to main content

Map

Our Location

5 Swan Lake Blvd, Unit 7
Markham, ON L6E 0K7

mother-baby-happy-bubbles-1280x480
Home » Contact Us » Online Patient Registration Form

Online Patient Registration Form

lock icon Please complete the information below and submit the form online, or if you prefer print out the form after full or partial completion, and bring it when you come to our office. This form contains confidential information and is delivered to your doctor through a secure Internet connection.