Patient Registration

Please download and complete our Health History Questionnaire. After you have completed the form, please send it by fax to 519-579-1201, scan and email to [email protected], or bring it on your first visit to our office. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it. Please read the Patient Consent Form.  You will be asked to sign this Agreement during your first visit to our office.