New Patients


Our clinic provides health care services to residents of the Town of Georgina. Please note we are not a Walk-In Clinic.


To become a patient of the Georgina Nurse Practitioner-Led Clinic kindly complete the attached intake form and drop it off at the clinic (Please DO NOT email health information).  Should you choose to become a patient of the clinic you would be required to give up your provider elsewhere.


GNPLC Registration Intake Form


At your first appointment we will require the following form.  Please bring this form with you or arrive 15-20 minutes early to complete.


Adult-Intake Questionnaire for new patients

Child-Intake Questionnaire for new patients