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 Adult or Child Registration Form below and submit to the clinic by:

  • Faxing to 905-722-3422
  • Dropping the form off at the clinic
  • Calling the clinic to request for a secure electronic version of the questionnaire

Please DO NOT email personal health information. 

Should you choose to become a patient of the clinic you would be required to give up your provider elsewhere.

Click here for the Adult Registration Form.

Click here for the Child Registration Form (for children under 14).