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.