389 Eagle Street, Newmarket, Ontario, L3Y 1K5 | Phone: 905-895-0663
Please print and fully complete the necessary form(s) from the appropriate age group before your appointment.
Adult New Patient Forms ( > 14 Years) Adult Health History Form
Child New Patient Forms ( 3 - 13 Years) New Patient Intake Form Child Health History Form Newborn - Infant New Patient Forms (0 - 2 Years) New Patient Intake Form Newborn-Infant Health History Form
Adobe Acrobat is required to open and print the patient forms. If you do not already have Adobe Acrobat on your computer you may download it for free by clicking on the picture below.