Become a Patient at
Oak Ridges Medical
Complete your patient intake form below to help our team understand your health needs before your visit. It only takes a few minutes.
Patient Registration
Oak Ridges Medical
What to Expect
A few things to have ready
To complete this form, please have the following on hand:
Your Health Card
Ontario Health Card number and version code
Your Medical History
Current medications, known allergies, and any recent diagnoses
An Emergency Contact
Name, relationship, and phone number
All fields marked with an asterisk (*) are required. Your information is kept strictly confidential. Have questions? See our FAQ.
Registration
Patient Intake Form
Please fill out the following form to help us understand your physical condition.
Your Privacy Is Protected
The information you provide in this form is used solely to support your care at Oak Ridges Medical and Urgent Care Centre. All patient data is handled in accordance with Ontario's Personal Health Information Protection Act (PHIPA).
Questions about your privacy? View our PoliciesQuestions?
We're here to help
If you have trouble completing this form or prefer to register in person, our admin team is happy to assist you.
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Call Us
905-773-7759 -
Fax
905-773-1325 -
Address
13291 Yonge Street, Suite 100,
Richmond Hill ON L4E 4L6
Clinic Hours
- Mon – Thurs 8am – 6pm
- Friday 8am – 5pm
- Saturday 9am – 2pm
- Sunday Closed
Your Health Starts Here
Ready to see us?
Walk in or book ahead — our team is ready to care for you and your family.