Online Appointment Account Registration

Please fill in the details below in order to create your booking appointment. Fields marked with an * are mandatory.

First Name*

Last Name*

Date Of Birth (DD/MM/YYYY)*

Cell/Mobile or Home Phone Number*

Do you have an Ontario Health Card?*

Health Card Number (please include version code)*

Address Line 1 (Building No. & Street)

Apartment No. (if applicable)

City

Province

Postal Code

Primary Care Provider

Preferred Language*

Email Address*

Password*

Confirm Password*

Do you consent to sharing your email address and cell number?* Yes No

Enter the text you see above

* Please ensure your email address is valid as it will be used for validation, password resets and other Online Appointments related communication. By submitting my email address and SMS, I consent to receive email and SMS communication from Health Sciences North (HSN) related to my COVID-19 Assessment and associated care. While HSN will use encrypted email to communicate, I understand that email is not a secure method of communication and therefore HSN cannot guarantee the security of messages sent by this method between myself and the hospital. I understand that information contained in email messages may be personal health information which may be used in decisions about my treatment or care. By providing my email address I declare that I have read this information, understand it and wish to proceed with email communications as outlined above.