Continue with your Ontario trusted account (For Southlake Patients only)

Username (required)

Password (required)

Show Password

Sign in

Create an account

Last Name (required)

First Name (required)

Date of Birth (required)

Year Month Day

    You must be 14 years or older

Medical Record Number or Last 4 Digits of Health Card Number (required)

Email Address (required) Example: email@example.com

Confirm Email Address (required)

Submit