Skip to content
Family Practice
298 John Street
Give us a Call
416-250-7171
Chronic Pain Clinic
6 Finch Ave West
Send us a Message
reception@tpclinic.com

Family Doctor New Patient Inquiry Form (Thornhill Clinic)

Dr. Ranji is accepting new patients at our Thornhill family practice clinic. To inquire, please complete the following form and a member of our team will be in touch. Information submitted through this form is kept confidential and securely transmitted.

Please enable JavaScript in your browser to complete this form.
Full Name
Preferred Contact Method
Please provide a brief description of your medical history, including medical conditions and diagnosis.
Prescription and over the counter.
If you have children that you would also like to become patients, please add their full names & age. *Adults please submit separate form.