COVID-19 Registration Form – North Returning

This form is ONLY is you have previously booked with us. If you do not have a valid client # or your name does not match our system, your appointment will be ignored.

Current Client #' *

Your client # is the the 3 or 4 numbers from your email result and begins with the letter “P”.

Legal name as it appears on your passport. *

First

Middle

Last

Email *

Appointment Information

Type of Test *

Antigen

Clinic *

Toronto – North (Thornhill)

Date of Appointment *

Choose your preferred time *

8:00 pm – 8:45 pm – Sunday
8:00 pm – 8:45 pm – Monday
8:00 pm – 8:45 pm – Tuesday
8:00 pm – 8:45 pm – Wednesday
8:00 pm – 8:45 pm – Thursday
30 minutes after Shabbos / Yom Tov

Checkboxes *

This form is ONLY is you have a client # beginning with “P”. Otherwise, this form will be ignored. If you are not sure, use the First Time Client registration.