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Special Purpose Visitors
In keeping with Southlake’s strict infection prevention and control protocols and our commitment to protect our patients’ privacy rights, the Hospital has developed a formalized application process for individuals who wish to donate gifts-in-kind and provide entertainment to the Hospital.

Please review the following links to learn more about our application process and complete the appropriate application form:

Donate Gifts
Request to Entertain at Southlake

For organizations wanting to distribute flyers and brochures at the Hospital, please review and complete the following form:
The fees to distribute Marketing Materials can be paid online following the instructions outlined below.

Please read and complete the request package before making your payment.

To pay online:
  1. Visit the online payment portal
  2. Enter Account Number: Insert Corp Comm
  3. Invoice Date: Insert Current Date
  4. Patient Name: Insert your Nam
  5. Contact Phone Number: Insert your Phone Number
  6. Payment amount: amount that you are paying ($30.00/100 pieces of marketing material)
  7. Click Continue
  8. Re-enter the Account number: Corp Comm
  9. Click Continue
  10. Review the breakdown of charges
  11. Click Continue
  12. Enter Credit Card information
  13. Click Continue Payment processed

Questions regarding the application process can be directed to Corporate Communications by calling 905-895-4521, ext. 2169.

Southlake Regional Health Centre
596 Davis Drive, Newmarket, Ontario   L3Y 2P9
Tel: 905-895-4521   |   TTY: 905-952-3062
Copyright © 2012 Southlake Regional Health Centre