Welcome to The Shift Application

This short form collects the basic information we need to begin your onboarding process. It only takes about 1–2 minutes.

Step 1 of 4 — Basic Information

First name * Please enter your first name

Last name * Please enter your last name

Email address * Please enter a valid email address

Phone number * Please enter your phone number

Your Details

We need a few more details to complete your profile.

Step 2 of 4 — Address & Demographics

Street address * Please enter your address

City / Town * Please enter your city

Province * Please enter your province

Postal code * Please enter your postal code

Country

Date of birth * Please enter your date of birth

Gender / Sex * Please select an option

Health Information

This information is required to set up your patient file. Please have your Ontario Health Card handy.

Step 3 of 4 — Health Card & Eligibility

OHIP number and version code * Please enter your OHIP number

I confirm that I am a resident of Ontario *

Yes, I am an Ontario resident No, I am not an Ontario resident

Please confirm your Ontario residency

Almost There

One last step before you submit your application.

Step 4 of 4 — Terms & Your Story

Terms & Conditions *

By applying to The Shift Clinic, you agree to our terms of service and privacy policy. The Shift Clinic is a virtual medical practice operating in Ontario, Canada. Your personal health information will be collected, used, and disclosed in accordance with Ontario's Personal Health Information Protection Act (PHIPA). Information collected through this form will be used solely for the purpose of establishing a patient-provider relationship. You may withdraw your application at any time prior to onboarding by contacting us at team@theshift.clinic.

I have read and agree to the Terms & Conditions Please accept the Terms & Conditions to continue

Why are you interested in joining this novel virtual community? * Please share a little about your interest

You're not eligible for the Clinic — but you still have options.

The Clinic is currently limited to residents of Ontario, so you can't continue this application. But you can still move forward with support that works.

ShiftMySystem™ School

Learn the foundations of appetite, weight, and real-life health improvement — on your own schedule.

ShiftMySystem™ Weekender

A live, virtual weekend that moves you forward. Two afternoons of practice, reflection, and guidance — designed to help you trust your instincts, build appetite literacy, and create a plan that fits your life.

We hope to open to patients in other provinces in the future. Keep an eye on your email and follow @theshift.system on Instagram to stay updated.

Thank you for applying to the Clinic.

A team member will be in touch within one business day.

Please check your email for next steps, including your payment link. If you don't see it within a few minutes, check your spam folder.

Questions? Reach us at team@theshift.clinic