You already have an offer. Now have it read properly.
Most practitioners meet their lease for the first time as a finished document. A landlord's leasing agent presents a letter of intent or a proposed lease, the terms look reasonable, and the pressure to sign and get the clinic open does the rest. That agent is paid by the landlord and is very good at their job — which is the landlord's job, not yours.
A commercial lease review is the counterweight. PRAXIS reads the terms you have been given, benchmarks them against comparable medical, dental, and veterinary transactions in the same market, identifies what is missing for your specific clinical use, and sets out plainly which points are worth pushing on and which are already market. Where you want us to, we then negotiate the revised terms directly with the landlord.
This is the single most common way practices engage PRAXIS. A dentist holding an LOI on a 2,500 sq. ft. unit in a new development. A surgeon opening a first independent practice with a hospital-adjacent lease offer in hand. A physician group whose current lease expires in seven months and whose landlord has just named a renewal rate. In each case the deal is live, the terms are on the table, and the only question is whether anyone is reading them on the tenant's side.
The LOI is where the money is. A letter of intent is usually non-binding as to the deal itself, which leads tenants to treat it casually. That is backwards. The formal lease is drafted from the LOI, and terms conceded at the LOI stage are rarely recovered afterward — the landlord's counsel will reasonably treat the point as already settled. Improvement allowance, fixturing period, free rent, operating cost exclusions, renewal rate mechanics, and assignment rights on a practice sale are all live at the LOI stage and effectively frozen after it.
Clinical terms a generic lease does not contain. Standard commercial leases are written for offices and retail. They do not contemplate lead-lined operatory walls, dental vacuum and compressed air lines, sterilization plumbing, biosafety exhaust, radiation shielding, ASHRAE 170 ventilation, slab loading for imaging equipment, medical gas piping, or regulated waste handling. Where those obligations are left undefined, the practical default is that the tenant pays for them, installs them, and leaves them behind. A healthcare lease review makes each of them explicit.
Practice sale and succession. The assignment clause is the term that determines whether you can sell your practice. A lease permitting assignment only at the landlord's absolute discretion, or one that triggers a demolition or recapture right on a change of control, can materially reduce what a buyer will pay for the practice years later. It costs little to negotiate at the LOI stage and a great deal to discover at the point of sale.
Reviews are handled across Toronto, Mississauga, Vaughan, Richmond Hill, Markham, Brampton, Hamilton, Burlington, Oakville, Ottawa, London, Windsor, Kitchener, Waterloo, Barrie, Whitby, Oshawa, and Brantford in Ontario, and Calgary, Edmonton, Airdrie, Cochrane, Okotoks, Red Deer, Lethbridge, Grande Prairie, and Medicine Hat in Alberta.
What the review covers
Every review returns the same thing: a plain-language read of what you have been offered, what comparable clinical tenants in that market are getting, and a ranked list of what to negotiate — separated into terms genuinely worth the friction and terms that are already fair.
Terms Reviewed and Benchmarked
A Note on Scope
PRAXIS is a licensed real estate brokerage — RECO in Ontario, RECA in Alberta — not a law firm. This review addresses commercial terms, market benchmarking, and clinical suitability. It is designed to work alongside your lawyer, who advises on legal enforceability. Most practices are best served by both, and a lease that has been commercially negotiated first is a shorter and less expensive document for a lawyer to review.