Dedicated tenant and occupier representation for healthcare practices across Ontario and Alberta. PRAXIS advocates for the clinic that occupies the space, so your lease reflects clinical reality, not generic commercial terms. Own the building instead? See landlord representation.

A healthcare lease is not a standard commercial lease with a clinical tenant inside. It is a highly specialized document that must account for clinical use permissions, infection control infrastructure, discipline-specific plumbing and ventilation requirements, accessibility code compliance, regulated waste management, and the operational realities of how your practice will function within that space for the life of the lease.
PRAXIS advises healthcare tenants across every discipline: family physicians, specialist groups, dental practices, orthodontists, physiotherapy clinics, chiropractic studios, mental health providers, walk-in clinics, dialysis centres, diagnostic imaging facilities, medical laboratories, pharmacies, veterinary clinics and animal hospitals, and more, with lease negotiation grounded in genuine clinical understanding. We know what the space needs to do before we negotiate what it needs to say.
Whether you are a physician, dentist, physiotherapist, or allied health operator looking for medical office space for lease, or a healthcare property owner seeking qualified clinical tenants for your space, PRAXIS provides expert lease representation across every Ontario and Alberta market.
Dental clinic leasing requires specific attention to plumbing rough-ins, compressed air lines, dental vacuum systems, lead-lined walls for x-ray suites, and sterilization room requirements. Physiotherapy and rehabilitation clinics require open bay layouts, pool or hydrotherapy provisions, and equipment load considerations. Mental health and psychology practices require acoustic privacy. Medical laboratories require biosafety cabinet exhaust provisions, fume hood installations, HEPA-filtered supply air, epoxy or seamless flooring, and compliance with biosafety level classifications. Dialysis centres require dedicated water treatment rooms, reverse osmosis systems, and enhanced plumbing infrastructure. Diagnostic imaging facilities require radiation shielding specifications, MRI magnetic field zoning, and structural slab loading capacity. Ambulatory surgical centres require ASHRAE 170-compliant ventilation, laminar airflow operating rooms, and medical gas piping. Each discipline has its own space language, and PRAXIS speaks all of them.
Diagnostic imaging clinic expansion and lease review. If your landlord has already presented preliminary lease terms (for an expansion, relocation, or new facility), PRAXIS provides independent market evaluation to determine whether the proposed terms reflect current market conditions before you negotiate. For imaging operators in particular, this review should include radiation shielding obligations (who bears the cost, who retains ownership of the improvement), structural slab specifications for heavy equipment, electrical panel capacity for imaging systems, and HVAC provisions for equipment heat loads. Physician-owned imaging groups in Calgary, Edmonton, Toronto, and Ottawa frequently enter lease negotiations without independent representation, and the terms reflect it.
Landlords and building owners. If you own the property and want to lease it to healthcare tenants, that is a separate mandate: see landlord representation.
Allied health and first-clinic lease advisory. Physiotherapists, chiropractors, psychologists, optometrists, audiologists, and other allied health practitioners looking for their first clinic space face a lease process designed for sophisticated commercial tenants. PRAXIS levels the playing field, handling site selection, lease negotiation, TI strategy, and renewal planning for allied health practitioners in Ontario and Alberta markets at every scale. If you are a physiotherapist looking for clinic space in Burlington, Oakville, Waterdown, or Hamilton, or a chiropractor evaluating space in Calgary or Edmonton, PRAXIS provides the same quality of representation as a large health network, for an individual practitioner's mandate.
Active tenant representation markets include: Toronto, Mississauga, Brampton, Ottawa, Hamilton, Kitchener, Waterloo, Cambridge, London, Barrie, Oakville, Burlington, Richmond Hill, Vaughan, Markham, Kingston, Oshawa, Ajax, Whitby, Newmarket, Guelph, Windsor, St. Catharines, Peterborough, Brantford across Ontario, and Calgary, Airdrie, Cochrane, Okotoks, Edmonton, St. Albert, Sherwood Park, Spruce Grove, Leduc, Red Deer, Lethbridge, Medicine Hat, Grande Prairie, Fort McMurray across Alberta.
A clinical lease carries obligations that a standard commercial lease was never written for. A healthcare practice invests heavily in plumbing, rooms, and equipment, and it cannot simply relocate at renewal, so the terms below decide whether the lease protects that investment or quietly erodes it. PRAXIS negotiates each one with the clinic's operations in mind.
A healthcare tenant representative negotiates your lease on your behalf, identifying suitable spaces, evaluating clinical suitability, negotiating rent, tenant improvement allowances, fixturing periods, renewal options, and lease clauses that protect your practice. Unlike a generalist broker, a healthcare tenant rep understands what the space needs to function clinically before negotiating what it needs to say contractually.
Yes. PRAXIS represents all healthcare and allied health practitioners: physicians, dentists, orthodontists, physiotherapists, chiropractors, psychologists, optometrists, audiologists, veterinarians, pharmacists, and more. Every practitioner type has specific space requirements that PRAXIS builds into the lease negotiation from the outset.
Yes, and this is one of the most common situations PRAXIS is engaged for. Receiving a landlord's initial offer is the start of a negotiation, not the end. PRAXIS reviews the proposed terms, benchmarks them against current market conditions, identifies gaps specific to your clinical use, and negotiates a better outcome. This applies to new leases, renewals, and expansion opportunities where the landlord has already tabled terms. See lease and LOI review for how that engagement works.
PRAXIS represents healthcare tenants across Ontario (Toronto, Ottawa, Hamilton, Burlington, Oakville, Waterdown, Brampton, Mississauga, Vaughan, Markham, Richmond Hill, North York, Barrie, Kingston, Peterborough, and Cobourg) and across Alberta (Calgary, Edmonton, Airdrie, Cochrane, Okotoks, and surrounding communities).
In most commercial leasing transactions, tenant representation is paid by the landlord through a co-operating commission, meaning there is no direct cost to the tenant for PRAXIS's representation. Fees vary by transaction type and are discussed transparently at the outset of every mandate. Contact PRAXIS for a direct conversation about your situation.