Service · Tenant & Landlord Representation

Leasing
Representation

Healthcare-specific lease negotiation for tenants and landlords across Ontario and Alberta. Medical occupancies have unique requirements — PRAXIS ensures your lease reflects clinical reality, not generic commercial terms.

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Leasing that understands how you practice

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, 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.

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 — PRAXIS speaks all of them.

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.

The healthcare landlord advantage

Healthcare and dental tenants are among the most stable, high-quality commercial occupants available — long lease terms, low default rates, strong professional accountability, and the stickiness of a clinical practice that cannot simply pack up and move. Medical offices, dental clinics, physiotherapy studios, and retirement residence operators all represent long-duration, low-churn tenancies that institutional landlords actively seek.

PRAXIS provides landlord representation for medical office building owners, retirement home ground lessors, institutional property managers, and mixed-use developers with healthcare and dental components — providing healthcare-specific marketing, tenant qualification, lease structuring, and suite design guidance to maximize occupancy and long-term asset value.

Key Lease Terms PRAXIS Negotiates

Tenant improvement allowances scaled to medical and dental build-out costs
Clinical use permissions — including dental, physiotherapy, pharmacy, and allied health
HVAC, plumbing, compressed air, and electrical infrastructure provisions
Accessibility compliance obligations under AODA and Alberta standards
Renewal options and term structure aligned with practice planning horizons
Assignment and subletting rights for practice transitions and sales
Exclusivity provisions for dental, pharmacy, and specialist operators
X-ray shielding and biosafety infrastructure obligations for dental and lab uses
HEPA filtration and ASHRAE 170 ventilation compliance obligations
Medical gas, piped oxygen, vacuum and compressed air provisions
Negative and positive pressure room infrastructure for isolation and sterile uses
Emergency power, UPS and generator backup requirements for clinical operations
Healthcare facility corridor

Ready to negotiate your healthcare lease?