There are no referrals necessary to book an appointment with one of our physicians.
First and Last Name (required)
Birthday (required)
Email (required)
Phone Number (required)
Gender (required) ---MaleFemalePrefer not to say
Province (required) ---AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon
Preferred Appointment Time 9AM-11AM11AM-1PM1PM-3PM3PM-5PM
Health Card (required)
Family Doctor Details
When is best to call back? MorningAfternoon
