Request an Appointment

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This form is for routine care only. For emergencies during regular office hours, please call 519.885.4539; for emergencies on weekends or holidays, please call 519.590.9529 .

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Preferred Doctor

Select your preferred appointment day:

Appointments can be booked from Monday to Friday.

Your preferred appointment time range:

Select your alternative appointment day:

Appointments can be booked from Monday to Friday.

Your alternative appointment time range:

Has anyone in your household experienced symptoms of Covid-19 in the last 14 days?

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