Fill in the following fields and click the 'Submit' button. We will attempt to schedule an appointment as requested within either your first choice time block, or your second choice time block.. We will confirm the appointment by both email, and phone. Making an appointment is a powerful step towards better health.

 Your Email   
 Patient's First Name   
 Patient's Surname   
 Preferred day & time for an    appointment   
Telephone and area code   
(ie. 519-123-1234)   
Reason For Appointment