Appointment Requests

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Please fill in our appointment request form below, we will contact you shortly to confirm your appointment request.

**Please indicate if your appointment is for our Markham or Milton location

Prefered Date

Prefered Time

02:30 PM

First name

Last name

Address

Main Phone

Alternative Phone:

Nature of Appointment

Thank you for booking! We will reach out to you ASAP to confirm and finalize your appointment! :)

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Patient Education