Skip to main content

website banner

Request an Appointment
Menu
Home » Contact Us » Appointment Request Form

Appointment Request Form

To request your next appointment, please complete the form below and let us know the most convenient time and date for you. Please don’t forget to include accurate contact details so we can follow up with you to finalize your request.

Please add the best phone number to reach you and include in the comment field, the best method to contact you, phone, email or text (please include cell number)

  • Please fill in the form below to setup an appointment.
  • Please provide a reason for your appointment. Details are stored securely and not sent by email.
  • Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.
    Please let us know if you are a new or existing patient.
  • :
  • This field is for validation purposes and should be left unchanged.

stouffvillecovid

Dear Valued Patients, 

As per the advice of the Ministry of Health; due to close patient interaction during our exams and fittings our Clinic will continue to ask patients to wear surgical masks upon entry to our office. We have taken extensive measures to keep our team and patients safe including improved air filtration systems.

We ask that if you or someone you live with has been ill in the last 10 days, traveled outside of Canada in the last 14 days or have been diagnosed or exposed to Covid 19 in the last 10 days or if you or anyone in your household is waiting for the results of a Covid 19 test that you refrain from entering our practice or booking an appointment at this time.

Thank you for understanding.

Be safe, be well.