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Request an Appointment

We are happy to book an appointment for you. This is not an automatic process. Once we receive your request, we will contact you to confirm a date and time that is as reasonably close to your request as possible. This form should only be used for requesting appointments that will take place at least 2 full business days after the time of the submission of this form. Do not use this form for emergencies, please call our practice directly at: 613-678-3678. If your appointment has not been confirmed within 24 hours, please feel free to contact the practice by phone to confirm 613-678-3678.
  • Date Format: MM slash DD slash YYYY
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