hero decoration

Appointment Requests

Please fill in our appointment request form below, we will contact you shortly to confirm your appointment request.  Please note that this is just a request for a time and date, we will do our very best to give you a date and time that suits your schedule.


Please do not use this form to cancel or change an existing appointment.


Our Practice Hours:

Monday: 9:00 AM - 5:00 PM

Tuesday: 8:00 AM - 5:00 PM

Wednesday: 8:00 AM - 5:00 PM

Thursday: 8:00 AM - 5:00 PM

Friday: 7:00 AM - 12:30 PM

Additional Information :Free Parking Available

Patient Information

Patient Availability

Reason For Visit

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

100 Main Street East|Milton, Ontario L9T 1N5|Map & Directions

Call: (905) 878-2971