Request Appointment

If you would like to request an appointment at our hospital, please fill out and submit the form below, or call us at (519) 258-9963. Please note that this is only a request, someone from our office will contact you shortly to confirm a date and time for your appointment. If your matter is URGENT, or you feel you are experiencing an EMERGENCY, please call us immediately at (519) 258-9963 and DO NOT use the form below.

Please note: It may take 24-48 hours for our team to reply to your request. Thank you for your patience!

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