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How To Request
Appointment

Step

1

Take a photo of the requisition form provided by your doctor.

If you don't have a form, have your health card number ready.

2

Step

Fill out the appointment request form below.

3

Step

Our team will contact you promptly to finalize the date and time of your appointment.

Upload Photo

OR

Upload PDF

*Please note that this is not an actual appointment, but only a request for one.
We will contact you back to confirm the closest available date and time. Thank you!

If you require assistance, please call us and
we will be happy to help

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