Contact Us

Contact Us

Forms

In order to reduce the amount of interaction between our team members and our patients, we ask that all patients complete their appropriate forms online prior to coming in for an appointment. If you are unable to complete the forms for any reason, please call us at 519-756-8080. Once you have completed the forms online, you’re all set for your appointment!

*PLEASE COMPLETE YOUR FORM NO EARLIER THAN TWO DAYS BEFORE YOUR APPOINTMENT*

Existing Patients

If you are an existing patient, please complete the form below. This form is your COVID-19 consent form. It is required to be completed PRIOR to your appointment.

This form is for both adults and children. If you are completing this form for your child (under 18), please enter their name under patient name and sign your name in the signature box.



New Patients

If you are a new patient, please complete the form below. This form is both your new patient forms and your COVID-19 consent form. It is required to be completed PRIOR to your appointment.

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