Appointment Request Form Please fill in the form below to setup an appointment. If booking more than yourself, please let us know the ages of each friend/family member (in the date/ times box) so we can be sure to provide adequate time to provide complete care and minimize your wait time and maximize your convenience.Clinic Location*Select Location>>North EdmontonSherwood ParkReason for AppointmentPlease provide a reason for your appointment. Details are stored securely and not sent by email.Preferred Date & Times*Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.Patient Type* New patient Returning patient Please let us know if you are a new or existing patient.Name* First Last Phone*Email* Best Time to be Reached for Confirmation* CommentsEmailThis field is for validation purposes and should be left unchanged.
