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We're located at 253 Erie Street in Stratford
Home » Contact Us » Appointment Request Form

Appointment Request Form

Basic form for clients to request an appointment with the practice.
  • Please fill in the form below to setup an appointment.
  • Please provide a reason for your appointment. Details are stored securely and not sent by email.
  • Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.
    Please let us know if you are a new or existing patient.
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  • This field is for validation purposes and should be left unchanged.

EVERYONE entering the building MUST have a scheduled appointment. This includes adjustments, pick up/drop offs, examinations.

Office hours may fluctuate at times. We apologize for the inconvenience.