Appointment Cancellation Form

For your convenience,  please use this form to cancel an upcoming appointment.  Please provide us with a minimum of 24 hours notice in order to properly cancel your appointment.  Missed appointments or appointments cancelled without 24 hours notice may be charged a $35.00 fee (includes HST) to the patient.


If you need to reschedule your appointment, please call us at 548-483-6275 or you can book a new appointment with your primary care provider by clicking here to submit an appointment request.


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