Request an Appointment

Please note that this form is for non-urgent booking only.

If you are experiencing a medical emergency or need an urgent appointment, please present to the emergency department or call our office directly at (902) 438-3937.

Please complete this form to request an appointment.

Reason for Appointment*
Preferred Dates and Times*
Our hours are Mon, Wed, Thurs, and Fridays from 8am - 4pm, Tuesdays from 12pm to 8pm.
Returning Patient?*
- Yes
- No (Unfortunately, we are currently not accepting new patients. Due to the current demands of our office, we are only able to service our existing patients and their immediate family at this time.)
Name*
First Last
Phone*
Email*
Best time of day for us to reach you? (optional)

: Hours

Minutes

AM/PM
Comments
optional
Would you like to join our mailing list?*
We'll send updates occasionally. You can unsubscribe at any time.
- Yes, sign me up!
- No / I've already signed up