Request an Appointment

  • Important Notes:

    A signed requisition from a licensed Ontario healthcare provider, such as Physician or Nurse practitioner is required to schedule Specialist consultations and diagnostic tests.

    This form is for requesting new appointments only. We do not perform Radiology tests such as X-rays, Ultrasounds, Mammography, etc.


    1. Acquire a signed requisition from your healthcare provider
    2. Fill out the form below to request an appointment

    Once we receive your appointment request, our booking team will contact you directly. Please allow 14 days for a response. 

    Note: All fields with an asterisk are required.

  • Please enter a value between 1 and 31.
  • Please enter a value between 1979 and 2500.