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Appointment Request

IMPORTANT: IN CASE OF AN EMERGENCY CALL 911 IMMEDIATELY

PLEASE DO NOT USE THIS MESSAGE SERVICE FOR URGENT HEALTH CARE CONCERNS OR SAME DAY APPOINTMENTS, AS WE CANNOT GUARANTEE THAT WE WILL SEE YOUR MESSAGE IMMEDIATELY.

Registered patients of the HHFHT may use this form to request an appointment with their family doctor.

Please note that while we will do our best to honour your request, providers have different schedules and may not be available on your requested day. When you send a request, you will receive a response (by phone or email) with an appointment time. If that time is not suitable, it is your responsibility to request a different appointment time. 

IF YOU DO NOT RECEIVE A RESPONSE WITHIN TWO (2) BUSINESS DAYS, PLEASE CONTACT OUR OFFICE BY PHONE AS YOUR MESSAGE MAY NOT HAVE BEEN RECEIVED.

THE REASON FOR YOUR APPOINTMENT MUST BE INCLUDED IN YOUR MESSAGE

Patient Name:
Email:
Confirm email:
 
Phone Number:
 
Your provider:
Preferred day/time:
Message: