We have developed this section of our website for the convenience of patients who wish to cancel an appointment and who do not need to reschedule immediately.

Please note that complete physical examinations and appointments for pre-operative examinations require 24 hours notice of cancellation. If you do not provide 24 hours notice, you may be billed for the appointment you have missed. We do reserve the right to bill the patient directly for missed appointments without cancellation.

Please enter all of the information below, including date and time of the appointment you wish to cancel.

PLEASE NOTE: You will receive a response ONLY if you have requested to re-schedule your appointment.

**WE CHECK MESSAGES REGULARLY DURING BUSINESS HOURS ONLY**

Patient Name:

Email:

 

Phone Number:

 

Date:

Do you want to rebook the appointment?

YesNo

Your provider:

Dr N. AlamDr. K BartlettDr C. CarsonDr K. CherlaDr. R ChuDr M. CollieDr. C DarlingDr L. DowneyDr. A FarragosDr. S FergusonDr. T LimDr J. MingDr C. OckleyDr R. ParasramDr C. PelliniDr. N PhippsDr. Y RazviDr. E RempelDr. V VanDr. J VanBendegemDr. P ZeniDr. D Zeni Marie Alexis Tammy Burgess Heather Clark, NP Miranda Cooper Kate Fish, NP Meghann Foley, NP Lisa Fowler Elizabeth Hall Susan Henriques-DeCotiis Melissa Huck Iwona Kaczmarzyk-Kozlowski Kara McDonald Tanya Noguera Ana Rampersad Heather VandenHoek Terence Wooe-Chung

Message: