Make an Appointment

Please submit the following request form and one of our friendly scheduling coordinators will contact you to set up your first appointment.

Please note these forms are for requesting an appointment. If you need to cancel or reschedule an existing appointment, or if you require immediate attention, please contact our practice directly.

250-860-3111

Existing Patients

Patient name(Required)

First Last

Responsible party

Phone(Required)

Type

Email(Required)

Reason for Appointment(Required)

CAPTCHA

New Patients