Online Appointment Request Form

We Value Your Time and Your Trust

Form Fields should include:
Patient (patient details) Appointment (preferred time)
Patient Salutation* Date *
Patient Last Name * Time (AM/PM) *
Patient First Name:* Location *
Patient Tel (mob) * Appt. Type (list) *
Patient Tel. (home) Service Provider
Patient Email * Schedule by:

Please Review Our Booking Policies

Please arrive a little before your scheduled appointment time as there can be some documentation or other matters to attend to before your appointment. It is also helpful if you bring all the necessary documents to ensure a smooth process.

  • Appointment Confirmations

    Mobile phone SMS or text messages are sent from our computer. You do not need to respond the text message also has the location of your appointment at the end of the message. 


    Patients without mobile phones need to phone the rooms to confirm one working day prior to the appointment. 


    Alternately you can email a confirmation to the practice


    We may require a credit card on file to reserve your appointment. If you don’t have your credit card on file, you may only be allowed to come in on a walk-in basis if available.

  • Appointment Cancellations

    Due to the difficulty of filling last-minute cancellations, we respectfully request 24 hours notice if you are unable to attend.


    If this request is not fulfilled, it will be necessary to charge a $50 fee for missed appointments or last-minute cancellations.


    Please understand that we consider this a last resort, with the real motivating factor being our concern for the quality of service we are able to provide to you, and to our other valued patients.

  • Late Arrival Policy

    Late Arrivals Make it Difficult for Everyone


    We do understand that circumstances may arise unexpectedly, however, late arrivals tend to compromise the punctuality of service we are able to provide to you, as well as our other patients.


    We do maintain a relatively tight schedule, and we make every attempt to begin your appointment at the time scheduled.


    If you arrive late we reserve the right to reschedule or reduce the length of the consultation or procedure to ensure that their next scheduled appointment does not have to be put behind.


    If you believe you will be late it would be appreciated if you could call ahead and advise the reception as alternative arrangements may be possible.

  • Multiple Bookings

    Multiple person bookings and multiple service booking (3 or more services) may require a credit card to be placed on file to book the appointments.


    Your credit card will be charged if your appointment is canceled within 24 hours prior to the scheduled appointment. This includes late or no-show appointments

  • No Show Policy

    For unattended appointments without notice it will be necessary to charge a $50 fee. Like last minute cancellations we respectfully request 24 hours notice if you are unable to attend.


    Please understand that we consider this a last resort, with the real motivating factor being our concern for the quality of service we are able to provide to you, and to our other valued patients.