To schedule an appointment, please fill out the information below and press the submit button. The information will be sent to our office by email, and we will reply to confirm the appointment. Include a day-time phone number where we can reach you, and e-mail if convenient. If you provide us with a cell number we can text you. PLEASE NOTE, USING THIS ON-LINE FORM DOES NOT GUARANTEE AN APPOINTMENT AT THE TIME REQUESTED, HOWEVER WE WILL DO OUR BEST TO FIT YOU IN AS SOON AS POSSIBLE. If you have an emergency, please contact the office directly at 613-546-9898.