***New Clients  – Register using this Acquaintance Information Form

Request an Appointment

We will be happy to book an appointment for you. This is not an automatic process. Once we receive your request, we will contact you to confirm a date and time that is as close to your request as possible.

This form should only be used for requesting appointments that will take place at least 2 full business days after the time of the submission of this form.

In the case of an emergency PLEASE CALL US at 613-722-5717 instead.

If your appointment has not been confirmed within 48 hours, please call us to book the appointment.
  • Date Format: MM slash DD slash YYYY
  • :