Manage Your Appointment

Would you like to cancel or reschedule your appointment?*
Patient's Name*
Enter the patient's name as it appears on the health card or government-issued ID.
First Last
Patient's Birthdate*
DD slash MM slash YYYY
Patient's Primary Phone #*
Email Address*
We will contact you by email to confirm the cancellation or rescheduling of your appointment.
Health Card Number (include version code)
Enter your OHIP health card number and verification code in the following format: 0000-000-000-AA
Date of Appointment*
Provide the date of the appointment that you wish to cancel or reschedule. YOU MUST PROVIDE THE CORRECT APPOINTMENT DATE (MM/DD/YYYY).
MM slash DD slash YYYY
Time of Appointment*
Provide the time of the appointment that you wish to cancel or reschedule.

: Hours

Minutes
Message
Include any additional notes or details relating to your appointment that could help us reschedule your appointment.

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