Request an Appointment

Please provide the following information:

What day of the week would you like to come in?

Monday Tuesday Wednesday Thursday

What time do you prefer?

Early morning Late morning Early afternoon Late afternoon

Which is more flexible for you?

Day Time Both Neither

Full Name:

E-mail Address

Phone Number

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How would you like us to confirm your appointment?

By E-mail By Phone

Please describe the nature of your foot or ankle problem

Please call our office at 613 936-8461 if you do not hear back from us within one business day.