Request Appointment Home » Request Appointment Please fill in the form to request an appointment. Appointments are not guaranteed, but we will contact you to confirm. Alternatively, give us a call at 250-385-6552. Request an Appointment First Name*Last Name*Email Address* Phone*Date* MM slash DD slash YYYY Preferred Time*Preferred TimeMorningAfternoonEveningPatient Type*Patient TypeNew PatientExisting PatientPlease let us know what days and times you are availableWhat is the reason for your visit?CAPTCHA