On-Line Appointments

If you are a current patient and would like to make or change an appointment, please provide the following information (please allow One (1) Business Day for appointments made online):
Name : 
Address : 
Address Line 2 : 
City or Town : 
Province : 
Postal Code 
Phone # with Area Code 
Fax 
Email 
I would like an appointment for
   of:
this week
next week   
(or specified date)
Is there a specific time you'd like?
Which Doctor?
 Dr. Paul   Dr. Peter 
   
This is a :
 new appointment
  rescheduled appointment
   

Any Other Comments

 
 

Thank you.  we will call you soon to confirm this appointment.

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Herron Family Chiropractic
Scugog Professional Building
98 King Street West
Bowmanville, Ontario L1C 3X5 Canada
905 623-5509
Fax 905 623-2885

 

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