GPS: Booking an Appointment

Booking an Appointment

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Current clients or returning clients need not fill in this form. Simply request an appointment by email. Be sure to include your telephone number so we can confirm the appointment time with you. Or call us at 492-2546.

If you have never been a client at GPS and would like to book an appointment, please call (902) 492-2546 or fill out and send the form below. No referral is necessary. When we receive your request, we will telephone to confirm an appointment time with you. All the information we receive is strictly confidential. For more information, please see Privacy.

If you have questions, please call (902) 492-2546 or email us.

Please visit our Fee Information Page before proceeding.

Full Name (if a couple, please provide names & contact info for both partners):		Email Address:
Street Address: Apt.			City:
Province:			Postal Code:
Home Phone Number(s): May a message be left? Yes No	Business Phone Number(s): May a message be left? Yes No		Other Phone Number where you may be reached May a message be left? Yes No

Date(s) of Birth (DD/MM/YY):		Employer(s):		Occupation(s):
Who referred you to us?			Family Physician's Name:

(Optional) Please take a minute to tell us a little about why you would like to see us.