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Please allow up to 3 business days for a response. For urgent concerns, please phone the clinic.

Please correct the errors described below.

Patient Information

REASON FOR MESSAGE *If none of the below are applicable, please phone the clinic*

For appointments that will be booked within the next 4-6 weeks. If you need to be seen sooner, please phone the clinic. You can also visit https://www.veribook.com/lp/TheChristieClinic/ to check for availability and book online.

Please first visit https://www.thechristieclinic.ca/about-3 to see how you can view your results online.

Please provide your REASON for booking the appointment & list your availability in as much detail as possible (ie. Monday AM, Wednesday PM) and we will get back to you with an appointment day/time.
Please list the medications needing renewal.
Please upload your form and include the deadline, above. Please note that we recommend planning at least 30 days in advance of deadlines but will try our best to fulfill more urgent requests. Please note, you may be asked to book an appointment to complete the form and so it it would be helpful to include your general availability above (ie. Monday AM, Wednesday PM).
    Please upload a file
    Please list your physician, date and time of appointment. If you wish to reschedule, please list your general availability (ie. Monday AM, Wednesday PM)
    Please list the test (blood work, x-ray, ultrasound) and when/where it was performed. You will either be notified of results by phone, email, or will be booked in with your physician to review.

    Your information will be encrypted.

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