Book an Appointment

Request an Appointment

Please complete the form below with your preferred appointment date and time. We will contact you to confirm your appointment or discuss alternative dates and times if your first choice is not available.

Please allow up to 24 hours or one business day for us to confirm your appointment. If you need a faster response, please call us at 416-923-2009.

Before submitting your request, please check our Clinic Hours to make sure your preferred appointment time falls within our regular hours.

Please complete the form below and we will contact you to confirm your appointment.

Your Name *

Your Email *

Your Phone Number *

Appointment Preferences

Preferred Appointment Date *

Preferred Appointment Time *

8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM

Alternate Appointment Date

Alternate Appointment Time

—8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM

About You

Your Age

Your Gender *

MaleFemaleOther

Treatment Requested

Please select the treatment or treatments you are interested in:

ChiropracticMassageARTGrastonShockwaveLaserAcupunctureNot sure

Chiropractor Requested

—Dr. John Super, DCDr. Len Green, DCWhomever is available

Registered Massage Therapist Requested

—Richard Llanera, RMTAndy Cardoso, RMTWhomever is available

About Your Visit

What brings you in?

How long has this been a problem?

Additional Comments or Details

Please do not include sensitive medical information in this form.