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Best Of Halifax
 NEW Patient - Appointment/Free Screening Request 
If You Are In Pain Right NOW, Call Us Directly At 902-425-3775. We'll Book You An Appointment Right Away.

You can send us your information right now. Save time by filling in the quick form below. Please don't forget to give us your preferred appointment times, and we'll call or email to confirm.
Thank You
Please fill in the form below if you would like to book a free screening or request an appointment (for new patients only). After submission, you will be notified by phone or email to confirm your appointment time.

Patient Information
First Name:
 *
Last Name:
 *
Daytime Phone
 *
Email Address:
Address:
 *
City:
 *
Province:
 *
Postal Code:
 *
How Did You Hear About Us?
Payment/Insurance Information
Insurance Options
Problem Description & Preferred Appointment Times
Problem
Notes & Times Preferred:
Security code:
 *
Do not enter anything in this field:
* indicates a required field

Save even more time by printing off and filling out your paperwork before you come in.  Our waiting rooms are nice, but we are sure you don't want to spend any more time in them than you absolutely have to. 

Download Patient Intake forms

1535 Dresden Row, Unit 203, Halifax, NS   B3J 3T1
PH: 902-425-3775  FAX: 902-425-3774

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