Pickering Wellness Centre - Make an appointment request online

Schedule an Appointment

Use the convenient form below to request your appointment. We will do our best to accommodate your busy schedule. If you have any questions or would prefer to schedule your appointment over the phone, please call (905) 420-9494.

Your name *

Your Phone *

Birth Date (DD/MM/YYYY) *

Your email address *

Your Address *

Your City, Province & Postal Code *

Patient Type

Gender

Wellness Service, Date & Time

Service *

Date *

Time *

What symptom(s) have you experienced?

How did you hear about Pickering Wellness?

Search Engine

GroupOn/WagJag

Yellow Pages

Referred by Friend

Other

Verification Code

Enter the Verification Code *

* Note: This is a request for appointment only. Our office will contact you to confirm your appointment

Back Pain	Neck Pain
Headaches
Knee Pain	Foot Pain
Arm and Shoulder Pain	Jaw Pain
Arthritis	Joint Pain
Fibromyalgia	Auto Accident Injuries
Work Accident Injuries	Carpel Tunnel Syndrome
Scoliosis	Pregnancy Pain
Stress	Elbow Pain