Thank you for connecting with us. Please complete the form below and I will reach out to schedule an appointment.
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I understand this form is for non-emergency scheduling only and submitting this form does not create an immediate provider–patient relationship. *
Submission of this form constitutes a request for an appointment and does not guarantee a confirmed booking. All appointment requests are subject to review and approval. Your appointment will be considered tentative until it has been reviewed and officially confirmed by Dr. Marlene Reid-Palmer. You will receive confirmation once your appointment has been approved.*
