CityPlace Pharmasave Booking

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All your information is kept strictly confidential and 100% secure. For life-threatening emergencies call 911. If you are suffering an acute mental health crisis call 1-833-456-4566.
What Is Your Name?*

PronounsFirst NameLast Name
*

SexEmail Address
Phone Number*
Please enter a valid phone number.Format: +1 (000) 000-0000.

Placeholder Email
OHIP Number

This allows us to offer your appointment for free. If you don't have this handy you can provide it before your appointment.
Address*

Street Address

Street Address Line 2

CityProvince

Postal Code

What's the main reason that you want to see a doctor?*
This pharmacy has been installed with medical devices that allow for initial assessment and collection of vital signs when beneficial and clinically relevant to your concern. Is your pharmacy able to assist you with the use of the device?

YesNo
Blood Pressure ( mmHg )
Temperature ( Celsius )
Heart Rate ( BPM )
O2 Saturation ( % )
Photos from Otoscope

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Eko Stethoscope Link
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OHIP Number