Step 1 > Survey Step 2 > Day & Time Step 3 > Intake Form Step 2 of 3 Select Day & Time Please fill out the following information and press Submit: Note: Same day or next day appointments are not accepted via the online form. For emergency situations, please call the clinic at 416-960-9355. Name: Email Address: Daytime Phone: Evening Phone: Preferred Date: (dd/mm/yyyy) Preferred Time: Between 8:00am and 12:00pm Between 12:00pm and 4:00pm Between 4:00pm and 7:00pm Comments: Sign-up to receive Dr. Dave's bi-monthly newsletter, filled with helpful information to keep yourself healthy and happy. Add me Remove Me Email List Management by Ezine Director Download these two exclusive reports: "6 Secrets to a Healthy Pain-Free Body" and "6 Secrets to a Healthy Child". Copyright © 2003, Dr. David Koivuranta. All rights reserved.