Schedule an Appointment

Any item marked with a red border is required in order to proceed with this form. If a red item is not filled in you will not be able to submit your request!

Date of Birth:

Choose the office you wish to visit:

Requested date:

Additional comments?

Please note: Once this form is complete, a staff member will contact you by phone or e-mail to confirm your appointment.

This feature is intended for regular appointments only, if you require immediate assistance please contact our office by phone at 204-255-3990 or 204-452-2137.

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