Online Appointments



Thank you for choosing Canadian Specialist Hospital.

To request an appointment with one of our Doctors, please fill in the information below.


Patient Type
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Patient Information

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First Name *

Email*

Mobile Number *

Patient Information

First Name *

Middle Name

Last Name *

Nationality *

Gender

Male Female

Contact Details

Telephone

Mobile *

Email *

City *

Country *

Preferred Dates

Date 1

Date 2

Time

Time

Appointment Details

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Doctor

Medical Complaint *

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