Request for Sutherland-Chan Clinic AppointmentTable of Contents Request for Sutherland-Chan Clinic AppointmentTerm 2 ClinicTerm 3 or Term 4 ClinicSpecialty ClinicsRequest for Sutherland-Chan Clinic Appointment Name*Phone Number*Email*I Would Like*Please SelectTerm 2 ClinicTerm 3 or Term 4 ClinicSpecialty ClinicsTerm 2 ClinicA) Gender* Male FemaleB) Day of Week* Monday Tuesday Wednesday Thursday FridayC) Time of Day* Afternoon EveningTerm 3 or Term 4 ClinicA) Gender* Male FemaleB) Day of Week* Monday Tuesday Wednesday Thursday FridayC) Time of Day* Afternoon EveningSpecialty ClinicsClinic* Arthritis/Joint Pain Clinic Breast/Top Surgery Clinic Headaches/Concussion Clinic MS Clinic Pregnancy Clinic Seniors Clinic Sports Clinic Thai Massage ClinicPhoneThis field is for validation purposes and should be left unchanged.
