Request for Information Form

Please fill in the form below and we will be be in contact with you during the next 24-48 hours to answer your questions.


Briarwood Surgical Centre Hours
Patients can make an appointment for an
initial consultation by calling our office
directly: 905-849-4282. 


Patient consultations are held Mondays and
Fridays.  Dr. Brown sees patients those days
between 10:00 a.m. and 5:00 p.m.

Request information


If you wish to request information, please complete the form below. 
Required fields = *

First Name: *
Last Name: *
Home Ph: *
Work Ph:
Address Line 1: *
Address Line 2:
City: *
Province: *
Postal Code: *
Country: *
Email Address: *


Do not add me to your database [ we will always protect your privacy ]

Please tell us how to contact you:

Home                Work               Email 

Please tell us which procedure(s) you are inquiring about.  Hold the control
key down while selecting to highlight multiple procedures.

You may add some comments to your inquiry and click Send Request.   




                                 

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