Request An Appointment Dr. Ajayi-Obe Company First Name * Last Name * Email Address * Telephone * Preferred Date * Preferred Time * Early Morning Late Morning Early Afternoon Late Afternoon Reason for Appointment (check one or more boxes) * Anxiety/Depression/Mood Annual Physical Refill of Medications Immunizations (Tetanus/Pneumonia/Shingles/Allergy) Follow up on tests or treatment (Labs/x-ray/urine/medications/etc) Follow up post Hospital/ER visit Infant or Child Visit/Immunization Referral Request Drivers/MTO Physical Forms to be filled (Insurance/WSIB/ODSP/etc) Doctor’s note (Sick/Return to work/Massage/Physio/Chiropractor) Travel Advice (including vaccines) Flu Shot (November - March) Other (please describe in the Note section below) Note (optional) (250 Characters Max) It may take 24 hours or more for you to receive a response. Please do not include any confidential information in this message. This email service is non-secure and only intended solely to request an appointment. If you require urgent medical attention, call 911 or proceed directly to your closest Emergency Department. For non-urgent medical situations, you may request an appointment online, call the office to book an appointment or go to the Rapid Access Centre at 481 London Road. For non-urgent care outside of office hours, you may call Telephone Health Advisory Services at 1-866-553-7205. *You may only use the online appointment request form if you are already a registered patient with Dr. Ajayi-Obe and have a valid health card.