Appointments & Forms

I would like:

A sick visit urgent appointment

Walk In Schedule:

Monday  3:00pm- 4:00pm
Tuesday 3:00pm- 4:00pm
Wednesday 3:00pm- 4:00pm
Thursday 3:00pm- 4:00pm
Friday  2:00pm-3:00pm

Our sick visit walk in clinic is for patients who are ill, or have urgent concerns. While long standing concerns, educational and mental health concerns are important, we CANNOT deal with them in the rapid pace of this time. We will do our best to keep wait times down, but we ask for your patience.

Weekend on call doctor use the weekend schedule tab.

A routine checkup

Dr. Sheila Jacobson

Click here

Dr. Michael Peer

Click here

Dr Carolyn Taylor

Click here

Dr. Kate Amiel

Click here

Dr. Sharon Naymark

Click here

Dr. Joanna Massam

An appointment for a newborn

Please check the Weekend & Holiday tab for the on call doctor.

At the current time out practice is full, and not accepting new patients other than siblings of our existing patients.  

Child Name(Required)
Date of Birth(Required)
Parent Name(Required)
Accepted file types: pdf, doc, docx, jpg, jpeg, Max. file size: 60 MB.
This field is for validation purposes and should be left unchanged.

An Immunization Record

We will automatically email immunization records to the email address we have on file for your child. If you would like the immunization record sent to another email address, please include in the requests below:

Child Name(Required)
Date of Birth(Required)
Parent Name(Required)
Accepted file types: pdf, doc, docx, jpg, jpeg, Max. file size: 60 MB.
This field is for validation purposes and should be left unchanged.

A Prescription

There is a $25 charge for online/phone prescription renewals.  Please include the name and dose of the medication, as well as the pharmacy address and FAX number.

Child Name(Required)
Date of Birth(Required)
Parent Name(Required)
Accepted file types: pdf, doc, docx, jpg, jpeg, Max. file size: 60 MB.
This field is for validation purposes and should be left unchanged.

A form filled out

We typically charge $25-$50 for most forms, some more depending on the time it takes to fill. We usually require 1-2 weeks to complete most forms. Forms that require a PHYSICAL EXAM require an appointment.

Child Name(Required)
Date of Birth(Required)
Parent Name(Required)
Accepted file types: pdf, doc, docx, jpg, jpeg, Max. file size: 60 MB.
This field is for validation purposes and should be left unchanged.

All other reasons

For behavioural, school, mental health and other non-urgent issues.

Child Name(Required)
Date of Birth(Required)
Parent Name(Required)
Accepted file types: pdf, doc, docx, jpg, jpeg, Max. file size: 60 MB.
This field is for validation purposes and should be left unchanged.

A flu shot

2023 Flu Shot Clinics at Clairhurst are done.

We have very limited appointments for flu shots for 6mths – 6yrs.

Over 6yrs should go to their local pharmacy.

If you have a regular check up (any age) in November/December/January – ask for a flu shot – if we have supply we will do it!

Pay an invoice

Outstanding Invoices can be paid by etransfer clairhurstpayment@gmail.com (please include patient NAME and Date of birth on etransfer, VISA/MASTERCARD, or cheque payable to your physician).