CCR Appointment

Please use this online form to confirm, cancel or reschedule your appointment.

Only existing appointments can be confirmed, cancelled or rescheduled with this form.

If you would like to schedule a new/different exam, in which you have a new requisition, please contact our scheduling department at 519-672-7900 or complete the prebooking form here: https://www.lxa.on.ca/sched-appt

Although not all fields are required, the more details we have the easier it will be to cancel your exam(s). If you would like to reschedule your exam then please be sure to provide all of the current exam. We will contact you to advise of the rescheduled date, time and possible location change.

Would you like to Confirm, Cancel or Reschedule your appointment?* Confirm Cancel Reschedule

Confirm Appointment.

Please note that our patient reminder service may send you an additional request to confirm your appointment, before we can update our main system. The reminder may be sent via phone, text or email, we appreciate your patience and understanding.

Cancel Appointment.

We ask that when possible you provide minimum 24 to 48 hour notice of cancellation so that we can offer that slot to another patient.

Reschedule Appointment.

Please know that due to extended wait times, some of our exams [e.g. select Ultrasound exams] may be resceduled one to two months from your current appointment date. You might also have to consider one of our other clinic locations as 'next availablity' will vary.

We can confirm that with you prior to rescheduling your appointment but please ensure that you need to rescehdule prior to submitting this form.

Personal Information

First Name*

Last Name*

Date of Birth (DD-MM-YYYY)*

Health Card#*

Version Code*

Phone*

Email*

Booked Exam(s)

Provide the clinic location and exam type(s) that you wish to confirm, cancel or reschedule. You can submit multiple forms if needed.

Current Booked Location* Current Appointment Date (DD-MM-YYYY)

Current Booked Time Currently Booked Exam(s)* X-ray
Ultrasound
Mammography
Bone Mineral Densitometry
Echocardiography
MSK Injections

Include additional details regarding your confirmation, cancellation or rescheduling request.

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