New Patient Sign Up

Dr. Kegel is accepting patients of all ages.  Please complete the sign-up form and you will be contacted in 2023 with details of your intake appointment. 

Month / Day / Year

Dr. Kegel and his team will only use the information you provide for the purposes for which it was given. We are committed to upholding your privacy. Your information will not be shared, loaned or sold to anyone or any business. We will be compliant with The Personal Information Protection and Electronic Documents Act (PIPEDA).