Cancel Appointment

Brilz Associate Clinic

Family Medical Services in Wainwright, AB

Complete the form below

Cancel an
appointment

The clinic has a 24/7 cancellation line. You can phone 780-842-5829, ext. 7, and be directed to a voicemail service that allows you to leave a message to cancel your appointment.

Alternatively, you can cancel your appointment by completing the following cancellation request form.

First Name

Last Name

Date of Birth

Phone Number

Appointment Date

Appointment Time

Doctor

Dr. Amike Dr. Brilz

By completing this form, you consent to being contacted by the clinic regarding your appointments and care. Please note that while the clinic takes reasonable steps to protect your information, we recommend not including detailed personal health information online.

Clinic Hours

Monday

8:30am to 5:00pm

Tuesday

8:30am to 5:00pm

Wednesday

8:30am to 5:00pm

Thursday

8:30am to 5:00pm

Friday

8:30am to 4:00pm

Saturday & Sunday

Closed

The clinic is closed between 12:00pm-1:00pm for lunch on weekdays. All hours remain the same, unless otherwise posted on the clinic door.

Clinic Contact

Clinic Phone

780 842-5829

Fax

780 842-6582

Appointment Reminders

You can sign up for clinic appointment reminders, using the form linked below. Simply enter your information to receive future reminders before any upcoming appointments.