Personal Consultation Form

If interested in one of our services and would like to book an in clinic consultation? To help speed up the
registration process, please fill out the information below and submit the completed information. One of our
nurses will contact you to confirm and book your appointment.

Download PDF Form

Feel free to download our referral form to fill out by hand and fax it to us at: 519.601.7174 Download Form

Personal Consultation Information

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