Please complete the form below Laissez vide / Leave empty First name Last name Gender Male Female Email address Time of day Before noon Afternoon Main phone Work phone Cell phone From which date? What is the reason for the visit?
Emergency? Check the box if it's an urgent case You are our priority. We do everything possible to see you the same day or the next business day. For a faster response, we suggest you contact us by phone at 819 777.3368.
A final step before sending your request Cancellation fees We ask for a 48-hour notice for appointment cancellations. A $25 fee will be applied for each appointment missed or cancelled within less than 48 hours. Payment terms We accept cash, debit (Interac), VISA and MasterCard. Electronic payments from your insurance company are accepted with certain exceptions. Is it your first visit? Get ahead Is it your first visit? Please print and complete the medical questionnaire beforehand and bring it to your appointment. Send
