New Patient Information Intake

All new patients must fill out the form below before booking a free 15 minute consultation

Name

First Name

Last Name

Phone

(###)

###

####

What is your preferred method of communication?

Select all that apply

Phone

Can we leave a message on the phone number provided?

Yes

What type of session are you interested in?

How can we help you?

Is there a specific practitioner that you are hoping to see?

Please list three preferred time slots for your 15-minute consultation

We will try our best to schedule your appointment during your preferred times. We will confirm via e-mail or phone before scheduling your consultation.

How did you find out about us?

If you are in need of immediate assistance please call 9-1-1, or go to your nearest Emergency Room, or reach out to the Toronto Distress Centre at 416-408-4357, which is available 24 hours, 7 days a week.

Existing Patient Online Booking Portal

New Patient Information Intake

If you are in need of immediate assistance please call 9-1-1, or go to your nearest Emergency Room, or reach out to the Toronto Distress Centre at 416-408-4357, which is available 24 hours, 7 days a week.

Schedule Your Free 15 Minute Consultation

Existing Patient
Online Booking Portal