Coordonnées

4 999 boul. St-Charles
suite 101
Ste-Geneviève (Qc)
Canada, H9H 3M8
Tel: 514-620-7084
Fax : 514-620-5202

Appointment form

To make an appointment, call 514-620-7084 or follow the procedure below :

To make an appointment on line :

  • Choose the day and time that are convenient to you
  • Give us your complete contact information
  • Fill out the form to open a medical file if this is your first visit

We will call or e-mail you within 24 hours to confirm your appointment or offer you another date and time.

Make an Appointment
Appointment date:
Year : 
Preferred time of day for appointment : 
Please confirm my appointment by :
e-mail (telephone) home (telephone) work
Comments, questions?

Personnal information
First name :*
Last name :*
Gender :F M   Age :
Address :*  City :*   Postal code :* 
Home (telephone) :*
Work (telephone) :*  Ext : 
E-mail : 

Thank you for taking the time filling in this form. We are looking forward meeting you on your next meeting.