This information is collected to create your medical file and is stored securely.

First Name *

Middle Name

Last Name *

Phone *

Address

Street Address *

City *

Province *

Postal code *

Date of birth *

Gender *

Male
Female
Another Gender
Prefer Not To Say
No elements found. Consider changing the search query.
List is empty.

OHIP / Health Card # (including last 2 letters)

Service *

Testosterone Replacement Therapy (T.R.T.) - For Men

Medical Weight Loss