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+ 1 541-754-3010

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+ 1 541-754-3010

Online Forms

Here are some important forms you to review and complete prior to your appointment with one of our physicians or provider.

  • Screening Checklist for Visitors
  • New Patient Enrollment Form
  • Medical History Form
  • Online Doctor Appointment Form
  • Psychiatric Evaluation Form
  • Quick Emergency Contact Form
  • Blood Donation Form
  • HIPAA Privacy Restriction Questionnaire
  • Medical Release Form

About US

Toxicology is the science concerning the adverse effects of chemicals (eg. alcohol, drugs, poisons, toxins, pollutants). Forensic toxicology is the application of toxicology to legal matters.

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Address:
1928 Barsuda Drive, Mississauga, Ontario Canada  L5J 1V5

 

Office:
Phone: 905-916-2929

 

 

 

 

 

 

Fax: 905-916-4949

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