Your name (mandatory)

Your email (mandatory)

Phone (mandatory)

Which service do you require? (mandatory)
PhysiotherapyMassotherapyOstheopathyAcupunctureKinesiology

First visit for this injury? (mandatory)
yesno

Do you prefer someone in particular?
I do not mindEsthel Pilon, physiotherapistAndrée-Anne Lorrain, physiotherapistSylvie Mathieu, physio technician/osteopathMarie-Philippe Boudreau, physio technician/osteopathSabrina Paquet, physio technician/massotherapistSheila Cubas-Parent, physio technician/massotherapistCatherine Bélanger AcupuncteureStéphanie Sauvé, massotherapistElizabeth Silicani, massotherapist

Is it an accident:
 Work Road Other

Day (mandatory) :

Time (mandatory) :

We will send you a confirmation by email