Patient Intake, Consent Form, and Other Handouts
Please fill in the following form prior to your visit. If you are unable to fill the form ahead of time, please arrive to your first appointment 15 minutes early to complete the paperwork.
If you have extended coverage, please inquire with your plan administrator or coverage booklet for reimbursement rates and procedures. Receipts will be provided for submitting to your extended health plan for reimbursement.
Payment methods accepted at our clinic include cash, Visa, MasterCard, American Express, and debit.
24 hours advance notice is requested for canceling or rescheduling appointments. A cancellation fee may be charged otherwise.
#8 - 310 Goldstream Ave.,
Victoria, BC, Canada V9B 2W3
Phone: (250) 478-4057
Monday: 9am to 6pm
Tuesday: 12pm to 7pm
Wednesday: 9am to 1pm
Thursday: 12pm to 7pm
Friday: 9am to 1pm
Closed Saturday and Sundays