Ontario Privacy & Medical Disclaimer
By submitting this form, you consent to the collection, use, and storage of your personal health information ("PHI"), including your name, email, phone number, and any symptoms you provide. Our clinic is a Health Information Custodian (HIC) under Ontario's Personal Health Information Protection Act (PHIPA), and we handle your information in accordance with PHIPA and, where applicable, Canada's PIPEDA.
Your information is collected only for purposes such as responding to your inquiry, booking appointments, and providing clinical care. We do not share your information with third parties except with your consent or as required by law.
Please note: Submitting information through an online form or email may not be fully secure. Avoid including highly sensitive medical details.
Information on this website is for general educational purposes only and does not constitute medical advice. Submitting this form does not create a practitioner–patient relationship until your appointment is confirmed.
Medical Emergency: If you are experiencing a medical emergency, please call 911 or visit your nearest emergency department.