Online Forms

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Informed Consent – This form must be filled out for any of the services provided.

New Patient – Adult

New Patient – Child

HypnoBirthing Childbirth Education

If you have problems with the forms or haven’t heard from us within 72 hours, please contact us.

Contact

51 George Street
Waterloo, ON
N2J 1K8

Phone: 519-575-6016
Fax: 226-444-6755

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wholesome family health - get well, live well, stay well