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.


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51 George Street
Waterloo, ON
N2J 1K8

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

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