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Patient Registration Form

Please take a moment to download and fill out this form before your visit.

Download The Form
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  • patient-registration-form.pdf
  • Total Rehab Orthopedic & Athletic Medicine

    250 Bayly Street West, Unit #4 Ajax, ON L1S 3V4
    View on Google Maps
  • Home
  • About
  • Services
    • Massage Therapy
    • Physiotherapy
    • Athletic Therapy
    • Chiropractic
    • Bracing
    • Custom Orthotics
  • Form
  • Contact
  • Book Now

Contact

  • Phone:
    9054267690

  • Email:
    booking@totalrehab.net

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