Registration Form (Confidential) download
Select the Word or Page version, download, fill out and email me before your first consultation.
Please, take the time to fill out the form and email it back to me on consultation day, at the latest. Thank you
PagesFormat for MAC
Please, take the time to fill out the form and email it back to me on consultation, at the latest. Thank you
Online Consultation or
251, St-Joseph East, Montreal Quebec
Ingrid Schutt : (514) 991-6316
For your child
Bring or send me a copy of your child’s vaccination card if your child was vaccinated.