Registration request for What is Physiotherapy?

Thank you for your interest in this event/program. Please complete and submit the form below.

Timeslot:

Thursday 23rd May 2024, 5:00pm - 7:00pm

Location:

Availability:

50 spaces remaining

Name:

Date of Birth:

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OHIP #:

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Physician:

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1. All your information is treated confidentially.

2. If you are registering on behalf of someone else (e.g. dependent, child), please enter the date of birth and health card of that person.