Kim Keresturi
call or text
905-802-6210
Heath History Form
Please print off only those pages that apply.
If possible, send form in ahead of time or email me with your main concerns.
Method of payment:
Burlington: Cash, cheque or etransfer
Cancellation policy: 24 hour cancellation required otherwise there will be a charge of $50
Please consider sending a loved one in your place, if you have to cancel with short notice.
Dundas: Credit card or debit
Cancellation policy : $50 if less than 24 hours notice