RAPID ACCESS CLINIC CONSULTATION REQUEST FORM

RAPID ACCESS CLINIC CONSULTATION REQUEST FORM

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45 Mill Street Toronto, Ontario M5A 3R6 Tel: 416 869 DERM (3376) Fax: 416 365 SKIN (7546) www.avantderm.com . RAPID ACCESS CLINIC - CONSULTATION REQUEST FORM. Confirmation or booked appointment not required.

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