In order for you to print the necessary registration forms we require before we can arrange an appointment, you will need the private access code.  Please complete the following and we will E-Mail you the access code.

If you already have the access code click here to get the forms.

* Required

First Name *

Last Name *

Address 

City 

Prov/State  Postal Code/ZIP 

Country 

Phone + Area Code *

E-Mail Address *

Note:  To receive the necessary forms by mail you may call the Centre directly at (905) 668-4002.