Appointment Request - Valérie Kula, Orthophoniste

5773 Avenue Bannantyne, Montréal, Quebec, H4H1H2, Canada

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Child's Name: *

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Appointment request

Thank you for your interest in our practice!

What day(s) of the week is it easier for you to come for an appointment? *

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What time of the day is usually better for you? *

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What is the reason of your visit? *

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Has your child been seen in audiology, neuropsychology or speech-language pathology? If so, please send the report(s) to valerieorthophonie@gmail.com *

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Appointment Request - Valérie Kula, Orthophoniste

Thanks for requesting an appointment with our practice.

The information has been received and we will get back to you shortly.

Thanks for requesting an appointment with our practice.

The information has been received and we will get back to you shortly.

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Appointment request

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