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E-mail :        infohh@videotron.ca
Telephone:  (514) 381-7281
Fax:             (514) 381-7283
To make an appointment:
Simply fill out this form below, then click on the "Send Message" button
Name  *    
   
Home phone  * Work phone Cell phone
Email     
   
 
Area(s) of excessive sweating
Please check as many boxes that apply to your situation
 
Armpits           Hands           Feet           Head           Other
 
Have you been treated previously with
Aluminum chloride preparations such as Drysol, Certain Dri or other 
Iontophoresis 
Botox injections 
Surgery 
 

Other Comments


* The information must filled before sending!

 

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Revision date:  09/13/2013

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