Call Us 613-633-0984 info@functional-therapy.ca

Referral

You are welcome to complete our online referral form to set up an appointment for your child.

Submitting this form indicates that you understand the risks of communicating over the internet such as being intercepted by a third party.

FUNctional Therapy cannot guarantee the security of this form.
Alternatively, you may contact us at 613-633-0984. Please leave a voicemail message with your preferred method of contact.

Referral Form

I am interested in: