BBH Appointment Request
BBH Appointment Request
Name
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First
Last
Telephone
*
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(###)
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Email
*
You must enter a valid email address.
Appointment For
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Chiropractic Care / Active Release Techniques
Acupuncture / Traditional Chinese Medicine
Massage Therapy
Nambudripad's Allergy Elimination Technique (NAET)
Clinic Location
South Calgary
Downtown
No Preference
Preferred Gender of Doctor/Therapist:
Male
Female
No Preference
Preferred Doctor/Therapist:
No Preference
Chiropractic Care/ART: Dr Ryan Hoover (Mon thru Fri, South)
Chiropractic Care/ART: Dr Madhu Brar-Hayer (Mon, Wed, Fri, Sat, Downtown)
Acupuncture, TCM/NAET: Karen McInnis (Mon thru Fri, Downtown)
Massage Therapy: Julie Popadynetz (Mon, Wed, Fri, Sat, Downtown)
Massage Therapy: Julie Popadynetz (Tue, South)
Massage Therapy: Corey Batt (Tue thru Thurs, Sat, Downtown)
Massage Therapy: Shelley Hoffart (Sat, Downtown)
Requested Appointment Date #1
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YYYY
Requested Appointment Time #1
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HH
MM
AM
PM
AM/PM
Requested Appointment Date #2
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MM
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DD
YYYY
Requested Appointment Time #2
:
HH
MM
AM
PM
AM/PM
Comments/Special Requests: (ex. Pregnancy Massage)