The Hatchery has an estimated 3 - 4 month wait time for initial consultation
The Hatchery has an estimated 3 - 4 month wait time for initial consultation
Work in Progress
And provide the following information:
Full legal name:
Preferred name (if different):
Preferred pronouns:
Health card number:
Date of birth:
Address (include city, postal code):
Preferred phone number:
Preferred email address:
Preferred method of communication (email, phone, text):
Details about contact (do we need to be discreet when contacting, can we leave detailed messages, are we contacting the patient directly or a parent/guardian/support person):
What type of care are you looking for?: