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Candidate Form

Knee Pain KOPI Regenerative Therapy

This form is specifically for new patients who are interested in learning more about our treatments, or are looking to schedule an initial consultation. Once you have filled out and submitted the form below, a member of our staff will be in contact with you shortly.

 

Any of our existing patients who are looking to either schedule or reschedule an appointment with their physician, we ask that you contact our office directly by phone or request an appointment online.

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WHAT CAN REGENERATIVE THERAPY DO FOR YOU?

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Fax: (613) 344-1203

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800 John Marks Avenue

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