To Book Your Appointment First Fill Out This Form —>

or Call 647- 484 - 4923

Note: after filling out this form you will receive an email and/or call from our clinic to find you an appointment time. This information is then put into our electronic medical record system to invite you to create a username and password and fill out the online intake questionnaire.

For patients interested in the stroke recovery and brain rehab program, please fill out this form and a member of our staff will contact you for a complimentary discovery call or meet and greet.

 
Name of Patient *
Name of Patient
Phone of Patient or Patient Representative *
Phone of Patient or Patient Representative
We may call you to facilitate booking your appointment
Date of Birth of the Patient *
Date of Birth of the Patient
Required to set up an electronic medical record for you. All information is confidential.
Birth Sex
I want the office to direct bill my benefits provider for me, using e-Telus Health Claims. I will include my benefit details in the intake form and I have read what could be covered under my plan on the website at: https://www.bellwoodswellness.com/billinginfo. *
Please read the direct billing questions to ask your insurance provider, and codes we use with e-Telus Health, to direct bill for patients. www.bellwoodswellness.com/billinginfo
What day of the week is best for your in-person appointment(s)?
What time of day works best for your appointment(s)?
Are you looking for an appointment for the Stroke Recovery 4-month program? *

Rouge Valley hospital TORONTO STROKE RECOVERY PROGRAM

2867 Ellesmere Rd, Unit #110
Toronto, ON, M1E 4B9
Canada

Hours: Wednesdays, 8:30am-4pm

Call: 647 - 484 - 4923

LEARN MORE ABOUT THE PROGRAM HERE

Bellwoods wellness and naturopathic medical clinic

General Naturopathic Care and Stroke Recovery Consults

237 Crawford Street
Toronto, ON, M6J 2V5
Canada

Hours: Tuesdays & Thursdays, 9:30am-6:00pm, Fridays 9:30am-12pm

Call: 647-484-4923