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Consultation Formulae Form PH: 4169292020 (Toronto) 6138001680 (Ottawa) Fax: 4169290232 (Toronto) 6138000718 (Ottawa)Referral to Doctor: Patient Name:Age:DOB:Address:City:Home Phone:Cell Phone:Email:
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To fill out the consultation form for Herzig, follow these steps:
02
Start by visiting the Herzig website and locating the consultation form.
03
Provide your personal information such as name, email address, phone number, and any other required details.
04
Indicate the reason for seeking consultation from Herzig and provide a brief description of your concerns or questions.
05
If there are any specific areas of interest or services you would like to discuss, mention them in the appropriate section of the form.
06
If you have any relevant medical history or previous treatments, provide this information as accurately as possible.
07
Review your answers and ensure all the required fields are filled correctly.
08
Submit the filled-out consultation form and wait for a response from Herzig's team.

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Anyone who requires consultation from Herzig can fill out the consultation form. This includes individuals who are interested in their services, have specific questions or concerns related to eye care or vision correction, or are seeking professional advice and guidance regarding their eye health. The consultation form allows Herzig to gather necessary information and provide tailored recommendations or guidance to each individual.
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