Make an appointment

Need more information?

Call us or send us a message. Our team will be happy to answer you.

Phone number: 450-625-2030

Email: test@clinique.com

4055, boul. Dagenais O.  Laval, QC H7R 1L3

Form

Are you already a clinic patient?

Yes

No

What's the reason for the appointment?

Consultation

Other

Who should attend?

Child

Teenager

Adult

Do you have a doctor's preference?

From what date are you available?

What time of day is best for you?

AM

PM

First name

Last name

Email address

Phone

Message

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.