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PLEASE FAX REFERRAL DOCUMENTS TO 855-395-0788

PHYSICIAN/DENTIST REFERRAL FORM

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1585 Mississauga Valley Blvd. Unit #3

Mississauga, Ontario L5A 3W9

TEL (289)-834-3560

FAX 855.395.0788

2381 Bristol Circle, Suite 100,
Oakville, Ontario, L6H-5S9

drlipinski@lovemysleep.ca

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