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The DC Specials Booking Form

Please select the Special your interested in, along with your preferred day and time below. We will do our best to accommodate your schedule. Our appointment coordinator will contact your personally to arrange your treatment. If you prefer to book your consult by phone, please call (204) 474-1221. Thank you!

Select your Special:

I would like to book an appointment for (select):

Your Appointment Information:

Preferred Appointment #1 (Day / Time / Week):

Preferred Appointment #2 (Day / Time / Week):

Your Contact Information:

First and Last Name (required):

Email Address (required):

Preferred Phone # (required):

I wish to receive information about treatments and products from The Derm Centre.

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