Adjusting a Baby

Request Appointment (pending confirmation)

Patient Type

New Patient

Current Patient

Returning Patient

First Name

Last Name

Email Address

Phone Number

Respond to me via:

Phone

Preferred Day/Time:

Date

Appointment Hour

Appointment Minute

AM or PM

Comments or Questions

I consent to having this website store my submitted information so they can respond to my inquiry. For more info, read our privacy policy.

Leave this empty:

Chiropratique Optimum
5139 Rue Bannantyne
Verdun, QC H4G 1G4
Phone: (514) 766-4156

Chiropractor Website by Perfect Patients.