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IF YOU ARE A REFERRING PHYSICIAN PLEASE COMPLETE THE REFERRAL FORM BELOW AND EMAIL OR FAX IT IN TO US.
IF YOU ARE A PATIENT WANTING A REFERRAL- PLEASE SPEAK WITH YOUR SURGEON ABOUT REFERRING YOU TO US
NOTE: THIS IS A COMPLETELY VIRTUAL PROGRAM- PATIENTS MUST HAVE ACCESS TO THE INTERNET AND BE ABLE TO USE A COMPUTER TO PARTICIPATE IN THIS PROGRAM
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REVOLUTION MEDICAL CLINIC
5615 West Boulevard
Vancouver, BC, V6M3W7