Derm Clinic Peterborough
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  • Referral Form

Referral Form

This form is to be completed by a Nurse Practitioner or Physician.

Click here to download the fillable PDF

Dr. Christie Freeman

The Peterborough Clinic   26 Hospital Drive, Peterborough    Peterborough    ON    K9J 7C3


Tel: 705 775 0127     Fax: 705 775 0134

Copyright © 2013   Dr Christie Freeman Medicine Professional Corporation