Call PINC - (613) 981-6244

Consultation Re-Check Form

Our consultation re-check process is simple.
Re-check fee is $50
You will follow a series of 3 steps as outlined below:

Step 1 - Enter your contact data and patient history information and upload imaging/files

Step 2 - Make payment (IMPORTANT: When payment is complete, click 'Return to Merchant' or return to this page for Step 3)

Step 3 - Schedule your consultation using our online calendar

  • YOUR CONTACT INFORMATION

  • SIGNALMENT

  • HISTORY

  • What are the questions you want to have answered?
  • Upload Files

    Video, CT Scans, MRI, Lab work, etc. There is a 100 MB limit on file uploads.
  • Drop files here or
  • Payment

  • Price: $50.00
  • $0.00