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Summary

Logidesk ©

Select your appointment - Michelle Mildiner

* Addresses :

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* Type of appointment:

Adult

23 years and above

(75 min)

Young adult

20 - 22 years

(75 min)

Young senior

60 - 69 years

(75 min)

Senior

70 years and above

(75 min)

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* Civility

* Name:

* First name:

* Last name:

* First Name:

* Child's civility:

* Date of birth:

* First name partner:

* Name partner:

family composition

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* First name:

Name:

First name:

Name:

First name:

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* Address:

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I certify that the information provided is accurate and I agree to inform the Logidesk service at least 48 hours before the appointment if I am unable to attend. Otherwise, the consultation fee will still be due.

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