Answer a short questionnaire and a licensed health provider will assess your condition within 24 hours. Your progress is automatically saved.
You will be required to upload the following. Please have them ready for faster completion of the intake questionnaire:

  • Government ID
  • Provincial health card
  • Private insurance card (if any)
  • Selfie for identification purposes

By proceeding, you agree that you:

  • Are biologically male at birth
  • agree to our privacy policy and terms and conditions.
  • Are completing this form for yourself and will answer the questions accurately and completely to your best ability
  • Will disclose and consent to have stored the information of any prescription medication you currently take and any serious illnesses or surgeries you have had.
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