Contact

Cedarview Plaza
4100 Strandherd Dr. (Unit 203)
Nepean, Ontario
K2J 0V2 (Map Below)

Tel: 613-825-3242
Fax: 613-825-3222

info@barrhavenhearingclinic.ca

Appointment Request

Name (First & Last):

Subject:

E-mail:

Phone Contact:

Preferred Appointment Time?
Anytime
Mornings
Afternoons

Is the Appointment for an Adult, Teen, or Child?
Adult
Teen (age 13–19)
Child (age 4–12)

Your comments: