Canadian owned Choice Self Directed Healthcare Dental Medical Tourism from Cuba

Please contact us with any questions that you may have regarding the Patient Information Form.

Contact Information

Canadian Head Office:
Choice®
885 Main Street,
Winnipeg, Manitoba,
Canada, R2W-3P2

Toll-free Phone:

1-866-672-8284

Toll-free Fax:

1-866-324-3077

Email:

Head Office Hours of Operation:
Monday - Friday 8:30 am - 4:30 pm
Central Standard Time

Rupinder Brar
President,
885 Main Street,
Winnipeg, Manitoba,
Canada, R2W-3P2

Email:

Elizabeth Nieves
Executive Assistant,
885 Main Street,
Winnipeg, Manitoba,
Canada R2W-3P2

Email:

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*	First Name:
*	Last Name:
	Gender:	male female
	Birth Date:
	Age:
	Street Address:
	City:
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*	Email Address:
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	Medical Information
	What kind of procedure are you seeking?
	1st Procedure:
	2nd Procedure:
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