Laser Centers for Health · Nanaimo, BC

Request a Private Consultation

Complete the form below and a member of our clinical team will be in touch within one business day. All information is strictly confidential.

We collect contact information only to communicate with you for the purposes you have requested. All information provided is strictly confidential. We will never sell or share your personal information for any purpose.

Please review the highlighted fields before submitting.

Step 1
Your contact information
Please enter your first name.
Please enter your last name.
Please enter a valid email address.
Please select at least one contact method.
Please enter your phone number.
Step 2
Consultation format
Please select a consultation format.
Step 3
Areas of concern

Select all that apply to your situation. This helps us understand your needs before your consultation.

Addictions
Mental Health
Nervous System
Please select at least one area of concern.

You've selected one or more addiction treatments. Our financial awareness tool can help you understand the cost of your addiction and share that information with our clinical team.

Step 4
Your message
Please tell us a little about what you're going through.
Step 5
Consent & submission

By submitting this form, you consent to Laser Centers for Health contacting you using the information you have provided above, for the purposes of responding to your inquiry and discussing treatment options. Your information is held in strict confidence and will never be shared with or sold to third parties.

Please confirm your consent to proceed.

We aim to respond within one business day. If you require urgent support, please call us directly
or contact the BC Crisis Line at 1-800-784-2433.

Thank you — we've received your inquiry.

A member of our clinical team will be in touch within one business day. All information you've shared is kept in strict confidence.

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